Decision-making in the management of adult classical Hodgkin's lymphoma: determining the optimal treatment

Expert Rev Hematol. 2015 Apr;8(2):205-16. doi: 10.1586/17474086.2015.995622. Epub 2015 Jan 29.

Abstract

This review discusses promising new approaches in classical Hodgkin's lymphoma that have been recently evaluated. There is a focus on the fluorodeoxyglucose PET scanning that is now considered crucial for staging and treatment evaluation, including interim evaluation after two cycles. An up-front treatment strategy is discussed, with the place of radiation therapy and the difficult choice of chemotherapy intensity emphasized. Indications for frail patients are also reviewed, particularly elderly or HIV-positive patients. Emerging data on the antibody drug conjugate brentuximab vedotin and its future potential in the transplantation framework for relapsed/refractory Hodgkin's lymphoma is also discussed.

Keywords: Hodgkin; PET imaging; chemotherapy; molecular profiles; targeted drugs; transplantation.

Publication types

  • Review

MeSH terms

  • Decision Making*
  • Hodgkin Disease / drug therapy*
  • Humans
  • Prognosis
  • Treatment Outcome