انکولوژیست محترم جناب مسی
Dear Mr. or Mrs Messi (as a health care professional giving information to a patient one should be transparent and introduce herself/himself at least provide your name and affiliation. any way thank you for taking your time and sharing the links. I’ll address them one by one..... AMC hospital (http://www2.hematologie-amc.nl/JHM-MHD-068_hodgkin
recommends 3-4x ABVD+RT for stage 1 and 2; for stage III/IV 8x ABVD; the patient receives RT only if PR after ABVD; This means that I have received (the treatment for a higher stage of disease (N.B. I was CR based on FDG-PET)
Radiation therapy is often very good at killing Hodgkin disease cells. Decades ago, this was the best treatment available for Hodgkin disease, but over the years doctors realized it could lead to long-term side effects. As it became clear that chemotherapy was also effective, doctors began to use less radiation. Today, IF radiation therapy is used, only the involved areas are treated with radiation to try to limit side effects. Are you also aware that receiving RT limited to the involved area is still a big challenge in Iran? In the latest version of NCCN for stage I/II favorable is ABVD alone changed from category 2B recommendation to a category 2A recommendation: 4 ABVD (restaging with PET in-between. if deauville 1,2, patient enters the follow-up phase To wrap it up being favorable stage I/II, I’ve received the treatment that’s being used for a higher stage disease. With or without RT there’s always a chance that the disease comes back (based on the resent literature the chance is not significantly altered by RT). A close monitoring of the disease in the comingyears remains crucial for me.