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Table 2. Sample Definitions of Sites and Corresponding Radiation Treatment Fieldsa
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Involved Node(s)
|
Radiation Field
|
| Cervical |
Neck and infraclavicular/supraclavicularb |
| Supraclavicular |
Neck and infraclavicular/supraclavicular ± axilla |
| Axilla |
Axilla ± infraclavicular/supraclavicular |
| Mediastinum |
Mediastinum, hila, infraclavicular/supraclavicularb,c |
| Hila |
Hila, mediastinum |
| Spleen |
Spleen ± para-aortics |
| Para-aortics |
Para-aortics ± spleen |
| Iliac |
Ipsilateral iliac ± inguinal + femoral |
| Inguinal |
Inguinal + femoral ± iliac |
| Femoral |
Inguinal + femoral ± iliac |
|
aAdapted from Hudson.[24]
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bUpper cervical region not treated if supraclavicular involvement is extension of the mediastinal disease.
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|
cPrechemotherapy volume is treated except for lateral borders of the mediastinal field, which is postchemotherapy.
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References
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Hudson M, Constine LS: Hodgkin's disease. In: Halperin EC, Constine LS, Tarbell NJ, et al.: Pediatric Radiation Oncology. 4th ed. Philadelphia, Pa: Lippincott Williams & Wilkins, 2004, pp 223-60.
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