PMID- 22629830 OWN - NLM STAT- MEDLINE DCOM- 20120622 LR - 20151119 IS - 0507-3758 (Print) IS - 0507-3758 (Linking) VI - 58 IP - 1 DP - 2012 TI - [The optimal radiation volume after first-line chemotherapy in Hodgkin lymphoma]. PG - 61-5 AB - Radiation therapy has evolved from extended-field radiation therapy (EFRT) to involved-field radiation therapy (IFRT), reducing toxicity while maintaining high cure rates. Recent publications recommend a further reduction to involved-nodal radiation therapy (INRT); however, this has not been clinically validated. The need for irradiation or optimal radiation volume after chemotherapy are not defined. The treatment results of 296 Hodgkin's disease patients receiving ABVD or BEACOPP-21 chemotherapy with consequent EFRT demonstrate CR/PR > or = 80% and 99% local disease control rate. Beam therapy with EFRT is possible to use if dose levels don't exceed 30 Gy. Higher doses demands reduction of volume of radiating target. In our opinion the optimum program of beam therapy involves 2 stages with maximal possible dose level EFRT followed by additional INRT. Those approaches offer perspectives for Hodgkin's disease treatment. FAU - Ivashin, A V AU - Ivashin AV FAU - Datsenko, P V AU - Datsenko PV FAU - Pan'shin, G A AU - Pan'shin GA FAU - Sotnikov, V M AU - Sotnikov VM FAU - Gombolevskii, V A AU - Gombolevskii VA FAU - Golub, S V AU - Golub SV FAU - Evstikheev, E V AU - Evstikheev EV LA - rus PT - English Abstract PT - Journal Article PL - Russia (Federation) TA - Vopr Onkol JT - Voprosy onkologii JID - 0413775 RN - 11056-06-7 (Bleomycin) RN - 35S93Y190K (Procarbazine) RN - 5J49Q6B70F (Vincristine) RN - 5V9KLZ54CY (Vinblastine) RN - 6PLQ3CP4P3 (Etoposide) RN - 7GR28W0FJI (Dacarbazine) RN - 80168379AG (Doxorubicin) RN - 8N3DW7272P (Cyclophosphamide) RN - VB0R961HZT (Prednisone) RN - ABVD protocol RN - BEACOPP protocol SB - IM MH - Adult MH - Aged MH - Antineoplastic Combined Chemotherapy Protocols/administration & dosage/*therapeutic use MH - Bleomycin/administration & dosage MH - Cyclophosphamide/administration & dosage MH - Dacarbazine/administration & dosage MH - Disease-Free Survival MH - Doxorubicin/administration & dosage MH - Etoposide/administration & dosage MH - Female MH - Hodgkin Disease/*drug therapy/mortality/*radiotherapy MH - Humans MH - Male MH - Middle Aged MH - Prednisone/administration & dosage MH - Procarbazine/administration & dosage MH - Radiotherapy Dosage MH - Radiotherapy, Adjuvant/methods MH - Treatment Outcome MH - Vinblastine/administration & dosage MH - Vincristine/administration & dosage EDAT- 2012/05/29 06:00 MHDA- 2012/06/23 06:00 CRDT- 2012/05/29 06:00 PHST- 2012/05/29 06:00 [entrez] PHST- 2012/05/29 06:00 [pubmed] PHST- 2012/06/23 06:00 [medline] PST - ppublish SO - Vopr Onkol. 2012;58(1):61-5.