HL facts Flashcards
Pediatric Infections relationship to HL incidence
MMRV infections at childhood may be protective of HL
B symp at diagnosis of HL
33%
Nodular lymphocyte predominant HL
WHO- same classification
ICC- removed it from HL, now called- “Nodular lymphocyte predominant B cell lymphoma”
Prognostic cytogenetic factors in HL
Amplification of 9p24.1 is correlated with advanced stage and shorter PFS
Respondes to PD1
IPS
Age >45
Male
Stage IV
Albumin < 4
Hb < 10.5
WBC > 15
Lymphocyte < 600
Early favorable HL Tx
H10
2 ABVD
PETCT
Negative + 20 Gy radiation
Positive - 2 eBECOPP + RT
Unfavorable HL Tx
2 + 2 ABVD + 30 Gy radiation
Deauville score
2- below mediastinum
3- below liver
BrECADD vs escalated BEACOPP in HL
HD21 trial
pts under 60 YO
Better PFS with less toxicity
No OS
Tx of frail pts of HL
Bv-Nivo
Bv-decarbazine
Tx of unfit pts with advanced HL
Sequential Bv-AVD
2xeBECOPP+2xABVD vs 4xABVD in early unfavoravble HL
Better PFS but not OS
More toxicity
Tx of PET2 positive early favorable HL after 2xABVD
2xeBECOPP+RT