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

45 NCCN Guidelines for Patients ® : Follicular Lymphoma, Grade 1–2, 2017 4 Treatment guide Review Review † † The treatment process for follicular lymphoma often occurs over many years. During this time, periods of treatment and follow-up care are repeated. † † Treatment options for typical follicular lymphoma are partly based on the cancer stage. † † For small, typical stage I or II, radiation therapy is an option. More extensive stage I or II lymphomas are often treated with rituximab with or without chemotherapy. † † Treatment for typical stages III and IV may not to be started right away. If treatment is needed, chemoimmunotherapy has been shown to work well. If the cancer returns, there are multiple treatment options. † † Treatment options for pediatric type are excision, radiation therapy, or RCHOP chemoimmunotherapy. † † Follow-up care is often started for lymphomas that were partly or fully treated. Your doctor will look for signs of cancer growth. If tests suggest cancer growth, a biopsy is needed.