Lymphoma

Clinical Description

• Refer patient to an Oncology Centre after diagnosis is made.
• If available, refer the patient with current FBC, U +Es and LFT results.
• Basic staging investigations include CXR and abdominal USS

Pharmacological

Chemotherapy

• Aggressive lymphomas have a reasonably good response to a combination of chemotherapeutic agents:
• Cyclophosphamide, Doxorubicin, Vincristine and Prednisolone given once every three weeks (CHOP 21) +/- Rituximab (R-CHOP) for Diffuse Large B-Cell Lymphoma.
• Before starting patients on Doxorubicin, a cardiac ultrasound is required as

Doxorubicin is cardiotoxic.

• Intrathecal chemotherapy may be required depending on patient presentation
• Doxorubicin (Adriamycin), Bleomycin, Vinblastine, Dacarbazine (ABVD) for Hodgkin’s Lymphoma