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Prepublished online as a Blood First Edition Paper on September 19, 2002; DOI 10.1182/blood-2002-06-1793.
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Blood, 15 January 2003, Vol. 101, No. 2, pp. 391-398
REVIEW ARTICLE
Radioimmunotherapy of non-Hodgkin lymphomas
Bruce D. Cheson
From the Georgetown University Hospital, Lombardi
Cancer Center, Washington, DC.
Enthusiasm for the use of monoclonal antibodies, such as rituximab,
has markedly changed the approach to patients with non-Hodgkin lymphomas (NHLs). Nevertheless, more effective therapies are needed. Radioimmunotherapy as a form of targeted radiation therapy may add
significantly to our therapeutic options. Yttrium Y 90 ibritumomab tiuxetan, recently approved by the Food and Drug Administration, and
iodine I 131 tositumomab have demonstrated a high level of activity in patients whose NHL has failed to respond to
chemotherapy and rituximab. Toxicities have primarily included
prolonged myelosuppression, with a potential risk of
treatment-associated myelodysplastic syndrome and acute myelogenous
leukemia. Ongoing clinical trials are attempting to better characterize
the role of these promising agents.

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