Non-Hodgkin lymphoma after treatment for classical Hodgkin lymphoma: a report from the German Hodgkin Study Group

Br J Haematol. 2021 May;193(3):515-519. doi: 10.1111/bjh.17327. Epub 2021 Jan 24.

Abstract

Data on non-Hodgkin lymphoma (NHL) after classical Hodgkin lymphoma (cHL) are scarce. We therefore performed a retrospective analysis comprising 11·841 cHL patients who had first-line treatment within the randomized German Hodgkin Study Group (GHSG) HD7-HD15 studies. After a median follow-up of 106 months, 175 patients (1·5%) had developed NHL. The median time to NHL was 44 months, the median age at NHL diagnosis was 54 years. The five-year event-free survival and overall survival estimates from the diagnosis of NHL were 36·9% and 44·2%, respectively. Thus, NHL after cHL is a rare event primarily affecting older individuals and often resulting in the patient´s death.

Keywords: Classical Hodgkin lymphoma; incidence; non-Hodgkin lymphoma; prognosis; treatment.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Disease-Free Survival
  • Female
  • Follow-Up Studies
  • Germany / epidemiology
  • Hodgkin Disease* / mortality
  • Hodgkin Disease* / therapy
  • Humans
  • Lymphoma, Non-Hodgkin / mortality*
  • Male
  • Middle Aged
  • Neoplasms, Second Primary / mortality*
  • Retrospective Studies
  • Survival Rate