Article

Current Hematologic Malignancy Reports

, Volume 6, Issue 3, pp 172-179

First online:

The Role of Autologous Transplantation in Hodgkin Lymphoma

  • Bastian von TresckowAffiliated withDepartment of Internal Medicine I, Cologne University Hospital
  • , Andreas EngertAffiliated withDepartment of Internal Medicine I, Cologne University Hospital Email author 

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Abstract

Between 80% and 90% of Hodgkin lymphoma (HL) patients can be cured with up-to-date combined-modality treatments, but patients with disease refractory to first-line therapy and those who relapse after first-line therapy still have a relatively poor prognosis. Dose intensification with stem cell support has been evaluated both to avoid relapses and to cure patients with refractory or relapsed disease. In this review, we focus on the use of high-dose chemotherapy followed by autologous stem cell transplantation (ASCT) in first-line, second-line, and third-line therapy for HL patients. The relevance of salvage therapy before high-dose chemotherapy is discussed, as well as the role of sequential high dose chemotherapy. We also review current evidence for tandem transplantation in high-risk HL patients and ASCT in elderly patients. Finally, we discuss current concepts of ASCT for HL patients and the use of functional imaging and consolidation therapy.

Keywords

Hodgkin lymphoma HL Autologous stem cell transplantation ASCT Tandem transplantation Stem cell transplant High-dose chemotherapy Consolidation Maintenance Salvage