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Therapeutics - Lymphoma
Types, symptoms, treatment,
20
Pharmacology
Undergraduate 4
10/22/2010

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Cards

Term
What is the primary site of Hodkin's Lymphoma?
Definition
lymph node
Term
What are sites of Non Hodgkin's Lymphoma?
Definition
Extranodal disease in stomach, skin, oral cavity, and pharynx
Term
What are four types of Classic Hodkin's Lymphoma?
Definition
Nodular sclerosis, Lymphocyte predominant/rich, Mixed cellularity, Lymphocyte depleted
Term
What are symptoms of Hodkin's Lymphoma?
Definition
Fever, night sweats, weight loss, malaise, bone pain.
Term
What will lab findings of Hodkin's Lymphoma be?
Definition

Anaemia, raised ESR, eosinophilia

Advanced stage: lymphopenia

Term
What is Cotwold's Modification system?
Definition

I: single lymph or lymphoid

II: 2 or more on same side of diaphram

III: both sides of diaphram

IV: extranodal sites proximal to nodal site

 

Term
How is stage I or II lymphoma managed?
Definition

Chemo + radiation

(ABVD): Adriamycin/Doxorubicin, Bleomycin, Vinblastine, Dacarbazine (2-4 cycles)

IFRT: involved field radiotherapy (20-30Gy)

Term
How is advanved (stage III and IV) treated?
Definition

6-8 cycles of ABVD, IFRT if required

Relapse: more ABVD, but maybe BEACOPP or Stanford V

Term
What is the ABVD treatment?
Definition

Adriamycin/Doxorubicin, Bleomycin, Vinblastine, Dacarbazine

30 day cycles (days 1 & 15)

Term
What is the BEACOPP 14 regiem?
Definition
Bleomycin, etoposide, adriamycin, cyclophosphamide, vincristine, procarbazine, prednisolone (14 day cycle)
Term
What is the Stanford V (28 day cycle)
Definition
Mustine, Doxorubicin, Vinblastine, Predinisolone, Vincristine, Bleomycin, Etoposide
Term
What is are new agents used in relapsed Hodkin's Lymphoma?
Definition

Gemcitabine (classic)

Bortezomib: proteosome inhibitor

Term
What is Rituximab? What is it used for?
Definition

anti-CD20 antibody;

Nodular lymphocyte predominant Hodkin's lymphoma

Term
Apart from Stanford V and BEACOPP, what other chemo regimens are used in case of relapsed HL?
Definition

DHAP: Cisplatin, Cytarabine, Dexamethasone

ESHAP: Etoposide, Me.Prednisolone, Cytarabine, Cisplatin

ICE: Ifosfamide, Carboplatin, Etoposide

Term
What is ICE in lymphoma?
Definition

Ifosfamide, Carboplatin, Etoposide

Salvage chemotherapy

Term
What is first-line drug in Non Hodgkin's Lymphoma?
Definition
Chlorambucil (alkylating agent)
Term
What is used to treat aggresive NHL stages II-IV?
Definition

CHOP (cyclophosphamide, hydroxydaunorubicin, vincristine, prednisolone) + rituximab

 

Term
Which chemo drug requires an appropriate mouthcare regimen to counter the adverse effect mucositis?
Definition
Doxorubicin
Term
Which chemo drugs cause alopecia?
Definition
Cyclophosphamide, doxorubicin, etoposide
Term
Which chem is known to cause lung fibrosis?
Definition
bleomycin
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