A 69-year-old man with congestive heart failure and chronic obstructive pulmonary disease has palpable adenopathy in the neck and inguinal region. He feels perfectly well and has normal blood counts. Lymph node biopsy shows follicular small cleaved lympho
7
votes
A. Manage symptoms conservatively with close follow-up
B. Initiate an aggressive multiagent chemotherapy regimen
C. Arrange for bone marrow transplant
D. Begin palliative radiation therapy to involved lymph node beds
E. Arrange for immediate hospice care