Guidelines Modern Radiation Therapy for Primary Cutaneous Lymphomas: Field and Dose Guidelines From the International Lymphoma Radiation Oncology Group Lena Specht, MD, PhD,* Bouthaina Dabaja, MD, y Tim Illidge, MD, PhD, z Lynn D. Wilson, MD, x and Richard T. Hoppe, MD jj , on behalf of the International Lymphoma Radiation Oncology Group *Departments of Oncology and Hematology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark; y Division of Radiation Oncology, Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas; z Institute of Cancer Sciences, University of Manchester, Manchester Academic Health Sciences Centre, The Christie National Health Service Foundation Trust, Manchester, United Kingdom; x Department of Therapeutic Radiology, Yale University School of Medicine, New Haven, Connecticut; and jj Department of Radiation Oncology, Stanford University, Stanford, California Received Dec 14, 2014, and in revised form Jan 6, 2015. Accepted for publication Jan 9, 2015. Primary cutaneous lymphomas are a heterogeneous group of diseases. They often remain localized, and they generally have a more indolent course and a better prognosis than lymphomas in other locations. They are highly radiosensitive, and radiation therapy is an important part of the treatment, either as the sole treatment or as part of a multimodality approach. Radiation therapy of primary cutaneous lymphomas requires the use of special techniques that form the focus of these guidelines. The International Lymphoma Radiation Oncology Group has developed these guidelines after multi- national meetings and analysis of available evidence. The guidelines represent an agreed consensus view of the Inter- national Lymphoma Radiation Oncology Group steering committee on the use of radiation therapy in primary cutaneous lymphomas in the modern era. Ó 2015 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Introduction The purpose of these guidelines is to provide a consensus position on the modern approach to the delivery of radiation therapy (RT) in the treatment of primary cuta- neous lymphomas. The present guidelines represent a consensus viewpoint of the Steering Committee of the International Lymphoma Radiation Oncology Group Reprint requests to: Lena Specht, MD, PhD, Department of Oncology, Rigshospitalet, Section 3994, Blegdamsvej 9, 2100 Copenhagen, Denmark. Tel: (þ45) 35453969; E-mail: lena.specht@ regionh.dk This project was supported by The Connecticut Sports Foundation and The Global Excellence Program of the Capital Region of Denmark. Confict of interest: none. AcknowledgmentsdThe authors thank Ms. Jessi Shuttleworth for coordinating the ILROG guidelines committee. Int J Radiation Oncol Biol Phys, Vol. 92, No. 1, pp. 32e39, 2015 0360-3016/Ó 2015 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc- nd/4.0/). http://dx.doi.org/10.1016/j.ijrobp.2015.01.008 Radiation Oncology International Journal of biology physics www.redjournal.org
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