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Dose: 30-44 Gy

20-30 Gy

1978

2013

Total nodal Regional nodal Involved field Involved site

Transformation of RT Volumes / Doses in HL

ISRT – Specht L et al IJROBP 2014

Two thirds of women with early-stage HD do not require radiation of the axillae

Substantial reduction in breast, lung cancer risk, cardiac morbidity

80 % reduction