The chemotherapeutic treatment of advanced Hodgkin's disease

R. Epelbaum, N. Haim, M. Ben-Shahar, I. Valtuch, D. Faraggi, A. Sharabi-Nov, Y. Ben-Arie, Y. Cohen

Research output: Contribution to journalArticlepeer-review

Abstract

Between 1972 and 1994, 121 adult patients with advanced Hodgkin's disease received MOPP (M) combination chemotherapy, MOPP alternating with ABVD (M-A) or MOPP and ABV hybrid (M/A). Radiation therapy was given to 1/3 of them. The median age was 35 years, 58% had stage III and 42% had stage IV disease. Failure-free survival at 10 years was 43.9%. It was 66.7%, 48.4% and 29.9% for patients treated by M/A, M-A and M, respectively. Overall survival at 10 years was 40.8%, and 78.2%, 48% and 27.7% for patients treated by M/A, M-A and M, respectively. Multivariate analysis found age (above or below 65 years) and combination chemotherapy (with or without adriamycin) to be significant prognostic factors. M/A combination was more myelotoxic, while M combination caused more second primaries. Today, 80% of patients with advanced Hodgkin's disease may be cured, with low rate of long-term toxicity.

Original languageEnglish
Pages (from-to)311-315+367
JournalHarefuah
Volume140
Issue number4
StatePublished - 2001

Keywords

  • ABVD
  • Chemotherapy
  • Hodgkin's disease
  • MOPP

ASJC Scopus subject areas

  • General Medicine

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