title: Current approaches in the management of low risk Hodgkin lymphoma in children and adolescents.
abstract: The outcome for children and adolescents with low risk Hodgkin lymphoma (HL) is excellent, with event-free survival >85% and overall survival >95%. Historically, however, treatment has come at the cost of significant long-term toxicity from chemotherapy, radiation or a combination of these. Recent treatment strategies have focused on maintaining high event-free and overall survival while minimizing the use of therapy associated with late effects. The strategies used to achieve this vary greatly among paediatric cooperative groups and there is no one standard treatment for children with low risk HL. This review summaries recent clinical trials in paediatric low risk HL and addresses some of the important considerations when comparing trials, including differences in the definition of low risk HL, differences in outcome among histological subtypes and varying approaches to reduce or eliminate radiation therapy. Recommendations are provided for the treatment of children with low risk HL outside the setting of a clinical trial.
authors.affiliation: Department of Pediatrics, Weill Cornell Medical College, New York, NY, USA.|Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
authors.forename: Lisa
authors.initials: L
authors.lastname: Giulino-Roth
authors.affiliation: Department of Pediatrics, Aflac Cancer and Blood Disorders Center, Emory University, Atlanta, GA, USA.
authors.forename: Frank G
authors.initials: FG
authors.lastname: Keller
authors.affiliation: Radiation Medicine Program, Princess Margaret Cancer Center, Toronto, ON, USA.
authors.forename: David C
authors.initials: DC
authors.lastname: Hodgson
authors.affiliation: Division of Pediatric Hematology/Oncology/Stem Cell Transplant, Department of Pediatrics, Columbia University Medical Center, New York, NY, USA.
authors.forename: Kara M
authors.initials: KM
authors.lastname: Kelly
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D019468:Disease Management; D006689:Hodgkin Disease / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D009367:Neoplasm Staging
keywords: Hodgkin lymphoma; paediatrics; therapy