Premium
Hodgkin's disease stage I and II. A comparison between two different treatment policies
Author(s) -
Stoffel Thomas J.,
Cox James D.
Publication year - 1977
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(197707)40:1<90::aid-cncr2820400117>3.0.co;2-l
Subject(s) - medicine , lymph , stage (stratigraphy) , radiation therapy , lymph node , surgery , laparotomy , retrospective cohort study , lymphatic system , survival rate , gastroenterology , pathology , paleontology , biology
A retrospective analysis was performed on 145 patients with Stage I and II Hodgkin's disease treated over an 11‐year period. Sixty‐two patients (Group I) received a mantle field without systematic irradiation of the para‐aortic lymph nodes. Eighty‐three patients (Group II) received radiotherapy according to the following policy: all Stage IB and IIB and all mixed cellularity and lymphocytic depletion types received total nodal irradiation while stage IA and IIA nodular sclerosing and lymphocytic predominance cases received irradiation to a mantle field and to the para‐aortic lymph nodes. The characteristics of the two groups were roughly comparable in age range, sex, staging, histopathologic subtypes and total irradiation doses. All patients had lymphangiograms although not all underwent staging laparotomies. The staging laparotomy did not appear to have an influence within each group. The extent of irradiation did significantly affect both the incidence of further manifestation of disease as well as survival rates. The frequency of lymph node extension, organ extension and local recurrence for Group I was 24%, 14%, and 3%, while for Group II it was 4%, 6%, and 6%, respectively. The seven‐year absolute survival rate for Group I was 57% while for Group II it was 93%. Cancer 40:90–97, 1977.