Review Article

The Management of Classical Hodgkin's Lymphoma: Past, Present, and Future

Table 1

Risk groups in CHL: clinical criteria used by European Organisation for Research and Treatment of Cancer (EORTC) and German Hodgkin Lymphoma Study Group (GHSG) to define treatment groups. Abbreviations: ESR, erythrocyte sedimentation rate (mm/h); CS, clinical stage; MTR, mediastinum-to-thorax ratio.

EORTCGHSG

Risk factor (RF)(1) Age ≥ 50 y(1) Large mediastinal mass
(2) B symptoms + ESR:(2) Extranodal disease/massive spleen
 (a) No symptoms + ESR ≥ 50(3) ESR
 (b) Symptoms + ESR ≥ 30 (a) >50 without B symptoms
(3) >3 nodal areas (b) >30 with B symptoms
(4) MTR ≥ 0.35(4) >3 involved nodal regions
Early stage without RFsCS I-IICS I-II
Early stage unfavourable/
intermediate stage
CS I-II with one RFCS I or IIA with RF
CS IIB with RF 3 or 4
Advanced stageCS III-IVCS IIB with RF 1 or 2
CS III or IV