Mantle cell lymphoma is a subtype of aggressive non-Hodgkin's lymphoma and usually presents in advanced stages. When treated with a regimen such as CHOP, the median
survival is about three years. More aggressive front-line
therapy with the hyper-CVAD regimen or high-
dose therapy with
stem cell support has shown encouraging results in several trials. The addition of
rituximab to the
chemotherapy regimens, or high-
dose therapy, increased the response and
survival rates in
patients with
mantle cell lymphoma. We
report a case of
mantle cell lymphoma that was successfully treated with aggressive front-line
treatment strategies. The
patient achieved complete remission with initial hyper-CVAD regimen, and was consolidated with autologous
stem cell transplantation and subsequent
rituximab.