• I've been reading about research (from Mayo Clinic) that says 6 R-CHOP treatments are as effective as 8.

    Asked by Sofi on Thursday, September 27, 2012

    I've been reading about research (from Mayo Clinic) that says 6 R-CHOP treatments are as effective as 8.

    Has anyone made a decision about how many treatments they will get based on this research? I am getting my 6th treatment tomorrow and really want to be done because the side effects are getting worse. My PET scan after chemo #3 showed the lymphoma virtually gone.

    11 Answers from the Community

    11 answers
    • HeidiJo's Avatar
      HeidiJo (Best Answer!)

      I also had diffuse large B cell non Hodgkins Lymphoma. I had 6 treatments with the option of 2 more; I decided with the help of my doctor not to take the last 2 treatments. My side effects worsened with each treatment, and I was just mentally finished. My last treatment was 2 and a half years ago, and I am still cancer free!

      almost 8 years ago
    • ticklingcancer's Avatar

      This would probably all depend on how well your cancer is reacting to the treatment. You mention your PET scan was clean (congratulations). The standard acceptable chemo regimen for my cancer was BEP (bleomycin, Etoposide, platinum) For the platinum we used cisplatin. My initial PET Scan showed no cancer in my lungs or other organs so a decision was made to eliminate bleomycin. Talk to your Dr, he'll know what's best for you.

      almost 8 years ago
    • nobrand's Avatar

      I am scheduled for eight R-CHOP infusions, and I'm getting number five tomorrow. My interim scan showed up dirty.. so it's the full eight for me.

      From a lot that I've read online, it doesn't seem that there is a huge difference in outcome for those who undergo 6 vs 8. Congrats on the clean scan!! I'd say discuss pros and cons with your oncologist.. if six has done it, then I can't see why you would want to damage your body any further from the chemo.

      almost 8 years ago
    • marshala1's Avatar

      I was scheduled for six R-chop treatments from the start and I am NHL Diffuse Large B Cell, Stage 3. My scans came out clean after three treatments, and clean after the last one. I don't know if they would have added a couple more treatments if my scan had not been clean.

      almost 8 years ago
    • sharron's Avatar

      Blue collie...used to have one, lovely dog. I don't know about the effectiveness of 8 as opposed to 6 treatments. I did have the 6 treatments which was adequate.


      almost 8 years ago
    • Harry's Avatar

      Definitely talk this over with your oncologist. One factor to keep in mind is that your version of NHL is curable. That would be an argument in favor of going the full course. You don't want to leave a few cells left behind.

      Other forms of NHL, such as mine, cannot be cured. These tend to be the more indolent varieties, and WM is about as indolent as they come. With an indolent incurable form of NHL all you are doing is knocking it back. It will return eventually. So, getting the last cancer cell isn't as important.

      almost 8 years ago
    • Psalms138's Avatar

      My doc had originally told me 6-8 treatments and we would re-evaluate... After my PET scan came back with the lymphoma virtually gone after 3 treatments, and I was feeling much better as far as the pain, but the treatments were putting me in the hospital wiping out my immune system. With all of that, we decided to stop at 6 treatments and like HeidiJo, it's been 2 years and I am still cancer free...!!! 6 worked for me... but it was a decision that the doc and me came to together given all of the circumstances....

      almost 8 years ago
    • Carol-Charlie's Avatar

      We are all different. I had a totally different cancer (ovarian). I completed all the chemo cycles originally prescribed. Six, which consisted of Twenty Eight Day Cycles with three infusions in each cycle.. Day 1, Day 2 and Day 8. A month later I went back to oncologist for consult. My PET CT Scans had shown me cancer free since the first one after surgery!!!! But Ovarian cancer loves to come back.... My oncologist requested that I go for one more year of chemo... once a month for 12 months.. then we did 13.. I did everything he asked as I had placed myself in God's hands and wanted desperately to live. We have eight children between us and 17 grandchildren.... That was in 2008 that I finished. I started feeling better and better, my hair however didn't come in thick enough to actually wear.. PaulaYoung.com makes the perfect wigs for reasonable prices. My fingernails remained weak. Acrylic nails are just like mine used to be.. My fingers and a tad numb, but I'm typing this. My feet are numb, but I can walk. I danced at my grandson's wedding and have held my two great grandchildren in my arms. Would I have been here if I'd stopped... ??? I don't know...I just wanted to really live and did all that was suggested/prescribed to achieve that. Ask God for Guidance and do as He'll tell you. Just listen! God Bless.

      almost 8 years ago
    • emnurse73's Avatar

      I had non Hodgkins Lymphoma primary of the bone (spine) stage IV - rare because no other site was found. My Doctor decided to stop at 6 treatments of R-CHOP that was Aug 2010. I did know the possible damage to other organs so I took some medications to try and help the heart and kidneys. I had some damage to the heart which I now have a pacemaker. I thank God I have a good quality of life. Orthopedic & neuro surgeons thought my spine would collapse but, dispite the damage to the spine I am working ( I am a nurse). I have been cancer free for 2 years.

      almost 8 years ago
    • MsScribe's Avatar

      This type of cancer is treated very effectively by Chemo in most cases. I had 6 treatments and, even though I was stage IV, the cancer shrank immediately and was almost gone after just two. (I did 4 more after that and am a year + out from the diagnosis and clear.) I went to Vanderbilt, which is a huge cancer center in Nashville, and 6 treatments is now their norm. Good luck - you'll make it!!!

      almost 8 years ago
    • DeniseD's Avatar

      I did my research on my doctor and in my opinion he is the best in East Tennessee. He scheduled 6 R-Chop, scan after 3 and we will stop at 6. If my cancer had not responded to initial treatment, I am sure he would have scheduled more. I completely trust his ability, concern and judgment. I could not say that about my first doctor, so I searched and found a better one. Now I ask and get a lot of information from this site, however major decisions are between my doctor and I. Good luck and God bless. P.S. I feel great physically and emotionally.

      almost 7 years ago

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