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60

NCCN Guidelines for Patients

®

Hodgkin Lymphoma, Version 1.2015

5.2 Stages III and IV treatment

5

Treatment guide: Nodular lymphocyte-

predominant Hodgkin lymphoma

Stages III and IV treatment

Chart 5.2.1 Stage IIIA and IVA cancers

Treatment

PET/CT results

Biopsy results

Treatment

Cancer is smaller

Cancer is the

same or larger

Cancer is found

No cancer found

Start follow-up care

Start follow-up care

More cancer drugs

Radiation therapy

• Chemotherapy ±

rituximab ± radiation

therapy,

• Radiation therapy, or

• Rituximab

Chart 5.2.2 Stage IIIB and IVB cancers

Treatment

PET/CT results

Biopsy results

Treatment

Cancer is smaller

Cancer is the

same or larger

Cancer is found

No cancer found

Start follow-up care

Start follow-up care

More cancer drugs

Radiation therapy

Chemotherapy

± rituximab ±

radiation therapy