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NCCN QUICK GUIDE

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Hodgkin Lymphoma, Version 1.2015

Classical HL Treatment

What is classical Hodgkin lymphoma?

It includes the more common types of Hodgkin lymphoma. These types are nodular

sclerosis, mixed cellularity, lymphocyte-depleted, and lymphocyte-rich disease.

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What are options for first-time treatment?

Stages I

and II

Stage I or II cancer has grown either above or below your diaphragm.

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These cancers are treated based on how well treatment usually

works. It is harder to treat cancers that are larger, causing symptoms

or inflammation, or have spread to 4 or more sites.

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For easier-to-treat cancers, chemotherapy followed by radiation

therapy is preferred. Chemotherapy may include 2 or 4 cycles of

ABVD or 8 weeks of Stanford V. Some people may be able to have

just chemotherapy although more cycles are often received

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Small harder-to-treat cancers may be treated with 4 to 6 ABVD

cycles, which are often followed by radiation therapy. A second option

is 12 weeks of Stanford V followed by radiation therapy. If younger

than 60 years, 2 BEACOPP and 2 ABVD cycles followed by radiation

therapy is an option.

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Large harder-to-treat cancers may be treated with 4 to 6 ABVD

cycles, which are always followed by radiation therapy. A second

option is 12 weeks of Stanford V followed by radiation therapy. If

younger than 60 years, 2 BEACOPP and 2 ABVD cycles followed by

radiation therapy is an option for symptom-free cancer that’s only in

lymph nodes. Cancer outside of lymph nodes or causing symptoms

can be treated with 6 BEACOPP cycles, which are sometimes

followed by radiation therapy.

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NCCN Quick Guide

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This NCCNQuick Guide

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sheet summarizes key points from the complete

NCCN Guidelines for Patients ® : Hodgkin Lymphoma.

These guidelines explain which tests and treatments are recommended by experts

in cancer. To view and download the guidelines, visit

NCCN.org/patients

or, to order printed copies, visit

Amazon.com.

NCCN Guidelines

for Patients

®

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Hodgkin Lymphoma

Classical HL Treatment

Version 1.2015