Stage 4 Hodgkin’s lymphoma is a type of blood cancer that requires comprehensive and well-planned treatment. This was experienced by Faisal Esach Rifky, an alumnus of MasterChef Indonesia Season 2, who underwent chemotherapy at Mandaya Royal Hospital Puri and was eventually declared cancer-free.
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Early Lymphoma Symptoms That Went Unnoticed


At first, Esach only noticed a lump in his neck. Over time, his condition progressed to include shortness of breath, persistent cough, nausea, and fluid buildup in the lungs. Before a definitive diagnosis was made, he received several different preliminary diagnoses at various healthcare facilities.
Further examination using a PET Scan in Penang, Malaysia, in April 2024 finally confirmed stage 4 Hodgkin’s lymphoma with spread to the lungs. After receiving one cycle of chemotherapy there, Esach decided to continue his treatment in Indonesia, as his physical condition did not allow for frequent travel.
Fast and Integrated Care at Mandaya Royal Hospital Puri
Upon arriving in Jakarta, Esach was immediately treated at the Emergency Department of Mandaya Royal Hospital Puri. The medical team identified an infection in the previously installed pigtail catheter, which required prompt removal. After the infection was controlled and his physical condition improved, he proceeded with a series of follow-up chemotherapy treatments.
Under the supervision of dr. Toman T.J. Lumban Toruan, Sp.PD-KHOM, Esach underwent chemotherapy through the One Day Care service. This approach allows patients to receive therapy without hospitalization, supported by comfortable facilities designed to reduce stress during treatment.
The treatment response was very positive. After several chemotherapy sessions, the number of cancer cells decreased significantly. By the 12th chemotherapy session, follow-up evaluation using Digital PET Scan confirmed that Esach was cancer-free.
Blood Cancer Treatment Options at Mandaya Royal Hospital Puri
Mandaya Royal Hospital Puri provides a wide range of blood cancer treatments, including:
- Chemotherapy and immunotherapy tailored to each patient’s condition
- High-precision radiotherapy using Linac Elekta Versa HD
- Targeted therapy that works specifically on cancer cells
- Apheresis procedures, including leukapheresis for certain leukemia cases
This approach allows blood cancer treatment to be delivered in a personalized and comprehensive manner.
In addition to Hodgkin’s lymphoma, Mandaya Blood Cancer Center is fully equipped with facilities and a multidisciplinary medical team to manage other blood cancers, ranging from leukemia to multiple myeloma.


To ensure the highest quality of care, Mandaya Blood Cancer Center collaborates with NCIS–NUH Singapore. Each case is discussed with an international team to evaluate diagnosis accuracy, treatment response, and the most optimal ongoing treatment plan for every patient.
Getting to Know dr. Toman, KHOM Consultant and Blood Cancer Specialist at Mandaya Royal Hospital Puri

dr. Toman T.J. Lumban Toruan, Sp.PD-KHOM is a Hematology and Medical Oncology consultant who manages various blood cancer cases at Mandaya Royal Hospital Puri, including Esach’s case. He completed his medical education at the University of Indonesia, followed by internal medicine specialization with a focus on Hematology–Medical Oncology at Cipto Mangunkusumo Hospital, Faculty of Medicine, University of Indonesia.
As part of his professional development, dr. Toman also completed an Honorary Fellowship (Clinical Observership) at the Department of Hematology, National University Hospital, Singapore. This experience strengthened his expertise in applying modern, internationally standardized medical approaches to blood cancer treatment.
In his clinical practice, dr. Toman emphasizes comprehensive and integrated blood cancer care. His services include chemotherapy, immunotherapy, targeted therapy, and apheresis procedures, with treatment plans individually tailored to each patient’s condition.
dr. Toman T.J. Lumban Toruan, Sp.PD-KHOM is available for consultation at Mandaya Royal Hospital Puri on:
- Tuesday: 12.00 – 15.00 WIB
- Thursday: 12.00 – 15.00 WIB
To make your visit more convenient, you can use the WhatsApp Chat feature, Book Appointment, or the Care Dokter application, available for download on Google Play and the App Store, to manage appointments, check queue numbers, and access complete medical information.

