Stratification of treatment intensity in relapsed pediatric Hodgkin lymphoma.

Abstract:

:Risk-adapted, response-based therapies for pediatric Hodgkin lymphoma have resulted in 5-year survival exceeding 90%. Although high-dose chemotherapy and autologous hematopoietic stem cell transplantation (AHSCT) are considered standard for most patients with relapsed or refractory Hodgkin lymphoma, a subset of children with low risk relapse do not require AHSCT for cure. Currently there are no widely accepted criteria defining who should receive standard dose chemotherapy and/or radiotherapy, nor is there a standardized treatment regimen. We propose a risk-stratified, response-based algorithm for children with relapsed or refractory Hodgkin lymphoma that is based on a critical appraisal of published outcomes and prognostic factors.

journal_name

Pediatr Blood Cancer

journal_title

Pediatric blood & cancer

authors

Harker-Murray PD,Drachtman RA,Hodgson DC,Chauvenet AR,Kelly KM,Cole PD

doi

10.1002/pbc.24851

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

579-86

issue

4

eissn

1545-5009

issn

1545-5017

journal_volume

61

pub_type

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