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The Management of Children with Lymphomas

Lookup NU author(s): Dr Helen Lucraft

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Abstract

Lymphomas account for 10-15% of all paediatric malignancies. They are highly curable with 5 year survival rates of up to 95% for Hodgkin lymphoma and 82% for non-Hodgkin lymphoma. These excellent results have focused recent attention on reducing the burden of treatment-related morbidity while maintaining the excellent outcomes. Lymphomas are highly radiosensitive and radiotherapy was used historically in the treatment of both paediatric Hodgkin and non-Hodgkin lymphomas. As the late effects of radiotherapy, including second tumours, were recognised, successive protocols seeking to minimise late effects were developed that reduced the use of radiotherapy. Current treatment protocols for non-Hodgkin lymphoma are chemotherapy based and radiotherapy has been virtually eliminated. In contrast, current paediatric Hodgkin lymphoma protocols continue to use radiotherapy as part of combined modality treatment, targeted according to risk factors and response and at the minimum effective dose. This article reviews the treatment of Hodgkin lymphoma in children with particular emphasis on the role of radiotherapy. (c) 2012 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

Publication metadata

Author(s): Frew JA, Lewis J, Lucraft HH

Publication type: Article

Publication status: Published

Journal: Clinical Oncology

Year: 2013

Volume: 25

Issue: 1

Pages: 11-18

Print publication date: 01/01/2013

Online publication date: 08/12/2012

Acceptance date: 13/08/2012

ISSN (print): 0936-6555

ISSN (electronic): 1433-2981

Publisher: W.B. Saunders Co. Ltd

URL: http://dx.doi.org/10.1016/j.clon.2012.09.009

DOI: 10.1016/j.clon.2012.09.009

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