Description

The European Organization for Research and Treatment of Cancer and Groupe d'Eude des Lymphomes de l'Adulte (EORTC-GELA) have identified prognostic factors associated with favorable and very favorable outcomes in patients with Hodgkin's disease. This can help determine how intensive of a therapeutic regimen is required for management.


 

Parameters

Very Favorable: all of the following

Favorable: all of the following

age

< 40 (16 – 39)

< 50 (16 – 49)

gender

female

male or female

Clinical Stage (Ann Arbor)

I

I or II

B symptoms

none (clinical A)

(see ESR)

histology

lymphocyte predominant or nodular sclerosing

lymphocyte predominant or nodular sclerosing

erythrocyte sedimentation rate (ESR)

< 50 mm in first hour

ESR < 50 AND no B symptoms; ESR AND B symptoms present

bulky disease

absent

absent

number of lymph node regions involved

1 (definition of CS I)

< 4

 

where:

• Criteria for Ann Arbor staging and clinical symptoms are given above, under non-Hodgkin's lymphoma.

• The gender for the favorable group was not specified, but males are listed in Table 1, page 1732 of Wilder et al.

 


To read more or access our algorithms and calculators, please log in or register.