Part 4: Advanced-Stage and Relapsed/Refractory Hodgkin Lymphoma

Jasleen Randhawa, MD

Fellow, Division of Hematology and Oncology, Medical College of Wisconsin, Milwaukee, WI

Sai Ravi Pingali, MD

Fellow, Division of Hematology and Oncology, Medical College of Wisconsin, Milwaukee, WI

Timothy S. Fenske, MD

Associate Professor of Medicine, Division of Hematology and Oncology, Medical College of Wisconsin, Milwaukee, WI

Question 3

A 70-year-old woman with a performance status of 1 is diagnosed with mixed cellularity Hodgkin lymphoma. On evaluation she is found to have stage IV disease without any B symptoms. She has bronchodilator-dependent chronic obstructive pulmonary disease and osteoarthritis. Which of the following regimens would be appropriate for this patient?

  •   ABVD
  •   Escalated BEACOPP
  •   Two cycles of ABVD + 2 cycles of escalated BEACOPP
  •   Prednisone, vinblastine, doxorubicin, gemcitabine (PVAG)
  •   Palliative care/hospice referral

Updated 10/01/2012 • jdw | Copyright ©2014 Turner White Communications