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Blood, 1 September 2008, Vol. 112, No. 5, pp. 1658-1661.
Prepublished online as a Blood First Edition Paper on June 30, 2008; DOI 10.1182/blood-2008-04-151563.


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Submitted April 14, 2008
Accepted June 16, 2008

CNS Hodgkin lymphoma

Elizabeth R Gerstner*, Lauren E. Abrey, David Schiff, Andres J. M. Ferreri, Andrew Lister, Silvia Montoto, Richard Tsang, Eckhard Thiel, Francesc Graus, Dirk Behringer, Gerald Illerhaus, Susan Weaver, Patrick Wen, Alfredo Voloschin, Nancy Lee Harris, and Tracy T Batchelor

Massachusetts General Hospital, Boston, MA, United States
Neuro-Oncology, Memorial Sloan-Kettering Cancer Center, New York City, NY, United States
Neuro-Oncology, University of Virginia, Charlottesville, VA, United States
Hematology-Oncology, San Raffaele H Scientific Institute, Milan, Italy
Hematology-Oncology, St. Bartholomew's Hospital, London, United Kingdom
Radiation Oncology, Princess Margaret Hospital, Toronto, Canada
Hematology-Oncology, Charite-Campus Benjamin Franklin, Berlin, Germany
Hematology-Oncology, Hospital Clinic, Barcelona, Spain
Hematology-Oncology, Augusta-Kranken-Anstalt, Bochum, Germany
Hematology-Oncology, University Hospital Freiburg, Freiburg, Germany
Neuro-Oncology, Albany Medical Center, Albany, NY, United States
Neuro-Oncology, Dana Farber Cancer Institute, Boston, MA, United States
Neuro-Oncology, Medical College of Georgia, Augusta, GA, United States

* Corresponding author; email: egerstner{at}partners.org.

Central nervous system (CNS) involvement by Hodgkin lymphoma (HL) is rare. As a result, there is limited guidance for clinicians on how to manage these patients. Detailed information was collected on 16 patients, the largest number to date, with meningeal or parenchymal CNS-HL confirmed by histopathology (15) or CSF (1). Eight patients presented with CNS-HL at diagnosis, 2 of whom had isolated CNS disease, while 8 patients developed CNS-HL at relapse. Patients received a range of treatments including surgery or radiation alone, radiation with chemotherapy, or chemotherapy alone. Median overall survival for all 16 patients was 60.9 months from first diagnosis of HL (systemic or CNS) and 43.8 months from diagnosis of CNS-HL. Although a majority of patients have died, long-term survival is possible in patients who achieve a complete response to treatment- particularly those who present with CNS involvement or involvement of the CNS is the sole site of relapsed disease.


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