[Hodgkin's disease in children: long-term therapeutic results (author's transl)]

Bull Cancer. 1981;68(5):456-64.
[Article in French]

Abstract

Between 1965 and 1976, 83 previously untreated children aged 15 years and under, with biopsy-confirmed Hodgkin's disease were assessed, treated, and followed-up at Hoôpital Saint-Louis, Paris. Clinical stages were IA-IIA for 59, IB-IIB for 19, and III-IV for 5 patients. Two main types of treatment were used: - monochemotherapy-radiotherapy in 26 patients who received mantle field irradiation followed by monthly vinblastine injections for 3 years; - 57 patients received a combination of MOPP and radiotherapy. The MOPP-radiotherapy treated patients have a significantly better survival and relapse-free survival than the monochemotherapy-radiotherapy treated patients (86.9 p. cent vs 76.1 p. cent and 83.5 p. cent vs 65.4 p. cent). Thirteen relapses were observed after a median complete remission period of 30 months: 6 patients are now free from disease and one is still under treatment. Ten patients died after a 55 months median survival: 7 died from Hodgkin's Disease and 3 from treatment toxicity. No secondary cancer or leukemia has been observed. The main long-term complications of therapy were sterility in male patients, after chemotherapy, and growth defects and disturbances of thyroid functions after radiotherapy.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Antineoplastic Combined Chemotherapy Protocols*
  • Child
  • Child, Preschool
  • Female
  • Hodgkin Disease / pathology
  • Hodgkin Disease / therapy*
  • Humans
  • Long-Term Care
  • Male
  • Mechlorethamine / therapeutic use
  • Neoplasm Staging
  • Prednisone / therapeutic use
  • Procarbazine / therapeutic use
  • Prognosis
  • Radiotherapy Dosage
  • Vincristine / therapeutic use

Substances

  • Procarbazine
  • Mechlorethamine
  • Vincristine
  • Prednisone

Supplementary concepts

  • MOPP protocol