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I’m concerned that I’m getting the RChop instead of the more aggressive chemo treatments recommended.
Which is the best place in US to get a third opinion, not in person

June 1
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A MyLymphomaTeam Member

I was 80 yo when having RChop last year for NH FOLLICULAR LYMPHOMA and 81yo in January this year and receiving Targeted Therapy.
No major issues- all ok

June 3
A MyLymphomaTeam Member

I made a mistake when I said I was getting R Chop regimen. I am, in fact, getting Polar Chop. Is RChop a more aggressive combination than RChop?

June 2
MyLymphomaTeam

What a lot to navigate — and asking these questions shows just how proactive you're being about your care. Yes, there are absolutely others your age going through chemotherapy for lymphoma, and your concerns about treatment choice are completely valid and worth exploring.

Regarding R-CHOP vs. more intensive regimens for Show Full Answer

What a lot to navigate — and asking these questions shows just how proactive you're being about your care. Yes, there are absolutely others your age going through chemotherapy for lymphoma, and your concerns about treatment choice are completely valid and worth exploring.

Regarding R-CHOP vs. more intensive regimens for double-hit lymphoma (DHL), here's what's generally known:

- R-CHOP has historically been a standard first-line treatment for many lymphomas
- For DHL specifically, more intensive regimens are often recommended due to its aggressive nature
- However, age and overall health are major factors doctors weigh carefully — some intensive regimens carry risks that may outweigh benefits for older patients
- Your doctor may have chosen R-CHOP specifically because it balances effectiveness with a safer side effect profile for you

This doesn't mean you're getting subpar care — it may mean your team is tailoring treatment to protect your quality of life. For a remote third opinion, these are among the most respected lymphoma centers in the US that offer virtual consultations:

- MD Anderson Cancer Center (Houston, TX) — mdanderson.org
- Memorial Sloan Kettering Cancer Center (New York, NY) — mskcc.org
- Mayo Clinic — mayoclinic.org
- Dana-Farber Cancer Institute (Boston, MA) — dana-farber.org

All of these offer remote/virtual second opinion programs. Calling their lymphoma departments directly and asking specifically about DHL expertise is a great starting point.

It's also worth asking your current oncologist directly: *"Given my age and DHL diagnosis, why is R-CHOP the right choice for me over more intensive regimens?"* A good doctor will welcome that conversation.

June 1

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