진행성 호지킨 림프종의 치료

Treatment of Advanced Hodgkin Lymphoma

  • 김성용 (건국대학교 의학전문대학원 내과학교실 종양혈액내과)
  • Kim, Sung-Yong (Division of Hemato-Oncology, Department of Internal Medicine, KonKuk University School of Medicine)
  • 발행 : 2011.11.01

초록

The major portion of Hodgkin lymphoma (HL) patients, even at an advanced stage can be cured with optimal initial treatment. ABVD (doxorubicin, bleomycin, vinblastine, dacarbazine) is the standard treatment regimen for the advanced stage HL, while Stanford V (doxorubicin, vinblastine, mechlorethamine, vincristine, bleomycin, etoposide, and prednisone) and escalated BEACOPP (bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine, and prednisone) can be reasonable alternatives for selected patients. Although radiotherapy is the key component in Stanford V regimen, radiotherapy should be applied only at the residual lymphoma in patients who received ABVD and BEACOPP therapy. These three representative treatments for advanced HL have individual advantages and disadvantages, so that the choice of the initial treatment should be dependent on patients' relapse risk, comorbidity, and age.

키워드

참고문헌

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