Respected Dr, I am a 46 years old male with HBV+ve with the viral load of 1820 copies/mL. This HBV disease was initially detected long years ago about 15 years back, I started treating it with Tenofovir 300 mg OD for three months when the viral load became below detection limit. I stopped taking this medicine and the viral load has again increased at current level of 1820 copies/ml. I was diagnosed with another chronic illness of Ulcerative Colitis/IBD during 2012 after my colonoscopy and the Biopsies of all parts of my Colon. Doctors treated me with Tab Mesacal 800mg with Deltacortril 5mg (prednisolone) three times a day. This medication produced very minor positive results. After Six month time period Doctors advised me to taper off the Deltacortril 5mg (prednisolone) and finally stop it. The symptoms of the disease remain as it is and blood, Mucus and Puss with stool was the common complication which led to my weight loss from 75 kg to 68 kg and now its decreased to 64 Kgs almost. After passing two years I was very upset with this illness and decided once again to get my Colonoscopy done. Finally My Colonoscopy procedure was done on June 19, 2014 at Shaukat Khanum Memorial Cancer Hospital and research Centre and 4 Biopsies from right and left Colon, terminal ileum and Rectum were taken for Histopathology Report. The report received on July 2, 2014 with the diagnosis /findings of Low grade B-Cell non-Hodgkin’s Lymphoma consistent with MALT-Lymphoma. The report says that all four parts are affected and are ulcerated. The PET Scan report also maintain the fact that hypermetabolic wall thickness is seen in large intestine with entire length of descending colon, Sigmoid colon & rectum. I have consulted many Oncologists here in Lahore for its treatment options. They are of the view that this type of Low Grade Lymphoma is not curable disease but we can put it in remission with multiple Chemo options of CHOP, CVP, R-CVP or FM plan. Due to my HBV+ve disease they have suggested me with CVP option only to keep the treatment safe which does not trigger the Hepatitis B. My Consultant doctors (Medical Oncologist and Clinical Oncologist) at Institute of Nuclear Medicine and Oncology Lahore (INMOL) have started my Chemotherapy first dose on July 21, 2014, with the medical CVP option (Inj Cyclophosphamide 1Gm, Inj Vinracine 2mg and Solu-Medrol injection 500 mg in 4 divided doses 125 mg per day with Inj Granicip, Inj Avil and Inj Dexamethasone 1ml). They have suggested me to revisit after 15 days and may be they will go for second dose after passing 21 days to the first dose (on August 11, 2014) You are requested to support me for better guidance with regards to my disease current situation/stage and best treatment options from various treatment plans of Lymphoma/cancer treatment. Thanks and very kind regards, Naeem Masood Chishti YYYY@YYYY