Hodgkin’s lymphoma radiotherapy options. 3

Minimizing toxicity of Hodgkin’s disease treatment is important. How to preserve efficacy of Hodgkin’s lymphoma therapy? Long-term toxicity from excessive radiation in Hodgkin’s lymphoma radiotherapy treatment must be avoided. Avoid secondary cancers. 

Hodgkin’s lymphoma radiotherapy treatment options. Radiation therapy treatment of Hodgkin’s lymphoma is combined with chemotherapy. Goal of Hodgkin’s disease treatment is to minimize late toxicity and secondary cancers. Significant progress in Hodgkin’s lymphoma therapy was made. It is due to better chemotherapy medications. In Hodgkin’s lymphoma you give the least toxic radiotherapy alone. You use the smallest volume and the smallest dose of radiotherapy. Radiation therapy treatment options for Hodgkin’s lymphoma. Advanced cancer treatment by targeted radiation therapy. Medical second opinion confirms radiotherapy cancer treatment plan. Medical second opinion helps to include best radiotherapy and combination Hodgkin’s lymphoma therapy into comprehensive personalized treatment plan. Best precision medicine radiation therapy treatment for advanced stage Hodgkin’s disease with metastatic lesions. Get medical second opinion on advanced cancer diagnosis and be confident that your precision medicine treatment of Hodgkin’s lymphoma is the best. Video interview with top oncologist in radiation therapy treatment from Zurich, Switzerland. Hodgkin’s lymphoma radiotherapy treatment options. Dr. Anton Titov, MD. You have started your research career in Boston. You published several very important clinical trials on Hodgkin’s lymphoma. What is the current state-of-the-art in treatment of Hodgkin’s lymphoma. How to do radiation therapy treatment of Hodgkin’s lymphoma? How radiation therapy treatment of Hodgkin’s lymphoma is combined with chemotherapy? What is modern Hodgkin’s lymphoma treatment? Dr. Stephan Bodis, MD. Professor of Radiation Oncology, Zurich, Switzerland. Okay, these are broad questions on Hodgkin’s lymphoma therapy. Then I’m happy to address them as much as I can for this discussion. But I would clearly emphasize for Hodgkin’s lymphoma radiation treatment questions. Scientific meetings, special educational session are very important to attend. You have at least to read what the current knowledge is on Hodgkin’s lymphoma treatment. I think this interview about Hodgkin’s lymphoma radiation therapy does not replace this part. Also probably it’s easier to discuss Hodgkin’s lymphoma therapy evolution by history. 40 years ago, 30 years ago huge progress was made for cure of patients with Hodgkin’s lymphoma. But the price of treatment success was toxicity. Many of Hodgkin’s lymphoma patients with intensive combined chemo radiotherapy regimens had cured Hodgkin’s lymphoma. But patients had recurrences of Hodgkin’s lymphoma. Then many of patients had significant toxicity. Dr. Stephan Bodis, MD (Professor of Radiation Oncology, Zurich, Switzerland). Patients with Hodgkin’s lymphoma also had late toxicity after treatment. They had second malignancies. It was probably due to chemotherapy regimens and radiotherapy. So some international groups made significant progress in treatment of Hodgkin’s lymphoma. I would like to mention specifically the German Hodgkin’s clinical trial group. Hodgkin’s lymphoma treatment improved with many protocols which were following each other by reducing toxicity. New Hodgkin’s lymphoma treatment protocols maintained or even increased the anticancer effect. Here probably you could summarize briefly that for early stage Hodgkin’s lymphoma the question was radiotherapy or chemotherapy. Sometimes you have to combine chemotherapy and radiotherapy for Hodgkin’s lymphoma. It has to be done at the least possible dose. Dr. Stephan Bodis, MD (Professor of Radiation Oncology, Zurich, Switzerland). For advanced stages of Hodgkin’s disease, a significant progress was made due to better chemotherapy medications. Progress was made due to a better risk-adapted indication of radiotherapy of Hodgkin’s lymphoma. In early stages of Hodgkin’s lymphoma you give the least toxic medications. One medication if possible. Or you give the least toxic radiotherapy alone with the smallest volume and the smallest dose. This is still considered to be safe to treat Hodgkin’s lymphoma. Here significant progress in Hodgkin’s lymphoma treatment was made with diagnostic imaging again. Specifically with PET CT imaging we had much progress. Because by understanding the metabolic changes of a Hodgkin’s lymphoma tumor, you can risk-adapt your treatment. You can see early changes in the metabolic tumor imaging. Then what is probably also important to know is this. For these questions, the Hodgkin’s lymphoma treatment guidelines are important. Hodgkin’s lymphoma treatment guidelines are a result of the international clinical trial protocols. They which are very often published in important journals. I think that NCCN guidelines for Hodgkin’s lymphoma treatment are good. Medical second opinion. Again the German Hodgkin’s clinical trial group results can be of valid information. Dr. Anton Titov, MD. There are many guidelines. I think it’s another issue is selecting which Hodgkin’s lymphoma treatment guideline to use in the treatment of a given disease. Dr. Stephan Bodis, MD (Professor of Radiation Oncology, Zurich, Switzerland). This is a very important point. Sometimes you’re actively participating within a Hodgkin’s lymphoma clinical trial group. You use their guidelines, that’s the logic. Sometimes you’re not actively participating. I think it’s nice you can follow one or two guidelines for treatment of Hodgkin’s lymphoma. You write in your Hodgkin’s lymphoma treatment recommendations that you stick and adhere to those guidelines. Various Hodgkin’s lymphoma guidelines very often exist because there is no one worldwide standard. Hodgkin’s lymphoma radiation therapy options. Top Swiss radiation oncologist discusses modern radiotherapy for Hodgkin’s lymphoma treatment.