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Information from a series of free public lectures presented by cancer care nova scotia on adjusting to life in remission after lymphoma treatment. The lectures cover topics such as communication gaps between patients and doctors, late effects of treatment, goals of treatment, and recommended follow-up. Participants can learn about issues related to prevention, screening, early diagnosis, treatment, survivorship, and palliative care.
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Cancer Answers is a series of free public lectures, presented by Cancer Care Nova Scotia , on a variety of cancer-related topics. The lectures, delivered by cancer experts, are designed to raiseawareness and educate participants about issues related toprevention, screening, early diagnosis, treatment, survivorshipand palliative care.Following each lecture, the presentations are posted on the Cancer Care Nova Scotia
Why am I still so tired?
When can I go back to work?
Do I still need my blood test every week?
When will I get my CT scans?
What signs should I be looking for?
Can I go to Florida?
YOU z Why am I still so tired? z When can I go back to work? z Do I still need my blood testevery week? z When will I get my CT scans? z What signs should I belooking for? z Can I go to Florida? ME z What is your chance ofrelapse? z What is your chance of latecomplications? z How often you need to cometo clinic?
Cause of death in patients with HL
Indolent z Slow growing z Long survival z Treatable z Not Curable Aggressive z Fast growing z Curable, but… z Short survival of notcured z Follicular z Marginal Zone z Lymphoplasmacytic z Small Lymphocytic z Diffuse Large B Cell z Burkitt’s z Lymphoblastic z Hodgkin’s
Indolent
Disease-free interval
Example – Follicular Lymphoma z Maintenance Rituximab z average length of remission: z with maintenance Rituximab 52 months z without maintenance Rituximab 32 months
Aggressive
5-year survival z Example – DLBCL z Adding Rituximab to CHOP age <
z Alive in 5 years with Rituximab
z Alive in 5 years without Rituximab
Recommended Lymphoma Follow-Up
What is the risk of relapsing over time? Disease 1 year 2 years 5 years Advanced DLBCL, Age > 30% 40% 50% Advanced DLBCL, Age< 10% 15% 30% Follicular 20% 30% 50%
