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chemo a good idea?
Feb 22, 2004

VL 100,000 cd4 below 200, treatment naive - but will have access to them in a few months.

Just diagnosed with stage III non-hodgkin's disease, but it hasn't spread to the bone marrow yet! Thank god.

At this point, is chemo a waste unless I'm on HIV meds? Will the cancer likely come back shortly with my numbers if I remain off the meds? Would it be a much better idea for me to wait on the chemo until I'm on potent HIV therapy?

Response from Dr. Wohl

You are correct, it would be ideal if you can get on HIV therapy. However, if this is absolutely not possible now, I would consider initiating chemo while you wait (ironic that chemo is available but HIV meds aren't). Early treatment with cheomtherapy will aim to avoid worsening of your lymphoma. If we are talking a few months before HIV therapy begins, then relapse should not be a major concern although, of course it is possible.

Good luck - DW



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