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Abstract:
The clinical experience and technologic improvements of the past 40 years are briefly summarized in terms of their contributions to the present optimistic and aggressive approach to the treatment of malignant lymphoma. The reasoning behind the large-field moderately high-dose technique that has evolved is reviewed and analyzed, and our treatment techniques are described in detail. Finally, the curability of malignant lymphoma is emphasized--through the use of vigorous and precisely planned irradiation of both the actual and the potential sites of lymph node involvement in either the upper or the lower trunk regions, or, in some cases, in both regions, we may now hope to produce cures or long-term survivals in a great majority of the patients treated; this results in a magnificent gain for humanity through the rescue or prolongation of many otherwise lost lives.