Patient characteristics
. | Timing of CNS-HL diagnosis* . | Sex . | Year of CNS-HL Diagnosis . | Age at CNS-HL diagnosis, y . | Type of HL . | Stage at first HL diagnosis¶ . | Stage at CNS-HL diagnosis¶ . | Confirmation of CNS-HL diagnosis . | Chemotherapy for CNS-HL . | Radiation for CNS-HL (dose) . | Response to first-line CNS treatment . | Status at last follow-up (survival since HL diagnosis) . |
---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | Primary‡ | F | 2000 | 58 | CHL NOS | IE | IE | Resection | None | WBRT (35 Gy) | CR | Alive (90.3+ mo) in CR |
2 | Primary‡ | F | 2008 | 60 | NS | IE | IE | Resection | None | WBRT (to begin) | NA | Alive (1+ mo) |
3 | Initial§ | M | 2004 | 46 | CHL NOS | IE | IE | Biopsy | Unknown | Unknown | Unknown | Alive (2.1+ mo) |
4 | Initial†§ | M | 2007 | 72 | CHL NOS | IE | IE | Resection | None (surgery alone) | None (surgery alone) | NA | Alive (5.4+ mo) in CR |
5 | Initial§ | F | 1980 | 37 | MC | IE | IE B | Biopsy | MVPP | WBRT | PR | Dead from systemic PD (15.5 mo) |
6 | Initial† | M | 1997 | 19 | NS | IV | IV | Biopsy | Stamford V + PBSCT + it MTX | PBRT (36 Gy) | CR | Alive (128.5+ mo) in CR |
7 | Initial† | M | 2007 | 44 | CHL NOS | IV | IV | CSF | ABVD | Radiosurgery | PR | Dead from CNS PD (4.5 mo) |
9 | Initial† | F | 2003 | 23 | NS | IV | IV B | Resection | ABVD + it thiotepa | PBRT (36 Gy) | CR | Alive (53.8+ mo) in CR |
10 | Relapse | M | 2003 | 61 | CHL NOS | IV | IE | Resection | BVAM, BEAM + PBSCT + it MTX | None | CR | Dead in CR (58.8 mo) |
11 | Relapse§ | F | 2004 | 41 | CHL NOS | IV | IE | Biopsy | ifosfamide | WBRT (36 Gy) | CR | Alive (35.5 mo) in CR |
12 | Relapse§ | M | 1998 | 70 | NS | III | IE | Biopsy | None | Radiosurgery | PR | Dead from systemic PD (23.3 mo) |
13 | Relapse† | F | 1988 | 29 | NS | II | IE | Biopsy | MOPP | WBRT (45 Gy) | CR | Alive (273+ mo) in CR |
19 | Relapse§ | M | 2005 | 32 | CHL NOS | III | IE | Biopsy | rituximab, IVAC, high-dose methotrexate | None | CR | Dead from systemic PD (27.8 mo) |
14 | Relapse | M | 2000 | 65 | NS | Unknown | IV | Resection | None | WBRT (10.8 Gy with 23.4 Gy boost) | CR | Dead in CR (235.3 mo) |
15 | Relapse | F | 1986 | 29 | NS | II | IV B | Autopsy | lomustine, procarbazine, prednisone, cytoxan + it cytarabine | None | PD | Dead from PE with systemic and CNS PD (60.9 mo) |
16 | Relapse† | M | 2004 | 59 | MC | IV | IV B | Biopsy | Bonner Protocol | None | CR | Dead from systemic PD (18.4 mo) |
. | Timing of CNS-HL diagnosis* . | Sex . | Year of CNS-HL Diagnosis . | Age at CNS-HL diagnosis, y . | Type of HL . | Stage at first HL diagnosis¶ . | Stage at CNS-HL diagnosis¶ . | Confirmation of CNS-HL diagnosis . | Chemotherapy for CNS-HL . | Radiation for CNS-HL (dose) . | Response to first-line CNS treatment . | Status at last follow-up (survival since HL diagnosis) . |
---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | Primary‡ | F | 2000 | 58 | CHL NOS | IE | IE | Resection | None | WBRT (35 Gy) | CR | Alive (90.3+ mo) in CR |
2 | Primary‡ | F | 2008 | 60 | NS | IE | IE | Resection | None | WBRT (to begin) | NA | Alive (1+ mo) |
3 | Initial§ | M | 2004 | 46 | CHL NOS | IE | IE | Biopsy | Unknown | Unknown | Unknown | Alive (2.1+ mo) |
4 | Initial†§ | M | 2007 | 72 | CHL NOS | IE | IE | Resection | None (surgery alone) | None (surgery alone) | NA | Alive (5.4+ mo) in CR |
5 | Initial§ | F | 1980 | 37 | MC | IE | IE B | Biopsy | MVPP | WBRT | PR | Dead from systemic PD (15.5 mo) |
6 | Initial† | M | 1997 | 19 | NS | IV | IV | Biopsy | Stamford V + PBSCT + it MTX | PBRT (36 Gy) | CR | Alive (128.5+ mo) in CR |
7 | Initial† | M | 2007 | 44 | CHL NOS | IV | IV | CSF | ABVD | Radiosurgery | PR | Dead from CNS PD (4.5 mo) |
9 | Initial† | F | 2003 | 23 | NS | IV | IV B | Resection | ABVD + it thiotepa | PBRT (36 Gy) | CR | Alive (53.8+ mo) in CR |
10 | Relapse | M | 2003 | 61 | CHL NOS | IV | IE | Resection | BVAM, BEAM + PBSCT + it MTX | None | CR | Dead in CR (58.8 mo) |
11 | Relapse§ | F | 2004 | 41 | CHL NOS | IV | IE | Biopsy | ifosfamide | WBRT (36 Gy) | CR | Alive (35.5 mo) in CR |
12 | Relapse§ | M | 1998 | 70 | NS | III | IE | Biopsy | None | Radiosurgery | PR | Dead from systemic PD (23.3 mo) |
13 | Relapse† | F | 1988 | 29 | NS | II | IE | Biopsy | MOPP | WBRT (45 Gy) | CR | Alive (273+ mo) in CR |
19 | Relapse§ | M | 2005 | 32 | CHL NOS | III | IE | Biopsy | rituximab, IVAC, high-dose methotrexate | None | CR | Dead from systemic PD (27.8 mo) |
14 | Relapse | M | 2000 | 65 | NS | Unknown | IV | Resection | None | WBRT (10.8 Gy with 23.4 Gy boost) | CR | Dead in CR (235.3 mo) |
15 | Relapse | F | 1986 | 29 | NS | II | IV B | Autopsy | lomustine, procarbazine, prednisone, cytoxan + it cytarabine | None | PD | Dead from PE with systemic and CNS PD (60.9 mo) |
16 | Relapse† | M | 2004 | 59 | MC | IV | IV B | Biopsy | Bonner Protocol | None | CR | Dead from systemic PD (18.4 mo) |
CHL-NOS indicates classical Hodgkin's lymphoma not otherwise specified; MC, mixed cellularity; NS, nodular sclerosis; IE, isolated brain disease (“Initial” patients subsequently developed systemic HL, “Relapse” patients had no evidence of systemic disease when the brain relapse was discovered); it, intrathecal; PBSCT, peripheral blood stem cell transplantation; PBRT, partial brain radiation therapy; WBRT, whole brain radiation therapy; PE, pulmonary embolism; CR, complete response; PR, partial response; PD, progressive disease; MVPP, mustine, vinblastine, procarbazine, prednisone; BVAM, carmustine, vincristine, cytarabine, and methotrexate; BEAM, carmustine, etoposide, cytarabine, and melphalan; IVAC, ifosfamide, etoposide, and high-dose cytarabine; MOPP, mechlorethamine, vincristine, procarbazine, prednisone; CEP, lomustine, etoposide, prednisone; and Bonner Protocol, methotrexate, vincristine, ifosfamide, dexamethasone, procarbazine, vindesine, and cytarabine
Initial indicates CNS disease diagnosed prior to or concomitantly with systemic disease.
Dural based disease.
No evidence of systemic HL.
Had immune dysregulation.
Staging determined by Cotswolds Staging Classification.