Radiotherapy results for nodular sclerosing Hodgkin's disease after clinical staging.

Abstract:

:Certain features of nodular sclerosing Hodgkin's disease predispose toward achievement of excellent radiotherapeutic results using clinical staging rather than currently advocated surgical staging including laparatomy. These include a distinct pattern of contiguous lymphatic involvement and the infrequent dissemination of disease to extranodal sites in early stage patients. Only three of 58 consecutive Clinical Stage I-III patients initially treated with radiotherapy alone between 1965 and 1969 have died from Hodgkin's disease. The 10-year survival rates corrected for intercurrent deaths are 97%, 90%, and 86% for Stages I-IIA, IIB, and III respectively. The usual prognostic influence of "B" symptoms was not evident following extended prophylactic irradiation. Likewise, there was no discernible influence of the subtype (lymphocyte predominant, mixed cellularity, lymphocyte depletion) on survival with these nodular sclerosis patients. There was a single extension of disease to iliac nodes in 46 patients with supradiaphragmatic involvement for whom prophylactic irradiation did not extend below the aortic bifurcation, providing justification for modified total nodal irradiation. Development of extranodal dissemination was observed in only 4/58(7%) patients, indicating that adjuvant chemotherapy is not warranted or justified in the early stages of nodular sclerosing Hodgkin's disease.

journal_name

Cancer

journal_title

Cancer

authors

Johnson RE,Zimbler H,Berard CW,Herdt J,Brereton HD

doi

10.1002/1097-0142(197704)39:4<1439::aid-cncr282039

subject

Has Abstract

pub_date

1977-04-01 00:00:00

pages

1439-44

issue

4

eissn

0008-543X

issn

1097-0142

journal_volume

39

pub_type

杂志文章

相关文献

CANCER文献大全
  • Elevated expression levels of NCOA3, TOP1, and TFAP2C in breast tumors as predictors of poor prognosis.

    abstract:BACKGROUND:Amplification of DNA in certain chromosomal regions plays a crucial role in the development and progression of human malignancies, specifically when protooncogenic target genes within those amplicons are overexpressed. Comparative genomic hybridization studies have revealed frequent amplification at 20q in p...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.11482

    authors: Zhao C,Yasui K,Lee CJ,Kurioka H,Hosokawa Y,Oka T,Inazawa J

    更新日期:2003-07-01 00:00:00

  • Suprasellar tumors in children: a review of clinical manifestations and managements.

    abstract::The records of 98 children with suprasellar tumors treated between 1950 and 1975, at Columbia-Presbyterian Medical Center, were reviewed. Most of the children with germ cell tumors or posterior chiasmal gliomas irradiated with 5000 rad in six weeks using extended field, children with craniopharyngiomas treated with to...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19821001)50:7<1420::aid-cncr2820

    authors: Sung DI

    更新日期:1982-10-01 00:00:00

  • Expression of c-ABL, c-KIT, and platelet-derived growth factor receptor-beta in ovarian serous carcinoma and normal ovarian surface epithelium.

    abstract:BACKGROUND:Tyrosine kinases, such as c-KIT, c-ABL, and platelet-derived growth factor-beta (PDGFR-beta), are important regulators of cell growth. Highly potent and selective inhibitors of tyrosine kinases are being investigated as alternatives to standard chemotherapy. One such inhibitor, imatinib mesylate, is being us...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.11561

    authors: Schmandt RE,Broaddus R,Lu KH,Shvartsman H,Thornton A,Malpica A,Sun C,Bodurka DC,Gershenson DM

    更新日期:2003-08-15 00:00:00

  • Pemetrexed in combination with cisplatin versus cisplatin monotherapy in patients with recurrent or metastatic head and neck cancer: final results of a randomized, double-blind, placebo-controlled, phase 3 study.

    abstract:BACKGROUND:Recurrent or metastatic squamous cell carcinoma of the head and neck (SCCHN) is associated with poor survival. Platinum-based chemotherapy is often a first-line treatment. Pemetrexed has shown single-agent activity in SCCHN and in combination with cisplatin for other tumors. This trial examined the efficacy ...

    journal_title:Cancer

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/cncr.27449

    authors: Urba S,van Herpen CM,Sahoo TP,Shin DM,Licitra L,Mezei K,Reuter C,Hitt R,Russo F,Chang SC,Hossain AM,Frimodt-Moller B,Koustenis A,Hong RL

    更新日期:2012-10-01 00:00:00

  • A safe and effective method for converting patients from transdermal to intravenous fentanyl for the treatment of acute cancer-related pain.

    abstract:BACKGROUND:The delayed effects (12-16 hours) of transdermal fentanyl make dose titration difficult during acute exacerbations of cancer pain. Patients at the authors' institution routinely are switched from transdermal to intravenous (IV) fentanyl using a 1:1 (transdermal:IV) conversion during severe episodes of pain. ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.11457

    authors: Kornick CA,Santiago-Palma J,Schulman G,O'Brien PC,Weigand S,Payne R,Manfredi PL

    更新日期:2003-06-15 00:00:00

  • Selecting initial therapy for prostate cancer. Radiation therapy perspective.

    abstract::External-beam irradiation of prostatic cancer was introduced at Stanford in 1956. The program has sought to determine the following: whether prostatic carcinoma can be cured by external beam radiation therapy, with what frequency this can be accomplished, which patients are best suited for irradiation, and what techni...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19870801)60:3+<521::aid-cncr2820

    authors: Bagshaw MA,Ray GR,Cox RS

    更新日期:1987-08-01 00:00:00

  • COMB (cyclophosphamide, oncovin, methyl-CCNU, and bleomycin): a four-drug combination in solid tumors.

    abstract::One hundred eighty-nine patients received a four-drug combination consisting of cyclophosphamide, Oncovin (vincristine), methyl CCNU, and bleomycin (COMB), according to three different drug regimens, performed sequentially. Of the 189, 62 had a partial response (33%) including 11/33 with squamous lung cancer, 11/32 wi...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197508)36:2<327::aid-cncr2820360

    authors: Livingston RB,Einhorn LH,Bodey GP,Burgess MA,Freireich EJ,Gottlieb JA

    更新日期:1975-08-01 00:00:00

  • Elimination of dose limiting toxicities of cisplatin, 5-fluorouracil, and leucovorin using a weekly 24-hour infusion schedule for the treatment of patients with nasopharyngeal carcinoma.

    abstract:BACKGROUND:Cisplatin, 5-flourouracil (5-FU), and leucovorin (PFL) chemotherapy has been reported to be effective in the treatment of cancers but severe mucositis or neutropenia are dose limiting toxicities. This Phase II study evaluated the anticancer effect and the toxicities of a new weekly 24-hour infusional PFL che...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章

    doi:10.1002/1097-0142(19951201)76:11<2186::aid-cncr282

    authors: Chi KH,Chan WK,Shu CH,Law CK,Chen SY,Yen SH,Chen KY

    更新日期:1995-12-01 00:00:00

  • Multimodality therapy for patients with clinical Stage I and II malignant mixed Müllerian tumors of the uterus.

    abstract:BACKGROUND:The role of adjuvant therapy in the management of patients with malignant mixed Müllerian tumors (MMMT) of the uterus has not been defined. The outcome of planned multimodality therapy for patients with apparent early stage disease was assessed. METHODS:A pilot study was performed on 38 patients with clinic...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章

    doi:

    authors: Manolitsas TP,Wain GV,Williams KE,Freidlander M,Hacker NF

    更新日期:2001-04-15 00:00:00

  • Plasma levels of D-dimer in lung carcinoma: clinical and prognostic significance.

    abstract:BACKGROUND:The activation of the clotting-fibrinolytic system in cancer patients is common and represents an unfavorable clinical sign. D-dimer (DD) is a sensitive marker of fibrinolysis. METHODS:The current study comprised 826 new lung carcinoma patients seen consecutively in a single institution over a 10-year perio...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.11432

    authors: Buccheri G,Torchio P,Ferrigno D

    更新日期:2003-06-15 00:00:00

  • Malignant histiocytosis with rearrangement of the heavy chain gene and evidence of monocyte-macrophage lineage.

    abstract::A unique case of malignant histiocytosis (MH) is reported. Its origin from the monocyte-macrophage system was indicated by expression of highly specific myeloid cell markers (My4, MCS2, and cytoplasmic lysozyme), diffuse activity of acid phosphatase and NaF-sensitive alpha-naphthyl acetate esterase, lack of immunologi...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19881001)62:7<1306::aid-cncr2820

    authors: Kamesaki H,Koya M,Miwa H,Kita K,Doi S,Tatsumi E,Hatanaka M,Uchino H

    更新日期:1988-10-01 00:00:00

  • Phase 1 trial evaluating cisplatin, gemcitabine, and veliparib in 2 patient cohorts: Germline BRCA mutation carriers and wild-type BRCA pancreatic ductal adenocarcinoma.

    abstract:BACKGROUND:A phase 1 trial was used to evaluate a combination of cisplatin, gemcitabine, and escalating doses of veliparib in patients with untreated advanced pancreatic ductal adenocarcinoma (PDAC) in 2 cohorts: a germline BRCA1/2-mutated (BRCA+) cohort and a wild-type BRCA (BRCA-) cohort. The aims were to determine t...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.31218

    authors: O'Reilly EM,Lee JW,Lowery MA,Capanu M,Stadler ZK,Moore MJ,Dhani N,Kindler HL,Estrella H,Maynard H,Golan T,Segal A,Salo-Mullen EE,Yu KH,Epstein AS,Segal M,Brenner R,Do RK,Chen AP,Tang LH,Kelsen DP

    更新日期:2018-04-01 00:00:00

  • Thrombocytosis in patients with malignant pleural mesothelioma.

    abstract::Thrombocytosis above 40.0 X 10(4)/mm3 occurred in five of six (83%) patients with malignant mesothelioma. In contrast, the incidence of thrombocytosis was 7.5% in patients with lung adenocarcinoma, 12.5% in squamous cell carcinoma, 5.1% in small cell carcinoma, and 41.7% in large cell carcinoma, respectively. The plat...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19861015)58:8<1699::aid-cncr2820

    authors: Nakano T,Fujii J,Tamura S,Hada T,Higashino K

    更新日期:1986-10-15 00:00:00

  • Total RNA yield and microarray gene expression profiles from fine-needle aspiration biopsy and core-needle biopsy samples of breast carcinoma.

    abstract:BACKGROUND:Gene expression profiling should be applicable to needle biopsy samples if microarray technology is to become practically useful for clinical research or management of breast carcinoma. This study compared gene expression profiles derived from fine-needle aspiration biopsy (FNAB) and from core needle biopsy ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.11435

    authors: Symmans WF,Ayers M,Clark EA,Stec J,Hess KR,Sneige N,Buchholz TA,Krishnamurthy S,Ibrahim NK,Buzdar AU,Theriault RL,Rosales MF,Thomas ES,Gwyn KM,Green MC,Syed AR,Hortobagyi GN,Pusztai L

    更新日期:2003-06-15 00:00:00

  • International staging system and metaphase cytogenetic abnormalities in the era of gene expression profiling data in multiple myeloma treated with total therapy 2 and 3 protocols.

    abstract:BACKGROUND:Myeloma survival varies markedly with International Staging System classification, presence of cytogenetic abnormalities, and, especially, gene expression profiling-based risk and delTP53 status, whose collective impact has not been examined in the context of specific therapies. METHODS:The authors examined...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.25535

    authors: Waheed S,Shaughnessy JD,van Rhee F,Alsayed Y,Nair B,Anaissie E,Szymonifka J,Hoering A,Crowley J,Barlogie B

    更新日期:2011-03-01 00:00:00

  • Recurrent gestational trophoblastic disease. Experience of the Southeastern Regional Trophoblastic Disease Center.

    abstract::Between 1968 and 1985, 28 patients with recurrent gestational trophoblastic disease (GTD) were treated at the Southeastern Regional Trophoblastic Disease Center. Sixteen patients received primary therapy at this center and had recurrence diagnosed by re-elevation of human chorionic gonadotropin (hCG) levels after thre...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19900901)66:5<978::aid-cncr28206

    authors: Mutch DG,Soper JT,Babcock CJ,Clarke-Pearson DL,Hammond CB

    更新日期:1990-09-01 00:00:00

  • Phase I-II trial of percutaneous intra-arterial cis-diamminedichloro platinum (II) for regionally confined malignancy.

    abstract::Forty-nine patients with regionally confined recurrent malignancy were treated with intra-arterial cis-diamminedichloro platinum II in a Phase I-II trial. A safe starting dose of 120 mg/m2 was established. An overall response rate of 45% was noted with significant responses observed among patients with melanoma, sarco...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19800315)45:6<1278::aid-cncr2820

    authors: Calvo DB 3rd,Patt YZ,Wallace S,Chuang VP,Benjamin RS,Pritchard JD,Hersh EM,Bodey GP Sr,Mavligit GM

    更新日期:1980-03-15 00:00:00

  • Gastric carcinoids. An immunohistochemical and clinicopathologic study of 104 patients.

    abstract:BACKGROUND:Gastric carcinoids are uncommon, and are unlike carcinoids at other gastrointestinal sites, clinically and pathologically. METHODS:The authors studied specimens from 104 patients with gastric carcinoid, with study emphasis being placed on pathologic features, immunohistochemistry, clinical associations, and...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19940415)73:8<2053::aid-cncr2820

    authors: Thomas RM,Baybick JH,Elsayed AM,Sobin LH

    更新日期:1994-04-15 00:00:00

  • Improved survival of patients with melanoma with an antibody response to immunization to a polyvalent melanoma vaccine.

    abstract:BACKGROUND:Melanoma vaccine treatment appears to slow the progression of melanoma in some patients, particularly in patients in whom it stimulates cellular antimelanoma immune responses. The relationship of vaccine-induced antibody responses to clinical outcome is less clear. The purpose of this study was to investigat...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19950115)75:2<495::aid-cncr28207

    authors: Miller K,Abeles G,Oratz R,Zeleniuch-Jacquotte A,Cui J,Roses DF,Harris MN,Bystryn JC

    更新日期:1995-01-15 00:00:00

  • High-dose chemotherapy and autologous hematopoietic progenitor cell rescue in children with recurrent medulloblastoma and supratentorial primitive neuroectodermal tumors: the impact of prior radiotherapy on outcome.

    abstract:BACKGROUND:The role of myeloablative chemotherapy in children with recurrent medulloblastoma and supratentorial primitive neuroectodermal tumors (MB/ST-PNET) is controversial, in particular in patients who develop recurrent disease after craniospinal radiotherapy. METHODS:In this retrospective analysis, the authors in...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.24341

    authors: Butturini AM,Jacob M,Aguajo J,Vander-Walde NA,Villablanca J,Jubran R,Erdreich-Epstein A,Marachelian A,Dhall G,Finlay JL

    更新日期:2009-07-01 00:00:00

  • Codon 13 KRAS mutation predicts patterns of recurrence in patients undergoing hepatectomy for colorectal liver metastases.

    abstract:BACKGROUND:Investigations regarding the impact of tumor biology after surgical management of colorectal liver metastasis have focused largely on overall survival. We investigated the impact of codon-specific KRAS mutations on the rates and patterns of recurrence in patients after surgery for colorectal liver metastasis...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.30085

    authors: Margonis GA,Kim Y,Sasaki K,Samaha M,Amini N,Pawlik TM

    更新日期:2016-09-01 00:00:00

  • Clinical measures to assess the practice and efficiency of breast self-examination.

    abstract::If women examine their breasts thoroughly and regularly they may promptly recognize abnormal tissue changes. The level of skill and motivation required for effective breast self-examination (BSE), however, is very high. In a prospective study of 304 patients with newly diagnosed breast cancer, 165 (54%) claimed to pra...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19860815)58:4<973::aid-cncr28205

    authors: Philip J,Harris WG,Flaherty C,Joslin CA

    更新日期:1986-08-15 00:00:00

  • Turcot's syndrome. Flow cytometric analysis.

    abstract::Turcot's syndrome is a rare, genetically transmittable disease in which patients with colonic polyposis (possibly complicated by the progression to adenocarcinoma) have malignant central nervous system neoplasms. Dominant, recessive, and sporadic cases have been described. A 26-year-old man is reported with no relevan...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19911001)68:7<1633::aid-cncr2820

    authors: Newton HB,Rosenblum MK,Malkin MG

    更新日期:1991-10-01 00:00:00

  • Manual dissection of adenocarcinoma of the lower third of the rectum specimens for detection of lymph node metastases smaller than 5 mm.

    abstract:BACKGROUND:The question of whether manual dissection when searching for metastatic lymph nodes from rectal cancer (less than 5 mm) is a reliable method remains controversial. METHODS:We examined 50 consecutive cases of primary adenocarcinoma of the rectum treated with a sphincter-sparing total rectum resection, total ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(SICI)1097-0142(19960215)77:4<607::AID-CNC

    authors: Andreola S,Leo E,Belli F,Bufalino R,Tomasic G,Lavarino C,Baldini MT,Meroni E

    更新日期:1996-02-15 00:00:00

  • Relationship between 5-fluorouracil (5-FU) dose intensity and therapeutic response in patients with advanced colorectal cancer receiving infusional therapy containing 5-FU.

    abstract:BACKGROUND:A phase II prospective trial was carried out to study the concept of 5-fluorouracil (5-FU) dose-intensity in patients with advanced colorectal cancer. Forty patients were treated with 5-FU plus leucovorin (LV), with individually increasing doses of 5-FU. A 5-FU pharmacokinetic follow up was performed and a r...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章

    doi:10.1002/(SICI)1097-0142(19960201)77:3<441::AID-CNC

    authors: Gamelin EC,Danquechin-Dorval EM,Dumesnil YF,Maillart PJ,Goudier MJ,Burtin PC,Delva RG,Lortholary AH,Gesta PH,Larra FG

    更新日期:1996-02-01 00:00:00

  • The prognostic impact of cyclin dependent kinase inhibitors p21WAF1, p27Kip1, and p16INK4/MTS1 in adenocarcinomas of the uterine cervix: an immunohistochemical evaluation of expression patterns in population-based material from 142 patients with internati

    abstract:BACKGROUND:The authors assessed the prognostic significance of abnormal cyclin dependent kinase inhibitor (CDKI) expression in adenocarcinomas of the uterine cervix. METHODS:Population-based, archival material from patients with International Federation of Gynecology and Obstetrics (FIGO) Stage I and II cervical adeno...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.11727

    authors: Alfsen GC,Reed W,Sandstad B,Kristensen GB,Abeler VM

    更新日期:2003-11-01 00:00:00

  • Hepatic involvement in Hodgkin's disease. Clues to histologic diagnosis.

    abstract::The hepatic histopathology was studied in 125 patients with Hodgkin's disease to determine whether there are any features other than Reed-Sternberg (RS) cells that might aid in the diagnosis of hepatic involvement by the neoplastic process. Liver biopsy specimens from 41 patients with Hodgkin's disease in the liver we...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19891115)64:10<2121::aid-cncr282

    authors: Dich NH,Goodman ZD,Klein MA

    更新日期:1989-11-15 00:00:00

  • Intramedullary spinal cord germinoma producing HCG and precocious puberty in a boy.

    abstract::Extremely high concentrations of human chorionic gonadotropin in the cerebrospinal fluid were found in a 5-year-old boy presenting sexual precocity and leg pain. An intramedullary spinal cord tumor was revealed by myelogram and metrizamide computerized tomography, and a biopsy specimen taken at laminectomy. Histologic...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19850615)55:12<2845::aid-cncr282

    authors: Hisa S,Morinaga S,Kobayashi Y,Ojima M,Chikaoka H,Sasano N

    更新日期:1985-06-15 00:00:00

  • Stomach cancer survival in the United States by race and stage (2001-2009): Findings from the CONCORD-2 study.

    abstract:BACKGROUND:Stomach cancer was a leading cause of cancer-related deaths early in the 20th century and has steadily declined over the last century in the United States. Although incidence and death rates are now low, stomach cancer remains an important cause of morbidity and mortality in black, Asian and Pacific Islander...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.30881

    authors: Jim MA,Pinheiro PS,Carreira H,Espey DK,Wiggins CL,Weir HK

    更新日期:2017-12-15 00:00:00

  • Cytologic findings in granular cell tumors, with emphasis on the diagnosis of malignant granular cell tumor by fine-needle aspiration biopsy.

    abstract:BACKGROUND:Granular cell tumors (GCTs) are uncommon tumors of putative schwannian derivation that are rarely malignant. Although recent studies have addressed a histologic correlation with malignant behavior, similar studies have not been done on cytologic material. METHODS:The authors evaluated 3 malignant GCTs and 1...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.10143

    authors: Wieczorek TJ,Krane JF,Domanski HA,Akerman M,Carlén B,Misdraji J,Granter SR

    更新日期:2001-12-25 00:00:00