NCCN Guidelines for Patients® | Follicular Lymphoma Grade 1-2

36 NCCN Guidelines for Patients ® : Follicular Lymphoma, Grade 1–2, 2017 4 Treatment guide Treatment process Part 4 is a guide to the treatment options for follicular lymphoma. It starts with explaining the treatment process. Then, the treatment options are explained for typical and pediatric types. Your doctor may suggest other options based on your health and wishes. Fully discuss your options with your doctor. Treatment process Follicular lymphoma is often a slow-growing cancer. It can take many years for this cancer to become a problem. Because it is slow-growing, treatment may not work as well as for other cancers. Follicular lymphoma usually returns years after first- line treatment. Thus, the treatment process will likely occur over many years. During this time, you will receive repeated periods of treatment and follow-up care. Follicular lymphoma is usually found after it is widespread in the body. If widespread, you may not start treatment right away. If not widespread, your doctor may start treatment right away to try to cure the cancer. If the cancer is not cured, its growth may be stopped for a long period of time. Your doctor will plan your treatment based on many factors. Your age, overall health, cancer type, and treatment goals can affect your options. Your doctor may advise a certain cancer treatment now so that others are still options down the road. Most people have more than one option when being treated for cancer the first time. After some types of first-line treatment, your doctor may advise you to receive more treatment. This “extra” treatment is called either consolidation or maintenance treatment. The goal of consolidation treatment is to kill any lingering cancer cells that may be present in your body. The goal of maintenance treatment is to prevent the cancer from coming back. If the cancer does return, there are treatments that have been proven in clinical trials to work well. Along with cancer treatment, you may also be treated to prevent or control other health conditions. Such actions are a part of supportive care. Health conditions that are a concern for some people include tumor lysis syndrome, reactivated viruses, and other infections. Talk to your doctor about which health conditions you may develop as a result of cancer treatment. My family and friends are very supportive. I would hate to go through this without them. – Madeleine Survivor, Age 81 “