Table 1.

Unfavorable risk factors in early-stage HL per cooperative groups

GHSGEORTC/LYSANCCN
Bulky mediastinal mass
MMR >0.33 
Bulky mediastinal mass
MTR >0.35 
Bulky mediastinal mass
MMR >0.33 
Extranodal site Presence of B symptoms Adenopathy 10  cm in size or more 
Nodal sites >2 Nodal sites >3 Nodal sites >3 
ESR >50 (or >30 if B symptoms) ESR >50 (or >30 if B symptoms) ESR ≥50 or any B symptoms 
 Age >50  
GHSGEORTC/LYSANCCN
Bulky mediastinal mass
MMR >0.33 
Bulky mediastinal mass
MTR >0.35 
Bulky mediastinal mass
MMR >0.33 
Extranodal site Presence of B symptoms Adenopathy 10  cm in size or more 
Nodal sites >2 Nodal sites >3 Nodal sites >3 
ESR >50 (or >30 if B symptoms) ESR >50 (or >30 if B symptoms) ESR ≥50 or any B symptoms 
 Age >50  

EORTC, European Organization for Research and Treatment of Cancer; ESR, erythrocyte sedimentation rate; GHSG, German Hodgkin Study Group; LYSA, Lymphoma Study Association; MMR, mediastinal mass ratio, maximum width of mass/maximum intrathoracic diameter; MTR, mediastinal thoracic ratio, maximum width of mediastinal mass/intrathoracic diameter at T5-6; NCCN, National Comprehensive Cancer Network.

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