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)

 Same for the treatment algorithm of Erasmus Hospital (#d22e845>http://www.vademecumhematologie.nl/hemato-oncologie/hodgkin-lymfoom#d22e845
  for stage I/II 4 x ABVD + involved node RT and for stage II/IV: 6-8x ABVD (EVENTUALLY followed by RT). So RT remains optional. Again my treatment was similar to the treatment given for a higher stage disease. Site cancer.org is not about the latest US guidelines but it belongs to a foundation that funds cancer research. Their site provides info for patients. About radiotherapy they write: (http://www.cancer.org/cancer/hodgkindisease/detailedguide/hodgkin-disease-treating-radiation
 

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.

http://www2.hematologie-amc.nl/JHM-MHD-068_hodgkin  

 

 

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بانو

مونا جان دوست گلم .. خودت میدونی چقدر دوستت دارم .. والا من اونچه از کامنتای اشکار خانم مسی توی این چندپست اخیر خوندم فکر میکنم تو یه مقدار دچار سوء تفاهم شدی مونا جان .. بنظر من و با خوندن این چندتا کامنت , خانم مسی نه خواستن از دکترای ایران دفاع کنن و نه به تو استرس و نگرانی بدن یا حتی بگن تو اشتباه انتخاب کردی , ایشون حتی بی تعهدی و بی مسئولیتی بعضی پزشکارو هم رد نکردن عزیزم .. مونا جوووونم حس میکنم یه ذره جبهه گرفتی نسبت به ایشون و البته علتشو نمیدونم چرا , اگر دلیل خاصی نداره و فقط بخاطر کامنتاشون و برداشت شخصی خودت از کامنتای ایشون , قضاوت کردی بنظر من دچار سوء تفاهم شدی عزیزدلم .. سخت نگیر گل زیبا .. مراقب خودتم باش نازنینم