Frontline Therapy for Classical Hodgkin Lymphoma by Stage and Prognostic Factors

Hodgkin lymphoma is a highly curable malignancy in early and advanced stages. Most patients are diagnosed in their teens or twenties and are expected to live decades beyond their treatment. Therefore, the toxicity of treatment must be balanced with the goal of cure. Thus, treatment has been refined...

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Main Authors: Pamela B Allen, Leo I Gordon
Format: Article
Language:English
Published: SAGE Publishing 2017-09-01
Series:Clinical Medicine Insights: Oncology
Online Access:https://doi.org/10.1177/1179554917731072
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author Pamela B Allen
Leo I Gordon
author_facet Pamela B Allen
Leo I Gordon
author_sort Pamela B Allen
collection DOAJ
description Hodgkin lymphoma is a highly curable malignancy in early and advanced stages. Most patients are diagnosed in their teens or twenties and are expected to live decades beyond their treatment. Therefore, the toxicity of treatment must be balanced with the goal of cure. Thus, treatment has been refined through prognostic models and positron emission tomography-computed tomography (PET-CT)-directed therapy. Stratification by prognostic models defines groups of patients with favorable characteristics who may be treated with less intensive therapy upfront, including fewer cycles of chemotherapy, lower doses of radiation, or omission of radiation altogether. Alternatively, high-risk patients may be assigned to a more aggressive initial approach. The modern use of interim PET-CT allows further tailoring of treatment by response.
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spelling doaj.art-4b8dbb4789da443f81e9c12711928a0b2022-12-21T23:56:45ZengSAGE PublishingClinical Medicine Insights: Oncology1179-55492017-09-011110.1177/1179554917731072Frontline Therapy for Classical Hodgkin Lymphoma by Stage and Prognostic FactorsPamela B AllenLeo I GordonHodgkin lymphoma is a highly curable malignancy in early and advanced stages. Most patients are diagnosed in their teens or twenties and are expected to live decades beyond their treatment. Therefore, the toxicity of treatment must be balanced with the goal of cure. Thus, treatment has been refined through prognostic models and positron emission tomography-computed tomography (PET-CT)-directed therapy. Stratification by prognostic models defines groups of patients with favorable characteristics who may be treated with less intensive therapy upfront, including fewer cycles of chemotherapy, lower doses of radiation, or omission of radiation altogether. Alternatively, high-risk patients may be assigned to a more aggressive initial approach. The modern use of interim PET-CT allows further tailoring of treatment by response.https://doi.org/10.1177/1179554917731072
spellingShingle Pamela B Allen
Leo I Gordon
Frontline Therapy for Classical Hodgkin Lymphoma by Stage and Prognostic Factors
Clinical Medicine Insights: Oncology
title Frontline Therapy for Classical Hodgkin Lymphoma by Stage and Prognostic Factors
title_full Frontline Therapy for Classical Hodgkin Lymphoma by Stage and Prognostic Factors
title_fullStr Frontline Therapy for Classical Hodgkin Lymphoma by Stage and Prognostic Factors
title_full_unstemmed Frontline Therapy for Classical Hodgkin Lymphoma by Stage and Prognostic Factors
title_short Frontline Therapy for Classical Hodgkin Lymphoma by Stage and Prognostic Factors
title_sort frontline therapy for classical hodgkin lymphoma by stage and prognostic factors
url https://doi.org/10.1177/1179554917731072
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