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Hodgkin’s lymphoma

Definition

Hodgkin's lymphoma is a cancer of lymph tissue found in the lymph nodes, spleen, liver, bone marrow, and other sites.

Alternative Names

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

Causes

The first sign of this cancer is often an enlarged lymph node which appears without a known cause. The disease can spread to nearby lymph nodes. Later it may spread to the spleen, liver, bone marrow, or other organs.

The cause is not known. Hodgkin's lymphoma is most common among people ages 15 - 35 and 50 - 70. Infection with the Epstein-Barr virus (EBV) is thought to contribute to most cases.

Symptoms

  • Fatigue
  • Fever and chills
  • Itching
  • Loss of appetite
  • Night sweats
  • Painless swelling of the lymph nodes in the neck, armpits, or groin (swollen glands)
  • Weight loss

Other symptoms that may occur with this disease:

  • Clubbing of the fingers or toes
  • Excessive sweating
  • Flank pain
  • Hair loss
  • Neck pain
  • Pain in the affected areas after drinking alcohol
  • Skin blushing or flushing
  • Splenomegaly

Exams and Tests

The disease may be diagnosed after:

A staging evaluation (tumor staging) may be done to determine how far the disease has spread. The following procedures may be done:

In some cases, abdominal surgery to take a piece of the liver and remove the spleen may be needed. However, because the other tests are now so good at detecting the spread of Hodgkin's lymphoma, this surgery is usually unnecessary.

Hodgkin's lymphoma may change the results of the following tests:

Treatment

This version of the Encyclopedia has no treatment information. Please discuss any and all treatment options for your condition with your healthcare professional.

Support Groups

You can often ease the stress of illness by joining a support group of people who share common experiences and problems. See cancer - support group.

Outlook (Prognosis)

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

Possible Complications

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

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. Use a soft toothbrush and electric razor for personal hygiene.

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

When to Contact a Medical Professional

Call your health care provider if:

  • You have symptoms of Hodgkin's lymphoma
  • You are being treated for Hodgkin's lymphoma and you experience side effects of radiation and chemotherapy, including nausea, loss of appetite, vomiting, diarrhea, fever, or bleeding

References

Connors JM. Hodgkin's lymphoma. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 197.

National Cancer Institute. Adult Hodgkin lymphoma treatment (PDQ). 2009. Accessed February 25, 2009.


Review Date: 3/2/2009
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Yi-Bin Chen, MD, Leukemia/Bone Marrow Transplant Program, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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