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68

NCCN Guidelines for Patients

®

Hodgkin Lymphoma, Version 1.2015

Review

• First-time treatment for stage IA or IIA cancers

depends on if the cancer is large (bulky).

Most small cancers are treated with radiation

therapy. All other stage I and II cancers are

treated with chemotherapy and radiation

therapy. Rituximab may be added.

• Stage III and IV cancers are often treated with

chemotherapy. Radiation therapy, rituximab,

or both may be added. Stage IIIA and IVA may

be treated with radiation therapy or rituximab

alone.

• Refractory cancer is cancer that isn’t cured

during first-time treatment. Relapse is cancer

that re-appears on tests after a cancer-free

period. Refractory or relapsed cancers that

are causing symptoms may be treated with

rituximab. Chemotherapy, radiation therapy, or

both may be added.

• Follow-up care is given when there are no

signs of cancer after treatment. Follow-up

care includes tests that check for signs of

cancer and side effects of cancer treatment. It

also includes treatment that prevents disease.

5

Treatment guide: Nodular lymphocyte-

predominant Hodgkin lymphoma

Review