Childhood hodgkin's disease in israel: A study of 17 cases

Authors

  • E. Aghai MD,

    1. Institute of Hematology and the Department of Oncology and Radiotherapy, The Chaim Sheba Medical Center, Tel-Hashomer; Tel-Aviv University, Sackler School of Medicine, Tel-Aviv, Israel
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  • H. Brenner MD,

    1. Institute of Hematology and the Department of Oncology and Radiotherapy, The Chaim Sheba Medical Center, Tel-Hashomer; Tel-Aviv University, Sackler School of Medicine, Tel-Aviv, Israel
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  • B. Ramot MD

    1. Established Investigator of the Chief Scientist's Bureau, Ministry of Health
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Abstract

A study of 17 children suffering from Hodgkin's disease (H.D.) is presented. The special ethnic distribution with predominance in Arab and Oriental Jewish children is noted. A high incidence of mixed cellularity histology in Arab children is emphasized. A conservative approach to therapy, i.e. extended field regional radiotherapy only, resulted in a long first complete remission period in lymphocyte predominance and nodular sclerosis H.D. Stages IA and IIA. All children in Stage IIIB and IV were treated by six courses of combined chemotherapy, and were maintained either on chlorambucil and vinblastine or on MOPP. Patients with mixed cellularity H.D. Stage IIA and all patients in Stage IIIA were treated by four courses of MOPP after the completion of extended regional radiotherapy. The 5 children who did not receive the scheduled treatment died. The remaining 12 are well, with a survival of 8 to 104 months.

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