Prognostic significance of lymphography in stage IIIs Hodgkin's disease (HD)

Patrizio Mazza, Gino Miniaci, Francesco Lauria, Marco Gobbi, Ermanno Emiliani, Enza Barbieri, Stefano Neri, Piero Querzani, Mauro Fiacchini, Sante Tura

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Ninety-six patients with pathological stage IIIs Hodgkin's disease, uniformly treated with six cycles of MOPP and TNI, were retrospectively analysed in an effort to determine whether the lymphographic aspect of lymph nodes influence the prognosis. Case material was grouped according to the presence of lymph nodes less than 3 cm in diameter or larger at lymphography. Five-year survival and disease-free survival were 85 and 78% for patients with small lymph node involvement, compared to 48 and 30% for patients with larger lymph nodes. The comparative analysis between the lymphographic aspect and other prognostic factors shows that large lymphographic involvement is strongly correlated with the presence of large spleen involvement (P <0.0000029), followed by stage III2 (P <0.000612), followed by ≥5 involved sites (P <0.012), followed by age >40 yr (P <0.047). Conversely, no significant correlation was found with symptoms, histology and mediastinal involvement. Modifications of current treatment for both large and small lymph node involvement are discussed.

Original languageEnglish
Pages (from-to)1393-1399
Number of pages7
JournalEuropean Journal of Cancer and Clinical Oncology
Issue number11
Publication statusPublished - 1984

ASJC Scopus subject areas

  • Oncology


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