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Very high rates of progression-free survival (PFS) and overall survival (OS) are achieved with limited cycles of chemotherapy plus radiation therapy (RT) in patients with early-stage Hodgkin lymphoma (HL). Recent trials showed that, compared with extended-field irradiation, limited-field irradiation achieved similarly high cure rates in HL patients and diminished risks for late second malignancies and cardiovascular complications.
To evaluate the efficacy of involved-nodal irradiation in this population, investigators conducted a retrospective analysis of 325 adult patients in British Columbia who had early-stage HL (29% stage IA disease, 71% stage IIA disease; median age at diagnosis, 35). Patients were staged by computed tomography scan. T…