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Importance of F18-fluorodeoxy-D-2-glucose positron emission tomography (FDG-PET) for staging and therapy control of Hodgkin's lymphoma in childhood and adolescence - consequences for the GPOH-HD 2003 protocol.
Körholz, D; Kluge, R; Wickmann, L; Hirsch, W; Lüders, H; Lotz, I; Dannenberg, C; Hasenclever, D; Dörffel, W; Sabri, O.
Afiliación
  • Körholz D; Department of Pediatrics, University of Leipzig Medical Center; Germany. koerd@medizin.uni-leipzig.de
Onkologie ; 26(5): 489-93, 2003 Oct.
Article en En | MEDLINE | ID: mdl-14605468
The prognosis for children and adolescents with Hodgkin's lymphoma is excellent. However, many patients will show secondary malignancies 15-30 years after the initial diagnosis, which appears to be connected with the intensity of treatment during primary disease. In the GPOH-HD 95 trial, the indication for radiotherapy was limited to patients who did not show a complete remission after chemotherapy, as determined radiographically. In the future protocol, the indication for radiotherapy in patients with early-stage Hodgkin's lymphoma should be further refined by using FDG-PET for evaluating the response to chemotherapy. Furthermore, in patients at an advanced stage of the disease, it should be determined if sequential FDG-PET research during chemotherapy can separate patients into subgroups with an excellent or a poor prognosis. This article gives a review of the current literature on FDG-PET in patients with Hodgkin's lymphoma and outlines the consequences for future protocols.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Glucemia / Enfermedad de Hodgkin / Tomografía Computarizada de Emisión / Neoplasia Residual Tipo de estudio: Diagnostic_studies / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Child / Humans Idioma: En Revista: Onkologie Año: 2003 Tipo del documento: Article Pais de publicación: Suiza
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Glucemia / Enfermedad de Hodgkin / Tomografía Computarizada de Emisión / Neoplasia Residual Tipo de estudio: Diagnostic_studies / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Child / Humans Idioma: En Revista: Onkologie Año: 2003 Tipo del documento: Article Pais de publicación: Suiza