|Stage 1A Hodgkins Disease-- Is radiation enough?
Dec 10, 2001
I have recently been diagnosed with Stage 1A Hodgkins Lymphoma as a result of a Biopsy, CT Scan, MRI, Bone Marrow, and PET Scan. I have been undectable for 5 years with a CD4 of 400. My Oncologist is recommending Radiation Therapy without Chemo, since the lymphoma is limited to one lymph node in my neck. My question is, is this a standard approach for treatment of Stage 1A, or is chemo and radiation the standard? Thank you for your valuable insight.
Response from Dr. Dezube
This is not such an easy question as there are several approaches ALL of which are quite good. I am missing one piece of information and that is what type of Hodgkin's disease do you have (there are 4 types, nodular sclerosis, mixed cell, lymphocyte depleted, lymphocyte predominant). In HIV NEGATIVE folks, Stage 1A Hodgkin's disease can be treated by radiation therapy alone, chemotherapy alone (ABVD), or by the combination of the two. We know that radiation therapy alone is adequate for patients who have Stage 1A nodular sclerosing Hodgkin's and who are HIV negative. HOWEVER, we do NOT know if such an approach is suitable for HIV positive patients and I don't know which type of Hodgkin's you have. Since HIV Hodgkin's is more aggressive than HIV negative Hodgkin's, I personally treat all my HIV-Hodgkin's patients with 6 cycles of ABVD chemotherapy. The radiation therapy, which has been recommended to you, may be enough, but it's not what I usually do. I'm sorry if I'm throwing a monkey wrench into the picture at this point. Please keep me posted. BD.
My surgeon wants to biopsy; my PCP says nothing to worry about-- what to do?
Natural Progression- Can you tell me when I converted?
- Can You Get Hiv From Dry Humping?
- Can You Get Hepatitis C From Eating Something With Infected Blood On It?
- What Triggers Shingles Outbreak?
- What Over The Counter Medication Can Help Get Rid Of Shingles?
- What Is The Origin Of Chlamydia?
- What Groups Of People Are Affected By Genital Herpes?
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.