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A single institution experience on 314 newly diagnosed advanced Hodgkin lymphoma patients: the role of ABVD in daily practice.
[hodgkin lymphoma, classical]
Based
on
the
results
of
clinical
trials
,
there
is
no
global
consensus
on
the
optimal
first
-line
therapy
for
patients
with
advanced
Hodgkin
lymphoma
(
HL
)
with
both
ABVD
and
BEACOPP
currently
being
used
.
However
,
the
results
of
clinical
trials
are
usually
better
than
those
in
daily
practice
.
We
thus
describe
here
our
experience
on
314
advanced
classical
HL
patients
treated
with
ABVD
at
the
Clinical
Center
of
Serbia
and
associated
centers
between
1997
and
2008
.
The
median
follow-up
for
all
patients
was
91
Â
months
;
the
estimated
5
-
yr
event-free
survival
was
62
%
and
the
5
-
yr
overall
survival
(
OS
)
76
%
.
Multivariate
Cox
regression
analysis
revealed
that
patients
with
IPS
Â
≥
Â
3
and
extranodal
disease
involving
more
than
one
site
have
a
poorer
outcome
.
The
data
presented
here
show
on
overall
improvement
in
outcome
as
compared
to
more
previous
data
and
illustrate
the
problems
of
treating
advanced
stage
HL
outside
the
setting
of
a
clinical
trial
.
Diseases
Validation
Diseases presenting
"hodgkin lymphoma"
symptom
esophageal adenocarcinoma
hodgkin lymphoma, classical
monosomy 21
primary effusion lymphoma
severe combined immunodeficiency
systemic capillary leak syndrome
waldenström macroglobulinemia
This symptom has already been validated