title: Management Strategies for Mycosis Fungoides in India.
abstract: 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.
authors.affiliation: Department of Dermatology, Tata Medical Centre, Kolkata, West Bengal, India.
authors.forename: Tanumay
authors.initials: T
authors.lastname: Raychaudhury
keywords: India; large cell transformation; mycosis fungoides; prognosis; risk stratification; treatment