How do you approach fit patients with quickly relapsed Hodgkin lymphoma (disease-free interval less than or equal to one year) after 6 cycles of ABVD and radiation therapy?

Topics: Hematologic Malignancies • Medical Oncology • Lymphoma • Hodgkin Lymphoma • Hematology

Would the site of disease relapse play a role in your decision (i.e. isolated lymph node recurrence versus failure at primary site of disease)?

Answer from: Medical Oncologist at Community Practice

As of this point in 2018 such patients are curable only with high-dose chemotherapy with stem cell transplant and then only if they are in chemosensitive relapse. Accordingly, I would have the transplanters see the patient at once and follow their recommendation regarding the pre-transplant regimen ...

Comments

Medical Oncologist at Uniformed Services University of the Health Sciences (USUHS)
Thank you for the response. To follow-up on this q...

Medical Oncologist at Christie NHS Foundation Trust
Hi Lauren, I think you're unlikely to cure this t...

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