Full lymphoma work-up and appropriate treatment.
The treatment of choice of early lesions is surgical. Patients with unresectable disease should be considered for radiation therapy which offers an excellent chance of life long control of the disease.
The patients are seen in conjunction with the Lymphoma Clinic: solitary plasmacytoma should be treated by beam-directed megavoltage therapy
Multiple myeloma involving the nasopharynx will require palliative beam-directed treatment with standard chemotherapy for multiple myeloma.
These patients are seen in conjunction with the Melanoma Clinic: postoperative beam-directed megavoltage therapy is usually recommended.
Soft Tissue Sarcoma:
Radical surgical excision, where possible, followed by beam-directed radiotherapy to tissue tolerance levels.
The radiotherapy treatment volume usually includes only the primary site and adjacent normal tissues.