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NCCN guidelines updated to include a ctDNA-MRD testing recommendation for B-cell lymphoma

By Abhilasha Verma

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Jan 15, 2025

Learning objective: After reading this article, learners will be able to cite a new clinical development in lymphoma.


On January 10, 2025, it was announced that the National Comprehensive Cancer Network (NCCN) has updated its clinical practice guidelines for diffuse large B-cell lymphoma (DLBCL) to include circulating tumor DNA (ctDNA) testing for minimal residual disease (MRD).1 

The guidelines now recommend ctDNA-MRD testing as an alternative to biopsy for evaluating PET-positive results at the end of first-line therapy in DLBCL. These updates will aid in improving identification of patients in need of additional therapy.1 

The inclusion of ctDNA testing aims to reduce unnecessary procedures and treatment burdens for patients, addressing challenges like false positives in PET scans and the need for invasive biopsies.1 

This is the first time ctDNA-MRD testing has been included in these guidelines, marking a significant advancement in lymphoma patient care.1 

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