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Indian Journal of Dermatology
  Publication of IADVL, WB
  Official organ of AADV
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IJD SYMPOSIUM
Year : 2017  |  Volume : 62  |  Issue : 2  |  Page : 137-141

Management strategies for mycosis fungoides in India


Department of Dermatology, Tata Medical Centre, Kolkata, West Bengal, India

Correspondence Address:
Tanumay Raychaudhury
Tata Medical Centre, Kolkata, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijd.IJD_71_17

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Mycosis fungoides is the most common primary cutaneous T-cell lymphoma. The approach to diagnosis and further follow-up is outlined. Evidence for interventions is based classically on a Tumor Node Metastasis Blood TNMB “stage-based” approach. The treatment options in India are limited. The options as per risk stratification and prognostic index are discussed. Early stages and low-risk patients can be managed with expectant policy or skin-directed therapies including topical steroids and phototherapy; intermediate-risk patients can be opted for interferons or retinoids or low dose methotrexate along with radiotherapy including total skin electron beam therapy while high-risk patients are managed most often with single agent or multiagent palliative chemotherapy. Patients who are intermediate- or high-risk need management by a multispecialty team at tertiary care centers.


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