Radiation therapy of non-Hodgkin's lymphoma stages I and II. 1982

H Hagberg, and B Glimelius, and C Sundström

A series of 147 patients, 99 in clinical stage I and 48 in stage II, with localized non-Hodgkin's lymphoma, exclusively given radiation therapy, was retrospectively analysed. Using the Kiel classification, 12 patients (8%) could not be subgrouped with certainty, 63 (43%) were designated as high-graded and 72 (49%) as low-grade malignancies according to the definitions of Gérard-Marchant et coll. (1974). Complete remission was obtained in 93 per cent of the patients in stage I and in 75 per cent in stage II. Most of the failures (68%) were high-grade malignancies. Actuarial and relapse-free survival was determined for stage I and II and stratified by microscopy and extranodal disease. All patients initially in stage I had a good prognosis irrespective of the microscopic type; 60 per cent have remained free from disease. In contrast, only 2 patients (4%, all low-grade) in stage II have remained disease-free. Thus, in stage II irradiation cannot be considered the best treatment, especially in patients with high-grade malignancy, in whom chemotherapy may be curable. In stage I, on the other hand, irradiation seems to be curative in the majority of patients irrespective of microscopic type.

UI MeSH Term Description Entries
D008223 Lymphoma A general term for various neoplastic diseases of the lymphoid tissue. Germinoblastoma,Lymphoma, Malignant,Reticulolymphosarcoma,Sarcoma, Germinoblastic,Germinoblastic Sarcoma,Germinoblastic Sarcomas,Germinoblastomas,Lymphomas,Lymphomas, Malignant,Malignant Lymphoma,Malignant Lymphomas,Reticulolymphosarcomas,Sarcomas, Germinoblastic
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009367 Neoplasm Staging Methods which attempt to express in replicable terms the extent of the neoplasm in the patient. Cancer Staging,Staging, Neoplasm,Tumor Staging,TNM Classification,TNM Staging,TNM Staging System,Classification, TNM,Classifications, TNM,Staging System, TNM,Staging Systems, TNM,Staging, Cancer,Staging, TNM,Staging, Tumor,System, TNM Staging,Systems, TNM Staging,TNM Classifications,TNM Staging Systems
D011336 Probability The study of chance processes or the relative frequency characterizing a chance process. Probabilities
D011379 Prognosis A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations. Prognostic Factor,Prognostic Factors,Factor, Prognostic,Factors, Prognostic,Prognoses
D012008 Recurrence The return of a sign, symptom, or disease after a remission. Recrudescence,Relapse,Recrudescences,Recurrences,Relapses
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths

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