PMID- 19759185 OWN - NLM STAT- MEDLINE DCOM- 20100513 LR - 20220419 IS - 1569-8041 (Electronic) IS - 0923-7534 (Linking) VI - 21 IP - 3 DP - 2010 Mar TI - Stanford V program for locally extensive and advanced Hodgkin lymphoma: the Memorial Sloan-Kettering Cancer Center experience. PG - 574-581 LID - S0923-7534(19)38300-0 [pii] LID - 10.1093/annonc/mdp337 [doi] AB - BACKGROUND: The Stanford group has reported excellent results with the Stanford V regimen for patients with bulky and/or advanced Hodgkin lymphoma (HL). However, Gobbi reported markedly inferior failure-free survival (FFS) comparing Stanford V to other regimens but included major deviations from the original program. We retrospectively examined whether treatment at our institution carefully following Stanford V guidelines would confirm the original Stanford outcome data. PATIENTS AND METHODS: From June 1995 to May 2002, 126 patients with either locally extensive or advanced HL were treated with the 12-week Stanford V chemotherapy program followed by 36-Gy involved-field radiotherapy to sites initially > or =5 cm and/or to macroscopic splenic disease. Overall, 26% had stage IV disease and 20% had international prognostic score (IPS) > or =4. Overall survival (OS), disease-specific survival, progression-free survival (PFS), FFS, and freedom from second relapse (FF2R) were determined. RESULTS: The 5- and 7-year OS were 90% and 88%, respectively. The 5-year FFS was 78%. IPS > or =4 was a significant independent predictor of worse OS and PFS. The FF2R was 64% at 3 years. CONCLUSION: Stanford V with appropriate radiotherapy is a highly effective regimen for locally extensive and advanced HL. FAU - Edwards-Bennett, S M AU - Edwards-Bennett SM AD - From the Lymphoma Disease Management Team and Department of Radiation Oncology and Department of Radiation Oncology. FAU - Jacks, L M AU - Jacks LM AD - Medicine. FAU - Moskowitz, C H AU - Moskowitz CH AD - Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, NY, USA. FAU - Wu, E J AU - Wu EJ AD - From the Lymphoma Disease Management Team and Department of Radiation Oncology and Department of Radiation Oncology. FAU - Zhang, Z AU - Zhang Z AD - Medicine. FAU - Noy, A AU - Noy A AD - Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, NY, USA. FAU - Portlock, C S AU - Portlock CS AD - Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, NY, USA. FAU - Straus, D J AU - Straus DJ AD - Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, NY, USA. FAU - Zelenetz, A D AU - Zelenetz AD AD - Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, NY, USA. FAU - Yahalom, J AU - Yahalom J AD - From the Lymphoma Disease Management Team and Department of Radiation Oncology and Department of Radiation Oncology. Electronic address: yahalomj@mskcc.org. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090916 PL - England TA - Ann Oncol JT - Annals of oncology : official journal of the European Society for Medical Oncology JID - 9007735 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Antineoplastic Combined Chemotherapy Protocols/*therapeutic use MH - Combined Modality Therapy MH - Disease-Free Survival MH - Female MH - Hodgkin Disease/drug therapy/radiotherapy/*therapy MH - Humans MH - Male MH - Middle Aged MH - Neoplasm Recurrence, Local/drug therapy/radiotherapy/*therapy MH - Neoplasm Staging MH - Retrospective Studies MH - Salvage Therapy MH - Survival Rate MH - Treatment Outcome MH - Young Adult EDAT- 2009/09/18 06:00 MHDA- 2010/05/14 06:00 CRDT- 2009/09/18 06:00 PHST- 2009/09/18 06:00 [entrez] PHST- 2009/09/18 06:00 [pubmed] PHST- 2010/05/14 06:00 [medline] AID - S0923-7534(19)38300-0 [pii] AID - 10.1093/annonc/mdp337 [doi] PST - ppublish SO - Ann Oncol. 2010 Mar;21(3):574-581. doi: 10.1093/annonc/mdp337. Epub 2009 Sep 16.