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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 Donaldson
Published 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.
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