Follow-up of patients with cured Hodgkin's lymphoma

Z. Miltényi, G. Székely, J. Végh, L. Váróczy, Z. Simon, L. Gergely, A. Illés

Research output: Contribution to journalArticle

Abstract

Aim. The knowledge about complications following the treatment of patients with Hodgkin's lymphoma (HL) as well as early recognition and treatment of its complications have been gaining more and more importance since vast majority of patients survive long or are cured. Methods. Late complications of 123 cured HL patients were examined who received treatment between 1974 and 1998. Results. Mean age was 31.9 years at the time of diagnosis, while mean survival after diagnosis was 18.8 years. 101 of them are still alive, and we have no data about nine patients. Changes in thyroid functions, mainly hypothyroidism, could be detected in approximately third of the patients. Second common complication was cardiovascular system damage (26.89%). Pulmonary and pleural damage was found in 13% of patients. Less frequently, secondary neoplasms (12.2%), injury of skeletal and muscular systems (6.5%) and damage of the genitourinary system (5.7%) were observed. 146 patients died, of which over 50% was attributed to lymphoma. After 15thyear from diagnosis, deaths caused by lymphoma were not observed. Conclusion. Owing to treatment according to up-to-date therapeutic principles, number of long surviving patients has been on the rise. They rarely present at haematological care units years or even decades after treatment. It's important for both primary care providers and specialists of various medical fields to be familiar with such complications and importance of various screening tests since early recognition and management of complications can contribute to improvement of patients' quality of life and reduction of mortality associated with late complications.

Original languageEnglish
Pages (from-to)293-300
Number of pages8
JournalGazzetta Medica Italiana Archivio per le Scienze Mediche
Volume170
Issue number5
Publication statusPublished - Oct 2011

Fingerprint

Hodgkin Disease
Lymphoma
Therapeutics
Urogenital System
Cardiovascular System
Hypothyroidism
Primary Health Care
Thyroid Gland
Quality of Life
Lung
Survival
Mortality
Wounds and Injuries

Keywords

  • Hodgkin disease, complications
  • Quality of life
  • Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Miltényi, Z., Székely, G., Végh, J., Váróczy, L., Simon, Z., Gergely, L., & Illés, A. (2011). Follow-up of patients with cured Hodgkin's lymphoma. Gazzetta Medica Italiana Archivio per le Scienze Mediche, 170(5), 293-300.

Follow-up of patients with cured Hodgkin's lymphoma. / Miltényi, Z.; Székely, G.; Végh, J.; Váróczy, L.; Simon, Z.; Gergely, L.; Illés, A.

In: Gazzetta Medica Italiana Archivio per le Scienze Mediche, Vol. 170, No. 5, 10.2011, p. 293-300.

Research output: Contribution to journalArticle

Miltényi, Z, Székely, G, Végh, J, Váróczy, L, Simon, Z, Gergely, L & Illés, A 2011, 'Follow-up of patients with cured Hodgkin's lymphoma', Gazzetta Medica Italiana Archivio per le Scienze Mediche, vol. 170, no. 5, pp. 293-300.
Miltényi Z, Székely G, Végh J, Váróczy L, Simon Z, Gergely L et al. Follow-up of patients with cured Hodgkin's lymphoma. Gazzetta Medica Italiana Archivio per le Scienze Mediche. 2011 Oct;170(5):293-300.
Miltényi, Z. ; Székely, G. ; Végh, J. ; Váróczy, L. ; Simon, Z. ; Gergely, L. ; Illés, A. / Follow-up of patients with cured Hodgkin's lymphoma. In: Gazzetta Medica Italiana Archivio per le Scienze Mediche. 2011 ; Vol. 170, No. 5. pp. 293-300.
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