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Childhood Hodgkin Lymphoma Treatment (PDQ®)

  • Updated: 05/20/2011

Table 2. Sample Definitions of Sites and Corresponding Radiation Treatment Fieldsa

Involved Node(s) Radiation Field 
CervicalNeck and infraclavicular/supraclavicularb
SupraclavicularNeck and infraclavicular/supraclavicular ± axilla
AxillaAxilla ± infraclavicular/supraclavicular
MediastinumMediastinum, hila, infraclavicular/supraclavicularb,c
HilaHila, mediastinum
SpleenSpleen ± para-aortics
Para-aorticsPara-aortics ± spleen
IliacIpsilateral iliac ± inguinal + femoral
InguinalInguinal + femoral ± iliac
FemoralInguinal + femoral ± iliac

aAdapted from Hudson.[24]
bUpper cervical region not treated if supraclavicular involvement is extension of the mediastinal disease.
cPrechemotherapy volume is treated except for lateral borders of the mediastinal field, which is postchemotherapy.

References

  1. 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.