Treatment and outcomes in classic Hodgkin lymphoma post-transplant lymphoproliferative disorder in children.
Clare J TwistSusan M HinikerDita A GratzingerPaulina M GutkinDavid J MerriottAndrei IagaruMichael P LinkSarah S DonaldsonPublished in: Pediatric blood & cancer (2019)
Classic Hodgkin lymphoma post-transplant lymphoproliferative disorder (HL-PTLD) has been rarely reported in children, with limited data available to guide treatment decisions. We report a retrospective review of five children diagnosed with classic HL-PTLD following solid organ transplant between 2007 and 2013 at Stanford University. Patients were treated with Stanford V chemotherapy and involved field radiation therapy. With a median follow-up of 7.2 years (range, 4.7-10.5 years) since diagnosis, all patients remain in remission from HL-PTLD and free from graft failure. In this series, combined modality therapy with risk-adapted chemotherapy and radiation therapy was a successful strategy for the treatment of classic HL-PTLD.
Keyphrases
- hodgkin lymphoma
- radiation therapy
- end stage renal disease
- newly diagnosed
- young adults
- chronic kidney disease
- locally advanced
- peritoneal dialysis
- epstein barr virus
- prognostic factors
- type diabetes
- rheumatoid arthritis
- stem cells
- patient reported outcomes
- combination therapy
- adipose tissue
- insulin resistance
- systemic lupus erythematosus
- skeletal muscle
- replacement therapy
- patient reported