Hodgkin’s lymphoma

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Hodgkin's disease, liver involvement

Immune system structures

Lymphatic system

Lymphoma, malignant - CT scan

Lymphoma - Hodgkin's; Hodgkin's disease; Cancer - Hodgkin's lymphoma

A staging evaluation is necessary to determine the treatment plan.

• Stage I indicates one lymph node region is involved (for example, the right neck).
• Stage II indicates involvement of 2 lymph nodes on the same side of the diaphragm (for example, both sides of the neck).
• Stage III indicates lymph node involvement on both sides of the diaphragm (for example, groin and armpit).
• Stage IV involves the spread of cancer outside the lymph nodes (for example, to bone marrow, lungs, or liver).

Treatment varies with the stage of the disease. Stages I and II (limited disease) can be treated with localized radiation therapy, with chemotherapy or with a combination of both. Stages III and IV (extensive disease) are treated with chemotherapy alone or a combination of radiation therapy and chemotherapy. The best treatment for an individual patient depends on many factors, and should be discussed in detail with a doctor who has experience treating this disease.

Chemotherapy can cause low blood cell counts, which can lead to an increased risk of bleeding, infection, and anemia. To minimize bleeding, apply ice and pressure to any external bleeding. A soft toothbrush and electric razor should be used for personal hygiene.

Infection should always be taken seriously during cancer treatment, so contact your doctor immediately if fever or other signs of infection develop. Planning daily activities with scheduled rest periods may help prevent fatigue associated with anemia.

The stress of illness can often be eased by joining a support group of people sharing common experiences and problems. See cancer - support group.

With appropriate treatment, more than 80% of people with stage I or II Hodgkin's survive for at least 10 years. With widespread disease, the treatment is more intense and the 5-year survival rate is about 60%.

• Other cancers
• Lung problems
• Liver failure
• Adverse effects of radiation and chemotherapy
• Inability to have children (sterility)

Call your health care provider if you have symptoms suggestive of Hodgkin's lymphoma.

Call your health care provider if you are being treated for Hodgkin's lymphoma and experience adverse effects of radiation and chemotherapy, including nausea, loss of appetite, vomiting, diarrhea, fever, or bleeding.

Review Date: 05/03/2006
Reviewed By: William Matsui, MD, Assistant Professor of Oncology, Division of Hematologic Malignancies, The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD. Review provided by VeriMed Healthcare Network.