首页|Risk based and response adapted radiation therapy for children and adolescents with newly diagnosed advanced stage Hodgkin lymphoma treated with ABVD chemotherapy: a report from the Indian pediatric oncology group study InPOG-HL-15-01

Risk based and response adapted radiation therapy for children and adolescents with newly diagnosed advanced stage Hodgkin lymphoma treated with ABVD chemotherapy: a report from the Indian pediatric oncology group study InPOG-HL-15-01

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This multi-centric prospective study (InPOG-HL-15-01) assessed epidemiological, clinical and outcome data of advanced stage Hodgkin Lymphoma (IIB, III and IV) in children and adolescents (N = 262). Chemotherapy regimen was ABVD (doxorubicin, bleomycin, vinblastine, dacarbazine) and radiotherapy (RT) was restricted to patients with bulky disease at diagnosis or with suboptimal response at early response assessment (ERA). ERA revealed complete response in 175 (68.1%), partial response in 77 (29.9%), stable disease in 2 (0.8%), and progressive disease in 3 (1.2%) patients. RT was administered to 111 (97 bulky disease, 14 suboptimal response) patients. Five-year event free (EFS) and overall survival for the whole cohort was 81.1% and 90.8% respectively. On multivariate analysis, the only statistically significant predictor of EFS was use of RT (89% versus 74.2%; p-value <0.001). This study reinforces the benefit of consolidative RT in bulky disease and in those with suboptimal response at ERA on an ABVD backbone.

Hodgkin lymphomachemotherapyABVDradiotherapyadvanced stageCHILDHOOD-CANCERPET-CTRADIOTHERAPYMULTICENTERSURVIVALDISEASETRIAL

Bakhshi, Sameer、Seth, Rachna、Verma, Nishant、Singh, Manisha、Mahajan, Amita、Radhakrishnan, Venkatraman、Mandal, Piali、Arora, Ramandeep、Dinand, Veronique、Kalra, Manas、Sharma, Anurag、Taluja, Ankit、Thulkar, Sanjay、Biswas, Ahitagni、Chandra, Jagdish、Jain, Sandeep

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Pediat Oncol,All India Inst Med Sci

Pediat,King George Med Univ

Med & Pediat Oncol,Mahavir Canc Sansthan & Res Ctr

Inst Orthopaed,Indraprastha Apollo Hosp

Pediat Oncol,Canc Inst WIA

Kalawati Saran Childrens Hosp

Max Super Special Hosp Saket

Palliat & Support Unit,Bai Jerbai Wadia Hosp Children

Pediat Hematol Oncol & BMT,Sir Ganga Ram Hosp

Res,Rajiv Gandhi Canc Inst & Res Ctr

Cankids,Kidscan

Radiodiag,All India Inst Med Sci

Med Oncol,All India Inst Med Sci

Pediat,Kalawati Saran Childrens Hosp

Rajiv Gandhi Canc Inst & Res Ctr

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2022

Leukemia and lymphoma

Leukemia and lymphoma

ISSN:1042-8194
年,卷(期):2022.63(5/6)
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