Management of Hodgkin lymphoma
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Updated: Aug 10, 2026

Flow-sorting and Exome Sequencing of the Reed-Sternberg Cells of Classical Hodgkin Lymphoma
Published on: June 10, 2017
Stephen M Ansell1, James O Armitage
1Division of Hematology, Mayo Clinic College of Medicine, Rochester, Minn 55905, USA. ansell.stephen@mayo.edu
Insights
Hodgkin lymphoma (HL) affects young adults and the elderly, with over 80% of patients achieving long-term survival. However, new therapies are needed for patients with resistant disease or relapse after treatment.
Area of Science:
- Oncology
- Hematology
- Clinical Medicine
Background:
- Hodgkin lymphoma (HL) is diagnosed in approximately 7350 US patients annually.
- HL incidence exhibits a bimodal pattern, peaking in young adults and the elderly.
- Classical HL and nodular lymphocyte-predominant HL are the two main disease entities.
Purpose of the Study:
- To provide an overview of Hodgkin lymphoma diagnosis and treatment.
- To highlight current survival rates and challenges in HL management.
- To underscore the need for novel therapeutic strategies.
Main Methods:
- Review of epidemiological data for Hodgkin lymphoma incidence.
- Description of Hodgkin lymphoma classification and staging.
- Summary of current treatment modalities for early and advanced stages.
Main Results:
- Over 80% of newly diagnosed Hodgkin lymphoma patients are expected to be long-term survivors.
- Combined modality treatment (chemotherapy and radiation) is standard for early-stage disease.
- Advanced-stage disease is treated with chemotherapy, with radiation omitted.
Conclusions:
- While cure rates are high, a subset of patients develops resistant disease or relapses.
- Salvage therapies like high-dose chemotherapy and autologous stem cell transplantation are used for refractory cases.
- Development of innovative therapies is crucial for improving outcomes in relapsed or refractory Hodgkin lymphoma.
Abstract:
Approximately 7350 new cases of Hodgkin lymphoma (HL) are diagnosed annually in the United States. The Incidence of HL has a bimodal pattern, with the highest incidence seen in young adults and in elderly patients. The disease is composed of 2 distinct entities: the more commonly diagnosed classical HL and the rare nodular lymphocyte-predominant HL. Classical HL includes the subgroups nodular sclerosis, mixed cellularity, lymphocyte depletion, and lymphocyte rich. Selection of the appropriate therapy Is based on accurately assessing the stage of disease. Patients with early-stage disease are treated with combined modality strategies using abbreviated courses of combination chemotherapy followed by Involved-field radiation therapy, whereas those with advanced-stage disease receive a longer course of chemotherapy without radiation therapy. Currently, more than 80% of all patients with newly diagnosed HL are expected to be long-term survivors. Although many patients respond well to initial therapies and have durable long-term remissions, a subset of patients has resistant disease and experiences relapse even after subsequent high-dose chemotherapy and autologous stem cell transplantation. New therapies are clearly needed for these patients.
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