患者，男,45岁。左颈部淋巴结无痛性进行性肿大 2个月，伴周期性发热、盗汗、消瘦，颈部淋巴结活 检发现R-S细胞，胸片提示纵隔肿块，腹部B超未 发现肝、脾及腹膜后淋巴结肿大，血象及骨髄象正 常。该患者应选择下列哪项治疗方案(    )

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