Table 6: Summary of recommendations: EMZL- Other treatments including ChT, immunotherapy or combination chemoimmunotherapy are indicated in patients with symptomatic disseminated disease, contraindications to RT, failure after antibiotics or after local therapy or clinical suspicion of histological transformation: R-chlorambucil [I, A], R-bendamustine [III, A], rituximab monotherapy [III, B], R-lenalidomide [III, C] and R-CHOP for (clinically suspected or biopsy-proven) histological transformation.