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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Gemzar The Right Medicine For Cutaneous T-cell Lymphoma?

I have cutaneous T-cell Lymphoma and am taking Gemzar one day a week for three weeks, follow up with the Oncologist on the fourth. So far no really bad side effects. In your opinion, is this a good treatment for CTCL? I must add that I ve tried every medicine knowm for this. My type of CTCL is Mycosis Fungoides. Sorry this is lenghthy but these things are difficult to put into words. I have some good effects with the Chemo, such as I don t scratch my skin bloody in my sleep,
Fri, 11 May 2018
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General & Family Physician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Mycosis Fungoides is the most common type of cutaneous T cell lymphoma.

There are studies that reported and confirmed the early efficacy of gemcitabine (Gemzar) in advanced-stage cutaneous T-cell lymphoma. However, results contradict the safety profile of gemcitabine previously reported and underline the high incidence of severe complications including visceral and cutaneous involvement.

Cutaneous T cell lymphomas are treated with skin-directed or systemic therapies including retinoids like bexarotene. In advanced stages, histone deacetylase inhibitors, interferons or chemotherapeutic agents have been used with variable efficacy.

In my opinion, Gemzar is a good treatment. However, there are newer treatment options available for cutaneous T cell lymphoma including monoclonal antibodies (Alemtuzumab, brentuximab vedotin and mogamulizumab).

Hope I have answered your query. Let me know if I can assist you further.

Regards,      
Dr. Narender Kumar
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Is Gemzar The Right Medicine For Cutaneous T-cell Lymphoma?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Mycosis Fungoides is the most common type of cutaneous T cell lymphoma. There are studies that reported and confirmed the early efficacy of gemcitabine (Gemzar) in advanced-stage cutaneous T-cell lymphoma. However, results contradict the safety profile of gemcitabine previously reported and underline the high incidence of severe complications including visceral and cutaneous involvement. Cutaneous T cell lymphomas are treated with skin-directed or systemic therapies including retinoids like bexarotene. In advanced stages, histone deacetylase inhibitors, interferons or chemotherapeutic agents have been used with variable efficacy. In my opinion, Gemzar is a good treatment. However, there are newer treatment options available for cutaneous T cell lymphoma including monoclonal antibodies (Alemtuzumab, brentuximab vedotin and mogamulizumab). Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Narender Kumar