PMID: 6397267Jan 1, 1984Paper

New aspects of Hodgkin's disease: staging for conservative management

Critical Reviews in Oncology/hematology
R A Rostock

Abstract

A variety of curative primary and salvage therapies exist for the management of Hodgkin's disease (HD). Consideration of the toxicity of initial therapy is becoming critical for long-term patient management. The recommendation for the routine use of combined modality therapy or whole lung irradiation has been made for the treatment of Stage IA and IIA bulky mediastinal HD based on the correlation between chest X-ray data and increased failure rates in patients managed initially with radiation alone. Thoracic CT scan data has yielded important information as to the possible cause of failure in those patients managed with radiation alone and recommendations are made to substage mediastinal HD for conservative management and to reevaluate the routine use of combined modality therapy. The management of Stage IIIA disease with radiation and/or chemotherapy, the role of splenic involvement for therapy, and the proposed value of substaging disease into IIIA1 and IIIA2 anatomic subsets is discussed. Finally, biochemical and immunological testing may play a future role for initial management.

References

Jul 1, 1978·AJR. American Journal of Roentgenology·M V PilepichB L Carter
Oct 1, 1983·International Journal of Radiation Oncology, Biology, Physics·R A RostockS E Order
Oct 1, 1982·Annals of Internal Medicine·J M IsnerD N Salem
Sep 1, 1948·Radiology·F G FLEISCHNERB E LEVINE

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Citations

Nov 23, 2007·Revue des maladies respiratoires·M Murris-Espin
Aug 15, 2013·British Journal of Cancer·D E GerberD H Johnson
Nov 23, 2007·Revue des maladies respiratoires·C CraccoB Maitre

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