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In pediatric patients with Hodgkin lymphoma who have a partial response after chemotherapy and multiple disease sites (e.g., cervical, axillary, mediastinal, para-aortic, or inguinal), 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?