Treating asymptomatic follicular lymphoma: What is the score?

Br J Haematol. 2025 Mar;206(3):1018-1019. doi: 10.1111/bjh.19949. Epub 2024 Dec 18.

Abstract

Health-related quality of life measures are underemphasised in clinical trials and particularly valuable in follicular lymphoma as some interventions can result in substantial toxicity with uncertain impact on overall survival. The report by Marzolini and colleagues provides a nuanced discussion on the merits of rituximab monotherapy versus observation in asymptomatic follicular lymphoma patients. Commentary on: Marzolini et al. Quality of life in advanced-stage, asymptomatic, non-bulky follicular lymphoma treated with rituximab shows significant improvement compared with watchful-waiting. Br J Haematol 2025; 206:876-886.

Keywords: asymptomatic follicular lymphoma; follicular lymphoma; health‐related quality of life.

MeSH terms

  • Antineoplastic Agents, Immunological / adverse effects
  • Antineoplastic Agents, Immunological / therapeutic use
  • Asymptomatic Diseases
  • Humans
  • Lymphoma, Follicular* / diagnosis
  • Lymphoma, Follicular* / drug therapy
  • Lymphoma, Follicular* / therapy
  • Quality of Life*
  • Rituximab* / therapeutic use
  • Watchful Waiting

Substances

  • Rituximab
  • Antineoplastic Agents, Immunological