ORIGINAL RESEARCH

Long-Term Results of treatment of Adolescents and Young Adults with Hodgkin's Lymphoma according to the Modified Pediatric Protocol DAL-HD-90.

Arshanskaya EG2,4, Semochkin SV1,2, Sotnikov VM3, Ivanova VL4
About authors

1 Department of Oncology, Hematology and Radiotherapy, Pediatric Faculty,
Pirogov Russian National Research University, Moscow, Russia

2 Department of Optimizing the Treatment of Adolescents and Young Adults with Hematological Diseases,
Federal Scientific and Clinical Center of Pediatric Hematology, Oncology and Immunology named after D Rogachev, Moscow, Russia

3 Department of Radiation Therapy and Combined Treatments,
Russian Scientific Center of Roentgenoradiology, Moscow, Russia

4 Municipal Clinical Hospital named after S. P. Botkin, Moscow, Russia

Correspondence should be addressed: Sergey Semochkin
Leninskiy prospekt, d. 117/2, Moscow, Russia, 117997; ur.umsr@vs_nikhcomes

Received: 2014-06-24 Accepted: 2014-09-17 Published online: 2017-01-05
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This article presents the analysis of long-term results of therapy of adolescents (n = 48; median age — 16.6 years; minimum and maximum age — 15.0 and 18.1) and young adults (n = 49; median age — 21.0 years; minimum and maximum age — 18.5 and 33.6) with primary Hodgkin's lymphoma (HL). During 1997–2008 all the patients were treated according to the pediatric protocol DAL-HD-90. Twelve-year event-free survival was 73.4 ± 4.8 % and overall survival — 81.5 ± 4.7 % for all patients. Twelve-year event-free survival for adolescents at the early stages of HL was documented at the level of 83.3 ± 15.2 %, at the intermediate stages — 80.9 ± 10.0 % and at the advanced stages — 72.2 ± 9.8 %. Long-term treatment results of young adults with intermediate and advanced stages of HL were inferior to those of adolescents. The frequency of secondary tumors in all patients was in 2.1 % of cases.

Keywords: adolescents, young adults, Hodgkin’s lymphoma, protocol DAL-HD-90

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