Objective:The aim of this study was to explore whether pretreatment Epstein-Barr virus DNA(EBV DNA)status may influence prognosis in newly diagnosed Hodgkin lymphoma(HL)patients. Methods:We retrospectively analyzed 82 HL patients diagnosed between January 2013 and November 2019 in the First Affiliated Hospital of Nanjing Medical University. Results:Among 82 enrolled HL patients,the median age was 32 years(range,12-79). With a median follow-up of 25 months(4-84 months),the 2-year progression-free survival(PFS) and overall survival(OS) was 68.4% and 93.0%,respectively,and 12.2%(10/82)patients had positive EBV DNA status. The median viral load of them was 8.66×103 copies/mL(range,5.21×103-5.35×104 copies/mL). Those with positive EBV DNA status had inferior PFS(P=0.003)as well as OS(P < 0.001). Baseline EBV DNA status was observed as an independent prognostic factor in OS(P=0.027)on multivariate Cox analysis while had a trend to predict PFS(P=0.056). Conclusion:Our data demonstrated that pertreatment EBV DNA status can be an optimal biomaker to reflect HL patients prognosis.