Combination chemotherapy regimens with autologous stem cell transplantation is considered in first relapse. In subsequent relapses or where autologous stem cell transplantation is not appropriate, clinical trials should be considered. Novel biologic agents may be indicated, in the case of Hodgkin lymphoma.

Currently, stem cell transplantation can only take place in tertiary public hospitals with appropriate expertise and facilities (Australian Government Medical Services Advisory Committee 2019).

Health service characteristics

To provide safe and quality care for patients having stem cell transplants, health services should have these features, in addition to the health services characteristics listed in section 4.2.1:

• dedicated standard isolation rooms (single rooms with ensuite and clinical handwashing facilities)
• access to a cell separator for collecting peripheral blood progenitor cells, with appropriately trained nursing staff available for the operation of cell separators.