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Topics:
Hematologic Malignancies • Radiation Oncology • Pediatric Hematology/Oncology • Lymphoma • Internal Medicine • Hematology
How would you treat a pediatric patient with Stage IVB Hodkin lymphoma who still has persistent PET+ disease after dose-escalated chemotherapy?
After ABVE-PC X4 and Ifos/vinorelbine x 2 per AHOD 0831 (and is unable to have these sites biopsied), what dose would you treat to and what volume would you treat?
Answer from: Radiation Oncologist at Community Practice
ISRT per Hodgson et al PRO 2015 to 21 Gy then boost the PETavid disease to 30Gy (Deauville 3) perhaps 36 Gy (Deauville 4).
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