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Topics:
Hematologic Malignancies • Radiation Oncology • Pediatric Hematology/Oncology • Medical Oncology • Hodgkin Lymphoma
In pediatric patients with Hodgkin lymphoma who have a partial response after chemotherapy and multiple disease sites above and below the diaphragm, how do you approach radiotherapy planning considering cumulative dose and toxicity?
Is it acceptable to treat all involved sites simultaneously, or is there merit in treating them sequentially to reduce acute or late effects, given the pediatric context?
Answer from: Radiation Oncologist at Academic Institution
RT dose and target volume in pediatric Hodgkin lymphoma are determined according to the systemic therapy protocol being used. For example, your case suggests a patient with Stage III or IV disease. In the COG study AHOD1331, patients received either Bv-AVE-PC or ABVE-PC systemic therapy x 5 cycles a...
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