Rubén Alexander Elzaurdín Mora1* and Noralys Lara Fernández2
1Specialist I Degree in Medical Oncology, Diploma in Oncological Radiotherapy, Medical-Surgical Research Center, Havana, Cuba
2Specialist I Degree in Medical Oncology, Miguel Enríquez Teaching General Hospital, Havana, Cuba
*Corresponding Author: Rubén Alexander Elzaurdín Mora, Specialist I Degree in Medical Oncology, Diploma in Oncological Radiotherapy, Medical-Surgical Research Center, Havana, Cuba.
Received: December 21, 2022; Published: February 20, 2023
Introduction: Hodgkin's lymphoma is a lymphoproliferative process characterized by a polymorphous infiltrate containing Reed-Sternberg cells and various accessory populations. The treatment is high-efficiency chemotherapy. Some patients may need radiation therapy or, if the lymphoma recurs after primary treatment, high-dose chemoradiation therapy and autologous hematopoietic stem cell transplantation.
Objective: To demonstrate how the use of positron emission computed tomography (PET-CT) influenced the radiation treatment planning process in a patient diagnosed with mediastinal relapsed Hodgkin lymphoma.
Case presentation: A 24-year-old female patient diagnosed since February 2017 with Hodgkin's lymphoma, nodular sclerosis variety with extranodal extension. He was treated with polychemotherapy and achieved a total response. In January 2020, the presence of a mediastinal relapse of the disease was detected. The use of PET-CT allowed for better planning of ionizing radiation therapy. The process of delineating the volume to be treated, was carried out with greater accuracy, protecting vital organs of this region.
Conclusions: The use of PET-CT in the design of radiant treatment, allows more precise therapeutic plans achieving favorable objective responses in patients with mediastinal relapse of Hodgkin lymphoma. Its use reduces the volume to be irradiated and precisely delimits the risk organs to be protected during radiation therapy, achieving a response greater than 90% in combination with chemotherapy. These results increase the survival of our patients.
Keywords: Hodgkin's Lymphoma; Radiotherapy; Chemotherapy; Positron Emission Computed Tomography
Citation: Rubén Alexander Elzaurdín Mora and Noralys Lara Fernández. “Positron Emission Computerized Axial Tomography in Treatment Planning Radiant of Mediastinal Relapsed Hodgkin Lymphoma".Acta Scientific Otolaryngology 5.3 (2023): 40-43.
Copyright: © 2022 Rubén Alexander Elzaurdín Mora and Noralys Lara Fernández. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.