What is the prognosis for Lymphoma Stage IV that is in the bone? The patient is 65 years old and was diagnoised at 24 years old with HL the first time

The prognosis of Stage IV Lymphoma in the bone can only be made if you know the type of Lymphoma. I think there are now 48 kinds of Non Hodgkins Lymphoma. Some are slow growing and others aggressive. Also, it is now extremely important to have the biopsied cancerous tissue genetically tested at one of the major cancer hospitals where they do this sort of thing before you will know for sure. This biopsied tissue is usually frozen by the local hospital where you have the biopsy and can be shipped to one of these major cancer centers. If the genetic testing report says the cancer is an aggressive type, then this is good as the cancer will be more likely to respond to the chemo treatment. My husband is a Diffuse Large B-Cell Non-Hodgkins Lymphoma (Stage IV) cancer survivor who was 68 years old at the time of diagnosis and very near death's door. His cancer was extremely aggressive. He was treated with R-CHOP every two weeks for 7 treatments and followed up with 31 radiation treatments. They have excellent meds for side effects now. Thanks to MD Anderson Cancer Center in Houston, TX, his personal commitment to live, and his faithful caregiver (me), and many prayers by others, he has been in remission for three years and is now back in full health. We hope this will provide hope to others to never give up as long as a doc from one of the major cancer center still says there is hope. Always get a second opinion from the big cancer centers if possible; even if you follow-up back at home with the treatment regimen they provide you.