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Low-Dose Involved-Field Radiotherapy as Alternative Treatment of Nodular Lymphocyte Predominance Hodgkin's Lymphoma

Journal Article · · International Journal of Radiation Oncology, Biology and Physics
 [1];  [2];  [3];  [4];  [5]
  1. Department of Radiotherapy, Institut Gustave Roussy, Paris (France)
  2. Department of Radiotherapy, Netherlands Cancer Institute Amsterdam, Amsterdam (Netherlands)
  3. Clinical Research Unit, Centre Francois Baclesse, Caen (France)
  4. Department of Medical Oncology, Netherlands Cancer Institute Amsterdam, Amsterdam (Netherlands)
  5. Department of Pathology, Netherlands Cancer Institute Amsterdam, Amsterdam (Netherlands)
Purpose: Nodular lymphocyte predominance Hodgkin's lymphoma is a very rare disease, characterized by an indolent clinical course, with sometimes very late relapses occurring in a minority of all patients. Considerable discussion is ongoing on the treatment of primary and relapsed disease. Patients and Methods: A group of 9 patients were irradiated to a dose of 4 Gy on involved areas only. Results: After a median follow-up of 37 months (range, 6-66), the overall response rate was 89%. Six patients had complete remission (67%), two had partial remission (22%), and one had stable disease (11%). Of 8 patients, 5 developed local relapse 9-57 months after radiotherapy. No toxicity was noted. Conclusion: In nodular lymphocyte predominance Hodgkin's lymphoma, low-dose radiotherapy provided excellent response rates and lasting remissions without significant toxicity.
OSTI ID:
21276916
Journal Information:
International Journal of Radiation Oncology, Biology and Physics, Journal Name: International Journal of Radiation Oncology, Biology and Physics Journal Issue: 4 Vol. 74; ISSN IOBPD3; ISSN 0360-3016
Country of Publication:
United States
Language:
English

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