AIDS-related lymphomas often affect the bone marrow, brain and spinal cord (called the central nervous system, or CNS), lungs, liver and
You may be offered the following treatments for AIDS-related lymphoma.
Chemotherapy is the main treatment for AIDS-related lymphoma.
A common combination of chemotherapy drugs used to treat AIDS-related lymphoma is CHOP:
- cyclophosphamide (Cytoxan, Procytox)
- doxorubicin (Adriamycin)
- vincristine (Oncovin)
Targeted therapy @(Model.HeadingTag)>
Targeted therapy uses drugs to target specific molecules (such as proteins) on the surface of cancer cells. These molecules help send signals that tell cells to grow or divide. By targeting these molecules, the drugs stop the growth and spread of cancer cells while limiting harm to normal cells.
Rituximab (Rituxan) is the most common targeted therapy used to treat NHL. Some people with AIDS-related lymphoma may be given rituximab combined with chemotherapy.
R-CHOP may also be given for AIDS-related lymphoma. It is the CHOP combination of drugs with rituximab, which is a type of targeted therapy.
Central nervous system prophylaxis @(Model.HeadingTag)>
The central nervous system (CNS) is the brain and spinal cord. There is a risk that AIDS-related lymphoma will spread to the CNS. CNS prophylaxis is used to try to prevent lymphoma cells from entering the tissue covering the brain and spinal cord.
CNS prophylaxis may be given as intrathecal chemotherapy. This means that the chemotherapy drugs are injected into the cerebrospinal fluid (CSF). A common drug used in CNS prophylaxis is methotrexate.
Radiation therapy @(Model.HeadingTag)>
Sometimes an AIDS-related lymphoma starts in the brain or spinal cord. This is called AIDS-related primary CNS lymphoma. It is treated either with chemotherapy or with external beam radiation therapy to the whole brain.
American Society of Clinical Oncology. Lymphoma Non-Hodgkin Overview. 2014: http://www.cancer.net/cancer-types/lymphoma-non-hodgkin/view-all.
Freedman AS, Jacobson CA, Mauch P, Aster JC . Non-Hodgkin lymphoma. DeVita VT Jr, Lawrence TS, & Rosenberg SA. Cancer: Principles and Practice of Oncology. 10th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2015: 103:1552-1583.
Manson SD & Porter C . Lymphomas. Yarbro, CH, Wujcki D, & Holmes Gobel B (eds.). Cancer Nursing: Principles and Practice. 7th ed. Sudbury, MA: Jones and Bartlett; 2011: 60: pp. 1458-1512.