Salvage radiotherapy in refractory adult Hodgkin and non-Hodgkin lymphoma


Hekim M. V., ERGEN Ş. A., ELVERDİ T., Özmen İbiş D., Çolpan Öksüz D.

International Journal of Hematology, cilt.123, sa.6, ss.876-884, 2026 (SCI-Expanded, Scopus) identifier identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 123 Sayı: 6
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1007/s12185-026-04171-9
  • Dergi Adı: International Journal of Hematology
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CINAHL, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.876-884
  • Anahtar Kelimeler: Hodgkin lymphoma, Non-Hodgkin lymphoma, Radiotherapy, Refractory lymphoma
  • İstanbul Üniversitesi-Cerrahpaşa Adresli: Evet

Özet

Purpose: Although Hodgkin and non-Hodgkin lymphoma are chemosensitive, 10–15% of patients develop refractory disease. With the increasing use of intensive chemotherapy, the role of radiotherapy (RT) in salvage settings has diminished. This study evaluated the efficacy of salvage RT in patients with refractory lymphoma. Materials and methods: Forty-one adults with histologically confirmed Hodgkin or non-Hodgkin lymphoma and either primary refractory or relapsed/refractory disease treated between 2010 and 2022 were retrospectively analyzed. All patients received involved-site RT after systemic therapy. Results: At a median follow-up of 67 months, 85% of patients showed a complete response to salvage RT and 10% showed a partial response. The 5- and 10-year disease-specific survival rates were 90 and 84%. All recurrences occurred within 5 years and outside the RT field. Conclusion: Salvage RT achieved high response rates, durable survival, and minimal toxicity, supporting its role as a valuable treatment option in selected patients.