I have a patient whith PMLBCL, who progressed under DA-EPOCH-Rx6 and R-ESHAPx2 and developed CNS sec. lymphoma. Can HD Mtx HD Ara-Cx4+WBRT do anything or is it a old story for this type of lymphoma if it is resistant nothing will help. We have a plan to do auto-SCT if she responds well to H-CVAD, but is there any chance for cure? Do anyone suggest some other approach?

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