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44

NCCN Guidelines for Patients

®

Hodgkin Lymphoma, Version 1.2015

4.2 Stages III and IV treatment

4

Treatment guide: Classical Hodgkin lymphoma Stages III and IV treatment

Chart 4.2.1 Option 1

Treatment

Test results

Treatment

Test results

Treatment

Start follow-up care

4 cycles of

BEACOPP

2 cycles

of ABVD

Treatment

appears to be

working less

than wanted

4 cycles

of ABVD

More cancer drugs

Treatment may be

working poorly;

Cancer is found

with biopsy

Treatment appears

to be working

4 cycles

of ABVD

Treatment appears

to be working

Radiation therapy

Radiation therapy

Treatment appears

to be working less

than wanted

Start follow-up care

Radiation therapy

Treatment may be

working poorly; No

cancer is found

with biopsy

Start follow-up care

Radiation therapy

Chart 4.2.2 Option 2

Treatment

Test results

Treatment

Treatment appears to be working

Radiation therapy

Treatment may be working poorly;

No cancer is found with biopsy

12 weeks of Stanford V

Radiation therapy

More cancer drugs

Treatment may be working poorly;

Cancer is found with biopsy