C81.0 Nodular lymphocyte predominant Hodgkin lymphoma, Annual Report to the Nation on the Status of Cancer, Methods & Tools for Population-based Cancer Statistics, 9680/3 Diffuse large B-cell lymphoma, NOS, 9651/3 Lymphocyte-rich classic Hodgkin lymphoma, 9652/3 Mixed cellularity classic Hodgkin lymphoma, 9653/3 Lymphocyte-depleted classic Hodgkin lymphoma, 9654/3 Hodgkin lymphoma, lymphocyte depletion, diffuse fibrosis, 9655/3 Hodgkin lymphoma, lymphocyte depletion, reticular, 9663/3 Nodular sclerosis classic Hodgkin lymphoma, 9664/3 Hodgkin lymphoma, nodular sclerosis, cellular phase, 9665/3 Hodgkin lymphoma, nodular sclerosis, grade 1, 9667/3 Hodgkin lymphoma, nodular sclerosis, grade 2, Division of Cancer Control and Population Sciences (DCCPS), U.S. Department of Health and Human Services.

[5][6], The characteristics of NLPHL differ from classical Hodgkin lymphoma (cHL). One Italian single‐institution review [31] and two retrospective pediatric series [92, 93] found no difference in response rates among patients treated with RT, CM, or CMT. The relative paucity of B symptoms and other markers of inflammation in NLPHL suggests that systemic cytokine release is not prominent, in contrast to classical HL [58]. Cancer. Abbreviations: EORTC, European Organization for Research and Treatment of Cancer; ETFL, European Task Force on Lymphoma; GELA, Groupe d'Etude des Lymphomes de l'Adulte; GHSG, German Hodgkin Study Group; GOELAMS: Groupe Ouest‐Est d'Etude des Leucemies et Autres Maladies du Sang; NA, not applicable; NC, not commented upon in original article; NLPHL, nodular lymphocyte predominant Hodgkin lymphoma; REAL, revised European–American lymphoid. A minority received MOPP alone (n = 4) with or without RT and two patients diagnosed in the earliest treatment era were treated with extended field RT alone. A multicenter retrospective Australian study examined patients with stage I or II NLPHL treated with RT [36].

There is a slightly higher incidence in the U.S. among blacks than whites, and a lower incidence among Asians [40]. In summary, this analysis highlights the distinct disease behavior of NLPHL compared with CHL and the need for repeat biopsy at relapse as well as long-term surveillance.

Patients diagnosed before the routine use immunophenotyping used in the Revised European-American Lymphoma/World Health Organization classification7  were subjected to pathologic re-review by an expert BCCA hematopathologist (B.S.). In total, 72 patients with advanced-stage NLPHL were identified, of whom 30 were excluded: 11 had concurrent DLBCL at diagnosis (composite, n = 7; discordant, n = 3) or were identified as a having a gray-zone lymphoma (n = 1); 6 had CHL (2 lymphocyte rich, 1 mixed cellularity, 1 lymphocyte depleted, 2 not otherwise specified); 2 had NHL; 1 elderly patient did not receive any therapy and was lost to follow-up; and 10 older patients for whom pathologic re-review was not possible because paraffin-embedded tissue was not available for immunophenotyping. Unlike relapsed cHL, data on high-dose chemotherapy followed by ASCT for relapsed NLPHL are scarce and largely based on retrospective series. Selected studies in stage III to IV NLPHL. In that study, the median follow-up was only 4.2 years, limited-stage and advanced-stage patients were analyzed together for many of the outcome comparisons, and the type of lymphoma relapse was not reported. NCCN Practice Guidelines in Oncology. In a study conducted by the GHSG, 15 patients with relapsed NLPHL received 4 weekly standard doses of rituximab. It is one of the less frequent types of Hodgkin lymphoma, comprising about 5% of all cases of this cancer. Liver involvement occurs in <10% of patients, and bone marrow or lung infiltration is found in <5%. Early-stage, lymphocyte-predominant Hodgkin’s lymphoma: patient outcomes from a large, single-institution series with long follow-up.

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