I am new to this forum, saw your post & will share my experience. I have been dealing with CTCL manifesting as CD30+ lymphoproliferative disorder and mycosis fungoides, diagnosed 9 years ago. Topical clobetesol has helped but during this time, I have needed cycles of methotrexate (mtx) up to 20mg. It resolved but does wax and wane and I am in another "flare." Restarted mtx so will see how it does. My doctor never suggested phototherapy. I hope this helps. Each person's journey is a little different. Best wishes to you.