How would you manage a young patient with HL who develops HF (EF < 30%) after 4 cycles of A+AVD who obtained a PET2 CR?
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2 AnswersMednet Member
Hematology · The Robert Larner, M.D. College of Medicine at The University of Vermont
This is a tough case, and the management would depend on the extent of disease. Assuming that this is advanced stage HL, given the use of BV+AVD, I would be in favor of completing 6 cycles of therapy with a non-anthracycline-based regimen. You can consider consolidative radiation, but this would nee...
Mednet Member
Medical Oncology · Rutgers Cancer Institute of New Jersey
This is challenging and certainly uncommon. Given the young age, would doubt other causes of acute LV dysfunction but engaging cardio-oncology and ensuring a thoughtful workup for other causes, and intervention to promote cardiac remodeling, is critical.
But as to what to do with the lymphoma, I pre...