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41

NCCN Guidelines for Patients

®

Hodgkin Lymphoma, Version 1.2015

Chart 4.1.4

maps one of the treatment paths for

small harder-to-treat stage I or II. Treatment begins

with 4 cycles of ABVD. After 4 cycles, treatment

results should be tested.

If 4 ABVD cycles appear to be working well, there

are two treatment options. The first option is 2 more

cycles of ABVD. The second option is radiation

therapy only.

If 4 ABVD cycles appear to be working less well, the

cancer can be treated with 2 more ABVD cycles and

tested again. After 6 ABVD cycles, radiation therapy

can be received if treatment results are good. After

6 cycles, if results look poor but no cancer is found

by biopsy, radiation therapy is advised. If cancer is

found, read Part 4.3 to learn which treatments you

can receive next.

If 4 ABVD cycles appear to be working poorly, a

biopsy is needed. If no cancer is found after 4 cycles,

you can receive 2 more cycles of ABVD and radiation

therapy. If cancer is found, read Part 4.3 to learn

which treatments you can receive next.

Chart 4.1.5

maps a second treatment path for small

harder-to-treat stage I or II. Treatment begins with

12 weeks of Stanford V. Next, radiation therapy can

be received if treatment results are good. If results

look poor but no cancer is found by biopsy, radiation

therapy is advised. If cancer is found, read Part 4.3 to

learn which treatments you can receive next.

Chart 4.1.6

maps a third treatment path for some

small harder-to-treat stage I or II cancers. This path

includes intense treatment that is likely to be hard

on your body. Thus, you should be younger than 60

years old.

Treatment starts with 2 cycles of BEACOPP and

2 cycles of ABVD. Next, radiation therapy can be

received if treatment results are good. If results look

poor but no cancer is found by biopsy, radiation

therapy is advised. If cancer is found, read Part 4.3 to

learn which treatments you can receive next.

Chart 4.1.6 Option 3 if younger than 60 years

Treatment

Test results

Treatment

2 cycles of BEACOPP

with 2 cycles of ABVD

Treatment appears to be working

Radiation therapy

Treatment may be working poorly;

No cancer is found with biopsy

Radiation therapy

More cancer drugs

Treatment may be working poorly;

Cancer is found with biopsy

4

Treatment guide: Classical Hodgkin lymphoma Stages I and II treatment