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42

NCCN Guidelines for Patients

®

Hodgkin Lymphoma, Version 1.2015

Chart 4.1.7

maps one of the treatment paths

for large harder-to-treat stage I or II cancers.

Chemotherapy with radiation therapy is the preferred

choice. At first, 4 cycles of ABVD can be given.

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 radiation therapy.

If 4 ABVD cycles appear to be working poorly, a

biopsy is needed. If no cancer is found, 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 4.1.8

maps a second treatment path for large

harder-to-treat stage I or II cancers. Treatment starts

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.

Large harder-to-treat cancers

4

Treatment guide: Classical Hodgkin lymphoma Stages I and II treatment

Chart 4.1.8 Option 2

Treatment

Test results

Treatment

12 weeks of Stanford V

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

Chart 4.1.7 Option 1

Treatment

Test results

Treatment

2 cycles of ABVD

+ radiation therapy

2 cycles of ABVD

+ radiation therapy

More cancer drugs

Treatment may be working poorly;

No cancer is found with biopsy

Treatment may be working poorly;

Cancer is found with biopsy

Treatment appears to be working well

Treatment appears to be working

less than wanted

4 cycles of ABVD

2 cycles of ABVD +

radiation therapy

Radiation therapy