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Little is known about the association between specific primary lymph node (LN) sites and the risk of developing second primary cancers in Hodgkin lymphoma (HL) patients. To fill this knowledge gap, we used the multiple primary standardized incidence ratio function of the SEER*stat program to explore such an association for multiple latency periods. Several SPCs occurred at various time points following different primary LN presentations of HL. HL survivors may benefit from a tailored primary LN site-specific follow-up screening.