Victims of New Medicine

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Since the invention of Germanic New Medicine by former physician Ryke Geerd Hamer, a large number of victims of his particular method have been documented in court documents, newspaper articles and have been reported by former patients and their relatives as well as by former associates and nurses working in his practices or clinics. The total number of victims of this method in and outside of Germany exceeds 140 (148 according to the Aribert Deckers - List at the beginning of 2008). Eleven patients only died in Italy. And no documented case of a succesful cancer treatment according to the principles of New Medicine has been documented so far. Modern scientific medicine reports a 50% to 65% survival for all cancer cases in industrialized countries in many different published scientific articles around the world [1][2][3][4][5][6]

German magazine Der Spiegel published a report written by two journalists who were able to identify fifty former patients of Hamer's in 1995, after his private clinic Rosenhof in Bad Krozingen (Germany) was closed by authorities[7]. In the same year, only seven patients of these fifty were found alive after the cancer treatment according to New Medicine.

In Italy, an oncologist (hereinafter named T. from Rimini[8]) reports that New Medicine experiments were made on three cancer patients and that none of them survived. The Italian NGM-association ALBA knew details about these experiments, he wrote in an internal forum of Italian Hamer followers. In the Padova region (Italy), an Italian New Medicine physician, Paolo Rossaro, has been charged for the death of several cancer patients.

Some of the most notable and best referenced cases are shown here as examples.

Olivia Pilhar (Austria 1995)

 
Olivia Pilhar as foto model in 2008
 
Olivia Pilhar in 1995
 
Olivia Pilhar 2001 after her treatment (from a poster of Hamer supporters)

The Austrian girl Olivia was six years of age when she began to suffer from a life-threathening Wilms' tumor (nefroblastoma). Olivia's parents of first consulted a female physician in Vienna (apparently Elisabeth Rozkydal). She enabled the contact to Ryke Geerd Hamer who was already barred at that time and was not in a posotion to treat patients legally. The parents decided to have their child treated according to Hamer's New Medicine and at the same time began to withhold any conventional medical therapy from their child. Hamer first diagnosed flatulences and tried to help Olivia by a sort of massage of her belly [9]. He then asserted she could recover without any particular therapy. His was at the end of his diagnostic abilities: starvation conflict because Olivia's grandmother gave her too many Schnitzels to eat and a refugee conflict because the family had moved home earlier [10][11]. Hamer also diagnosed an alleged liver tumor and thought a traumatic event short time before was the real cause of this tumour. This is simply impossible and nonsense because a tumor needs years to build up, in children at least two years. Later Hamer even diagnosed brain metastases and claimed a chemotherapy would be fatal in 95% of all cases, creating much fear in the family. The Austrian authorities finally had to remove their rights of care and control, and the parents fled from Austria first to Munich and later to Malaga (Spain, Hotel Las Vegas next to the home of Hamer in Alhaurin el Grande) with the child, beeing helped by four members of a religious sect (Fiat Lux). Hamer unsuccessfully treated the child using his new medicine and the tumor continued to grow. When Olivia left Austria, her tumor had a volume of 250 ml and grew up to 4,2 liters (size of a football) and she suffered much as the tumor exerted growing pressure on her tiny lungs so that she had to breath at a high frequency. Olivia and her parents were finally detected in Spain by the german press (Spiegel) and Hamer used this in a shameless way as an opportunity to make publicity for himself and his method. He asked the child to come to the beach for some pictures. After negotiations including the intervention of the Austrian president, the parents were persuaded to return to Austria after intervention of spanish police. The child was finally given emergency medical treatment in Vienna after a court order against the parents' wishes and is still alive today. The parents sold pictures of her child to the austrian press and sold the rights for a film for an amount of 500000 austrian Schillings. Her parents both received an eight-month suspended jail sentence in Austria in 1996 and 1997. The parents still support Hamer's method and have their own web site which explains the matter from their perspective. Austrian authorities could not accuse Hamer, because he left Austria to hide in Spain, but started investigations in 40 cases of former Hamer-patients who died in Austria. [12] [13][14]. In an interview, the adult woman O. Pilhar told the austrian newspaper Madonna in 2008 that: ...I feel good... [15] [16].

Michaela Jakubczyk-Eckert (Germany 2005)

 
Michaela Jakubczyk-Eckert
 
right breast of M. Jakubczyk-Eckert
 
one of the latest pictures

The German artist Michaela Jakubczyk-Eckert was born November 14, 1964 and died suffering enormously on November 12, 2005 just a few days prior to her birthday.

She started suffering from breastcancer (right breast) at the end of 2000 and did not seek medical help earlier than one year later, by the end of 2001. She first began a conventional therapy but changed her mind to try the New Medicine according to Hamer, after she knew something about this method in the internet. Together with her mother she went to Hamer in Spain. As far as her husband Gilbert remembers, Hamer diagnosed a partner conflict as she developed cancer on her right side and was right-handed. Always according to Gilbert's memory, Hamer told her to stop any conventional cure immediately and advised to refuse a planned operation. When Hamer was asked how much they had to pay, he asked them to buy two of his books at a price of 150,- Euro. After her return to Germany, Mrs Jakubczyk-Eckert stopped any conventional cure and instead was assisted by a so-called study-group of New Medicine near her home until her health deteriorated considerably, forcing her to go to a centre of palliative medicine in Cologne (Hospiz Lohmar). She suffered extreme pain and did not use any analgetic drug at that time. Rules of new medicine forbid the use of strong analgetic drugs like morphine. The nurses at the Hospiz Lohmar were horrified and declared to witnesses they had never seen another patient suffering as badly as her until her death.

The pictures shown and her story are reported by her husband Gilbert, by two of her physicians, and by nurses of Hospiz Lohmar.

More details of this case in English language can be seen here: [1].

Michaela's mother and several people (all supporter of Hamer) published a text trying to explain Michaela's death from their own point of view: http://www.gnm-nl.be/20060209_Gegendarstellung_MoPo.pdf

Today, 81% of all women with breast cancer survive at least 5 years after a conventional therapy in Germany[17].

Sören Wechselbaum (Germany)

 
Sören Wechselbaum

Sören Wechselbaum was 35 years of age in 2002, when he began to suffer from testicular cancer. According to his mother Christa Wechselbaum, her son was a strict follower of New Medicine until the day before his death, and refused any help or therapy by conventional medicine. Testicular cancer, However, is one of the cancers we know can be cured very successfully by modern medicine, the prognosis is around 90% today. Ryke Geerd Hamer himself also suffered from testicular cancer in 1979, preferred to be cured by conventional medicine and is still alive (in 2008 28 years later). Sören on the other hand died, and one day before his death he admitted he commited an error prefering New Medicine. He said so to a close friend. His mother is one of the strictest opponents of Hamer's New Medicine in Germany organizing public demonstrations.

Carmen (Germany)

Carmen began to suffer from breast cancer in 2003, an intraductal carcinoma. Details of her suffering were made public in a television broadcast by her sister K.[18] and in forum messages by her boyfried Erik Stolz [19]. She eventually died at the age of 33. Together with her boyfriend Erik, she was known for a follower of New Medicne and therefore refused any conventional medical treatment. Instead, she seeked help with a German Heilpraktiker (naturopath). Carmen went to Hamer who was already barred at that time and lived in Spain. Hamer received Carmen and performed an allegedly successful so-called conflictolysis according to the rules of New Medicine. The Heilpraktiker promised her a recovery without any further cure, without a radiation therapy or operation. She only had to resolve her conflicts he said and in that case, her cancer was simply going to disappear. But Carmen suffered a stroke (a typical complication in cancer) which, however, was considered an epileptoid crisis according to New Medicine-speak. She then received cures in an amateurish way as she was given sugar-containing drinks, and ice to cool her head. Her breast cancer, however, was not influenced by these manoeuvers and she started to suffer from increasing nausea. Her tumor caused several metastases, advanced to her back and caused much pain. At the beginning of February 2005, a public forum message announced her death caused by breast cancer. She died perhaps much earlier, in summer 2004, as she ceased to contribute to the NGM-forum at that date. Many other messages related to her death were deleted by the administrators of that forum, but external observers had carefully recorded them in time. A discussion of this case was obviously not wanted in that forum. The Heilpraktiker could not be sued successfully and his identity is still unknown.

Gaby J., daughter of Mrs. Rose-Laure Huber (Switzerland)

In 2005, TV-station RBB (Radio Berlin-Brandenburg) reported the death of a young Swiss nurse who died of breast cancer after having received treatment according to principles of New Medicine for a long time[20] [21]. Gaby J. ([22]) was born in 1952. She suffered from breast cancer and refused any further conventional medical therapy after a first operation. Instead, she beleived in Hamer's New Medicine. Persons from the local Hamer-scene told her the tumor was a sign of a self-healing process and that she a final recovery needed time. But nevertheless she died June 6, 2000 suffering extremely, as her mother Rose-Laure Huber reports. A description of her terrible situation a few days before her death can be seen here: [23].

Like Mrs. Wechselbaum, Gaby's mother of Gaby holds Hamer's New Medicine responsible for her suffering and her death [24]. A detailed report by her mother in German language can be seen here: [25]

still not identified man called Aldo (Italy 2006)

In December 2006, an young Italian male admirer and supporter of New Nedicine /nuova medicine germanica) by the name of Aldo died of cancer in the town of Bergamo (Italy). His identity is still unknown, but many facts are known from different sources permitting to describe this case. Aldo was known for a Hamer supporter and was active in an Italian internet-forum where supporters and critics meet and exchange opinions (Meet-up forum of Italian comedian and political activist Beppe Grillo). In this forum he was active with the nick of Ali Baba, this has been revealed by a close friend of his (G.) who wants to keep her name secret. In his messages (recorded and saved, but also still visible) he shows a sort of blind trust in the New Medicine. It is still a mystery who introduced him to this method. Some people were shocked reading his messages as he also in public said he had cancer. But nobody wanted to advise him to seek competent medical help. On September 20, 2006 he reported to have a tumor; he used the expression cancer. He announced he did not want any medical help. On October 2, he began to express weak doubts in New Medicine and he considered to try the method of a former Italian physician Tullio Simoncini who believes the fungus candida albicans to be the real cause of all cancer which can be healed by a primitive sodium-bicarbonate-cure (this physician was already barred and convicted like Hamer at that time). On November 24, he reported a large tumor in his belly that caused internal bleedings and a short emergency recovery at a hospital in Bergamo. He talked about a successful conflictolysis according to New Medicine. He showed sign of fear and in vain sought a confirmation of other cancer patients allegedly successfully curedby New Medicine. But nobody was able to name any. He wrot to NGM-association ALBA in Genova and looked for help there. But he only received a meaningless and strange email stating that ..the patient himself is responsible for his therapy... and he was disappointed having to realize this association was not willing to help him or simply was incompetent. His last message in fact was a good bye and a clear denial of modern scientific medicine. He wrote that somebody (unknown) asked him to confirm that (allegedly) no GNM physician assisted him in the past, as if this fact were important. He did not understand why his tumor grew despite the fact that he had undergone a successful conflictolysis, and why he was still waiting for a recovery to happen. At the end he spoke about his fate. A few days before his death, he gave all his passwords to a female friend (G.) in order to continue with messages in his name, but she was deeply impressed by his death and decided not to write in his name. Instead she reported what happened in a forum message. She revealed he had an inherited form of cancer (probably Familial Adenomatous Polyposis FAP), and that other member of his family had the same disease and were able to recover by choosing an effective medical treatment.

More details and a link to all recorded messages: Fall Aldo aus Bergamo

Domenico Mannarino (Italy 2006)

 
Domenico Mannarino
 
one page of the diary of Domenico Mannarino

On August 20, 2006, Italian police officer Domenico Mannarino died at the age of fifty under terrible pain because of cancer, while his doctor was not present. Mannarino lived in the southern italian city Crotone. Since November 2005 he knew about his lung cancer with a diameter of 1 cm. A member of his family, the roman physician B.L. ([26]), adviced him to seek help by new medicine and he agreed. This curing physician was not working in Crotone, but was (and is still) working in Rome at the hospital Sant' Andrea. But he was visiting his patient and was in phone-contact with him. Mannarino and his wife Cinzia went then to a GNM-physician in Aulla (Liguria) named Lupi. He wanted 150,- Euro for the consultation and wanted them to buy some NM-books (memory of his wife and as recorded in his private diary), and they decide to buy books. In Aulla resides one of the publishing companies for Hamer-books, formerly Amici di Dirk srl, now Secondo Natura srl. The two are disappointed however, because Lupi seems to prefer talking instead of listening and wonder very much. Later the president of the italian association ALBA, Marco Pfister (a swiss citizen and former barman without any known medical degree) is included in the number of persons to give him advices and Mannarino stays in phone-contact with him. His physician BL diagnozes an alleged harmless bronchial ulceration and excludes categorically any cancer despite former radiological evidences, records his wife Cinzia. BL forbids now any conventional treatment and urges him not to repeat any radiological exploration. He shall not talk about his decision to try new medicine and forbids him to tell his own name as treating physician to anyone. But Mannarino is a very accurate and meticulous policeman and writes down every detail of his disease and treatment in his private diary, that will be shown after his death by his wife. BL promised a rapid recovery for his ulceration. Mannarino followed all the instructions and refused any conventional treatment. His health situation deteriorated rapidly however, his lung tumor grew and he got a metastasis at his chin. BL considered this to be a sign of upcoming recovery. Later he was semi-paralyzed and died at home, cured by his wife. His physician BL was far away in the caribbean for holidays. Mannarino could not seek other medical help as he had promised not to contact any other doctor. His death left alone his wife and three children. After his return, BL did not try to console the widow Cinzia, but accused the astonished woman to have caused the death of his husband because she allegedly did not believe strictly in the new medicine, which is necessary to recover according to the rules of new medicine. But she answered that she did read out one of the Hamer-books to her husband when he was not any more able to read himself. Cinzia Alunni (the widow) became very upset and made public many details of this story in the italian press. She still keeps the diary of his husband and all receipts and bills. She tried to sue BL, but had no success. She was threatened by an unknown pistol-armed man waiting for her in front of her door at the end of 2007 and will now move away from Crotone to avoid further menaces for her children and herself. In a newspaper article she considers the Hamer method used as illegal human experiments.

Maresa T.L. (Bergamo Italy 2007)

 
Maresa L. (Bergamo)

Mrs. Maresa T.L. ([27]) was born in 1959 and worked as chemist in Bergamo (Italy). She died in 2007 at age 48 because of breast cancer. She had followed a three years lasting formation course in new medicine in Aulla (Liguria). 2004 she knew about a suspect histological diagnostic finding but she refused strictly any medical intervention, believing solely in new medicine. She also refused any further diagnosting procedures. She left her job as chemist and became a Tai-Chi teacher. She was in contact with a local physiotherapist (P.P [28]) in Bergamo and the president of the NGM-association ALBA, Marco Pfister. According to her relatives, she phoned almost every day with Pfister (having no known medical degree or license). In june 2007 her breast cancer was grewing and she started to suffer more and more and in august she got an icterus, her skin assumed a yellow colour. Marco Pfister told her that this should be a sign of an alledged recovery and that her yellow skin was in reality caused by her anger not to be able to make a visit to Ischia island in her hoildays where she hired a vacation house. An operation were only of use for esthetic reasons he said. Her left breast presented several large tumors in the mean time. The day27 of august she was admitted as emergency case in a local hospital (Ospedali Riuniti di Bergamo) where she received a blood donation. She presented several metastasis in her body. In the afternoon of th 28th of august she died after days of horrible pain [29][30]

Helena Lumbreras (Spain 1995)

 
Helena Lumbreras
 
Vicenç Herrera from Barcelona

The spanish professor and known Franco-opponent Helena (Elena) Lumbreras noticed a tumor in her left breast at age 51 in 1987. She tried to cure her breast cancer with different alternative methods without having any success however. At the end she died leaving two daughters and a husband. After first trying faith-healing she noted that her tumor grew and that a metastasis appeared. So she decided to undergo a late conventionally chemotherapy and radiation therapy. After these treatment she tested again an alternative method using the whole-body hyperthermia without having a success again. Then she received the advive to test the new medicine from a collegue. Her duaghter Valeria reports that Helena Lumbreras called a Hamer-center in the Malaga region where someone promised her to recover within three weeks. An unknown make voice with strong german accent gave her advices what to do. The day 12 of march 1995 she started to suffer much more and could not srand up or leave her room anymore. The german-sounding voice forbit her to use any pain-relieving analgetic drug and she shall never use any chemotherapy in the future. Mrs Lumbreras had terrible pain and could not sleep more than one hour per day and refused to eat. After two month of telefonic-treatman, a NGM-physician appeared suddenly: the spanish physician Vicenç Herrera from Barcelona. According to Herrera she had an alledged mother-child-conflict that was causing her breastcancer in her left breast. When pain was further increasing, Herrera considered this to be a sign of proceso de recalcificación and of recovering. In june 1995 she had to be admitted as an emergency case to a hospital. For a coincidence she saw there in hospital a report about the Olivia Pilhar case in television (Olivia and their parents were in spain at that time) and by this way she knew that Hamer had lost his medical license. Her daughter Valeria records that she said to her: ...«Ojalá lo hubiera sabido antes».. The day 4 of august 1995 she died suffering strong pain. Her last doctor was Vicenç Herrera Adell who was a strict Hamer-supporter in spain since 1992. The curing physicians Juan Puget Valencia and Vicenç Herrera Adell were sued by parents of Mrs Lumbreras. Puget Valencia did regret to have made use of new medicine and the legal procedure against him was closed. The Consejo del Colegio de Médicos de Catalunya revoked the medical license of Vicenç Herrera [31][32]

Elsemarit Fjeldheim (Norway 2005)

Elsemarit Fjeldheim of Norway died in 2006 because of breast cancer at age 52. At the beginningof her disease she had received a good prognosis by her doctor. But she refused any treatment of conventional medicine. She wrote a private diary that shows the following: She heard about the new medicine of Ryke Geerd Hamer in Norway and asked her doctor to be treated by two norwegian therapists according to the rules of new medicine: Bent Madsen and Dagfrid Kolas. Her doctor agreed. Mrs Fjeldheim was then cured by these two persons and was presented in public to be a living example for a successful cancer treatment by the new medicine. Mrs Fjeldheim was assured to recover from her disease, but she finally died one year adter beginning her new-medicine treatment [33]

The Rossaro-cases in Vicenza and Padova (Italy)

 
Paolo Rossaro

The italian physician Paolo Rossaro from Albignasego (Vicenza) is known to treat cancer patients according to new medicine and to perform a new-medicine-specific CT brain scan diagnosis. He founded slso a private association called Primum vitae. Several of his patients died following his instructions, but no cured patient is known so far. Rossaro is now accused for unvolountary man-slauther and severe lesions ("omicidio colposo" art 589 cp und "lesioni colpose"), and risks to loose his medical license [34][35].

  • The eve of christams 2007 died the italian truck driver Christian Trevisan because of Hodgkin lymphoma in Vicenza (Italy) at only age 35 [36] leaving his wife and a daughter. According to several different newspaper articles, he refused conventional medical help and believed in Hamer's new medicine and wonder abilities of Paolo Rossaro. Rossaro treated Trevisan in vein with oceanic water and vitamins and the psycological support of new medicine. When his situation deteriorated, Trevisan decided finally desperately to seek help in a conventional clinic where it was decided to sue Rossaro. But his situation was so severe that no cure could help him and he died after a short recovery-time.
  • In 2007 a man aged only 21 died in Padova (Italy) after beeing treated by Rossaro. He had also a Hodgkin-lymphoma like Trevisan. This young man refused also any conventional and effective cures of modern medicine.
  • Anna Tosin from Vicenza, aged 60, was also a patient of Rossaro and had breast cancer. According to several newspaper article, she was told by Rossaro to stop any conventional cure and did so. She died.

Hodgkin-lymphoma: the Hodgkin-lymphoma can be cured offering a good prognosis for the patients. Approximately 95% of all Hodgkin-patients survive a modern therapy of today (according to studies made on more than 14000 cases). Using radiation and chemotherapy, 96% of all 920 patients in Germany between 1994 and 2003 survived 5 years and 95% survived 10 years. During the sixties, only about 30% of all patients survived. [37]. According to a study from the USA (2006), the prognosis was over 80% [38].

references

  1. http://seer.cancer.gov/csr/1975_2002/results_merged/topic_survival_by_year_dx.pdf
  2. http://seer.cancer.gov/csr/1975_2002/results_merged/topic_survival.pdf
  3. http://statecancerprofiles.cancer.gov/historicaltrend/joinpoint.withimage.php?0&9900&999&7599&001&001&00&0&0&0&2&0&1&1#graph
  4. http://annonc.oxfordjournals.org/cgi/reprint/14/suppl_5/v61
  5. Coleman MP, EUROCARE-3 summary: cancer survival in Europe at the end of the 20th century, .Ann Oncol. 2003;14 Suppl 5:v128-49
  6. http://annonc.oxfordjournals.org/cgi/reprint/14/suppl_5/v28 Micheli A, EUROCARE Working Group. Life expectancy and cancer survival in the EUROCARE-3 cancer registry areas. Ann Oncol 14: v28-v40
  7. german newspaper Der Spiegel, number 32 in 1995
  8. his name and address are well known, the authors prefer to keep his name secret as he is not a supporter of New Medicine any longer and his name has never been made public by the Italian New Medicine-scene
  9. Pilhar H: Olivia - Tagebuch eines Schicksals, Amici di Dirk Verlagsgesellschaft, ISBN 3-926755-08-3
  10. Hamer's own words in German: ...Bei Olivia hatte sie Leberkrebs, weil sie einen Verhungerungskonflikt hatte, weil die Mutter nicht mehr gekocht hatte und in die Schule gegangen war, und die Oma nun kochen musste, die immer Schnitzel nur briet...
  11. http://www.swr.de/report/archiv/sendungen/021118/04/frames.html
  12. Austrian cancer patient's parents sentenced, in: lancet, 1996 Nov 23;348(9039):1440
  13. Martin Zimper, book: "Das Mädchen Olivia" ed. Herbig, 1996 ISBN 3-7766-1970-8 (german)
  14. article in: Der Spiegel number 32, august 7 1995 http://66.39.15.117/News/Presse/1995/19950807_Spiegel_Kampf.htm
  15. Newspaper Madonna, date july 5, 2008, page 28
  16. article in german newspaper Bild, date july 13, 2008
  17. http://www.rki.de/cln_160/nn_203956/DE/Content/GBE/DachdokKrebs/Broschuere/Lokalisationen/C50,templateId=raw,property=publicationFile.pdf/C50.pdf
  18. TV station RBB (radio Berlin-Brandenburg ARD member) transmission Kontraste August 9, 2007
  19. http://www.ariplex.com/ama/ama_ham7.htm
  20. TV station RBB, transmission Kontraste November 10, 2005
  21. http://www.rbb-online.de/_/kontraste/beitrag_jsp/key=rbb_beitrag_3362703.html
  22. her name is known, her mother and especially her father prefer to keep her name secret for reasons of privacy. A contact to her mother can be made via email or phone
  23. ..Sie war nur noch ein Skelett mit Haut überzogen, ein paar Büscheln Haaren. Sie sah aus wie 90. Und die ganze Brust, es war offen, es hat geblutet, faulig, es hatte Eiter, die Brust, Rücken, eine faulige, eitrige offene Wunde. Man hätte fast die Knochen sehen können, es war einfach alles weg. Das muss entsetzlich geschmerzt haben....
  24. ...Ich werfe ihnen vor, dass sie akzeptieren, dass so und so viele Leute grauenvoll zugrunde gehen. Ohne ärztliche Hilfe. Es sind Lügner, es sind Menschenverächter. Ich weiß nicht, was ich denen noch sagen soll....
  25. http://www.transgallaxys.com/~kanzlerzwo/showtopic.php?threadid=2953
  26. name known, for legal reasons we prefer to keep the name secret, hoping that he will be convicted one day so that we may tell his name. The widow of Mannarino is willing to tell his name. A contact can be made via email
  27. Name and address are known. The relatives of Maresa asked us not to publish her name in the next future. A contact via email can be estabished.
  28. name is known
  29. article in newspaper Libero september 29, 2007
  30. http://www.libero-news.it/libero/LF_showArticle.jsp?edition=&topic=4921&idarticle=87528124
  31. Xavier Margarit (Barcelona), El Mundo 13.8.1995
  32. http://www.elmundo.es/papel/hemeroteca/1995/08/13/sociedad/59623.html
  33. newspaper article in Verdens Gang, day 25 and 26 of march 2007
  34. newspaper article Mattino aus Padova may 19, 2007
  35. newspaper article Giornale di Vicenza may 19, 2007
  36. article in giornale di Vicenza day dicember 29, 2006
  37. Jahresbericht 2004 des Deutschen Kinderkrebsregisters, Universität Mainz
  38. Ansell SM, Armitage JO, Management of Hodgkin lymphoma, Mayo Clin Proc. 2006 Mar;81(3):419-26