Updated 22 October 2002

Poor Prognosis Hodgkin's Lymphoma

Detailed analyses of prognostic factors have identified several simply measurable aspects of Hodgkin's lymphoma (see section 2.3.2) which allow recognition of patients with a poor prognosis. Since limited stage confers a good prognosis, such results apply only to those with advanced stage.

Patients with advanced stage Hodgkin's lymphoma of age 65 years or less should be considered for intensified treatment to attempt to improve their poor prognosis.

Hodgkin's lymphoma - high risk (see section 2.3.2)

These patients should be treated with four cycles of standard chemotherapy followed by high dose intensified chemotherapy. The intensified consolidation must be given in a setting with specialized supportive care and such plans should be discussed with a VCC medical oncology member of the Lymphoma Tumour Group.