Low-dose involved-field radiotherapy as alternative treatment of nodular lymphocyte predominance Hodgkin's lymphoma.

Haas, Rick L M; Girinsky, Theo; Aleman, Berthe M P; Henry-Amar, Michel; de Boer, Jan-Paul; de Jong, Daphne · Int J Radiat Oncol Biol Phys · 2009

case_series · Level IV

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Abstract

Nodular lymphocyte predominance Hodgkin's lymphoma is a very rare disease, characterized by an indolent clinical course, with sometimes very late relapses occurring in a minority of all patients. Considerable discussion is ongoing on the treatment of primary and relapsed disease. A group of 9 patients were irradiated to a dose of 4 Gy on involved areas only. After a median follow-up of 37 months (range, 6-66), the overall response rate was 89%. Six patients had complete remission (67%), two had partial remission (22%), and one had stable disease (11%). Of 8 patients, 5 developed local relapse 9-57 months after radiotherapy. No toxicity was noted. In nodular lymphocyte predominance Hodgkin's lymphoma, low-dose radiotherapy provided excellent response rates and lasting remissions without significant toxicity.

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