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Cutaneous T-cell lymphoma (mycosis fungoides and Sezary syndrome): lines of therapy

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3 standard-of-care settings across 3 lines and 2 biomarker subgroups. Rows come from the cancer page's standard of care; the grid places each on its line and subgroup.

LineAll comersFRα
Early / localised1·
Advanced, first line1·
Third line and beyond·1

Early / localised

SubgroupSettingApproachProducts and trialsEvidence
All comersEarly stage (patches and plaques)Topical steroids, nitrogen mustard or bexarotene gel; narrowband UVB or PUVA phototherapy; local radiotherapy; total skin electron beam therapy for widespread disease.43

Advanced, first line

SubgroupSettingApproachProducts and trialsEvidence
All comersAdvanced skin or blood diseaseExtracorporeal photopheresis, interferon, oral bexarotene, low-dose methotrexate; mogamulizumab for blood involvement (MAVORIC); brentuximab vedotin for CD30-positive disease (ALCANZA); vorinostat or romidepsin.83

Third line and beyond

SubgroupSettingApproachProducts and trialsEvidence
FRαRefractory or transformedGemcitabine or liposomal doxorubicin chemotherapy; allogeneic stem cell transplant in fit younger patients.92

Lines and subgroups are parsed from the setting text of each standard-of-care row and can misclassify an unusual phrasing; the row’s own setting is always shown. Guideline chips reflect the NCCN category and ESMO-MCBS grade recorded on the cancer page, checked on its stated date. Not medical advice.