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ESTRO

2017

Combined chemo- and radiotherapy

treatment

• Spatial co-operation (e.g. breast carcinoma)

• Independent cell kill (e.g. Hodgkin lymphoma)

• Interaction (e.g. H&N, cervix, NSCLC)

• “diluted” toxicity (e.g. Hodgkin lymphoma)

ESTRO

2017

RT

CH

CH+RT

(EF, 40 Gy) (MOPP/ABVD)

(IF, ≤ 40 Gy)

10 y over. survival

80-90% 80-90% ≈90%

Complications (RR)

-leukemia

11.0

70.0

reduced

-lymphoma

21.0

22.0

reduced

-solid tumor

2.8

1.1

reduced

-cardiac

2.2-3.1

≈1.0

reduced

Stage I and II Hodgkin disease

(very favorable and favorable categories)