Treatment FAQ

how many days is hodgkin lymphoma treatment

by Davin Halvorson Published 2 years ago Updated 2 years ago
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You have treatment, usually over 1 to 3 days, depending on the particular combination of drugs. Then you have a break of a few weeks to allow your body to recover from the effects of the chemotherapy. Then another cycle begins.

How is Hodgkin lymphoma treated?

Stages IA and IIA, favorable. This group includes HL that is only on one side of the diaphragm (above or below) and that doesn’t have any unfavorable factors. For example: It's not bulky. HL …

How many cycles of chemotherapy are needed for Hodgkin’s lymphoma?

Depending on the case, one or both of these treatments might be used. Certain patients might be treated with immunotherapy or with a stem cell transplant, especially if other treatments …

Can adult Hodgkin lymphoma come back?

Aug 30, 2021 · The treatment with BEACOPP is done for up to 8 cycles, each cycle is of 21 days, thereby taking approximately six months. Advertisement. Thus, the length of the treatment …

What are the stages of Hodgkin lymphoma?

Radiotherapy is most often used to treat early-stage Hodgkin lymphoma, where the cancer is only in 1 part of the body. Treatment is normally given in short daily sessions, Monday to Friday, …

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How long does treatment for Hodgkin lymphoma take?

A typical chemotherapy regime for Hodgkin lymphoma might involve around six cycles of a combination of drugs, given over a period of six months. There are many different ways of giving chemotherapy. It may be given through a vein (intravenously or IV), usually in your arm or hand, or in tablet form (orally).Jun 18, 2019

How long is a cycle of chemo for Hodgkin's lymphoma?

In most cases, you can have chemotherapy at the hospital or treatment centre as an outpatient and won't need to stay overnight. For Hodgkin lymphoma, you will have several chemotherapy drugs, usually given in cycles spread over 3–6 months. Each cycle takes 2–4 weeks and includes some rest days.

How many rounds of chemo is needed for Hodgkin's lymphoma?

Treatment for many patients is chemotherapy (usually 2 to 4 cycles of the ABVD regimen), followed by radiation to the initial site of the disease (involved site radiation therapy, or ISRT). Another option is chemotherapy alone (usually for 3 to 6 cycles) in selected patients.Oct 29, 2020

How long does lymphoma treatment usually last?

Treatment is normally given in short daily sessions, Monday to Friday, usually for no more than 3 weeks.

Can you have chemo 5 days a week?

You can have chemotherapy once a week or for several days, then rest for several days or weeks. The breaks give the drugs time to do their job. Rest also gives your body time to heal so you can handle side effects like nausea, hair loss, or fatigue. Each set of doses is called a cycle.Feb 13, 2022

What is the best treatment for Hodgkin lymphoma?

Treatment options

The main treatments for Hodgkin lymphoma are chemotherapy alone, or chemotherapy followed by radiotherapy. Occasionally, chemotherapy may be combined with steroid medicine. Surgery isn't generally used to treat the condition, except for the biopsy used to diagnose it.

Do you lose your hair with ABVD chemo?

Hair loss from ABVD usually begins 10 - 14 days after the first doses. ABVD hair loss is often noticeable, and a wig or hair piece may be desired to camouflage the absence of hair until it grows back. Hair usually begins to grow back within a few weeks of the last cycle of ABVD chemo.Aug 24, 2015

Do you lose your hair with chemo for lymphoma?

Hair loss is quite common in people who are treated with chemotherapy; overall, around 2 in 3 people experience hair loss. Chemotherapy kills lymphoma cells, but it can also destroy healthy cells, particularly those that normally divide quickly. Hair follicles produce hair.

How serious is Hodgkin's lymphoma?

Hodgkin lymphoma is a relatively aggressive cancer and can quickly spread through the body. Despite this, it's also one of the most easily treated types of cancer. Your recommended treatment plan will depend on your general health and age, because many of the treatments can put a tremendous strain on the body.

Can you live 20 years with lymphoma?

Most people with indolent non-Hodgkin lymphoma will live 20 years after diagnosis. Faster-growing cancers (aggressive lymphomas) have a worse prognosis. They fall into the overall five-year survival rate of 60%.

Is 4 cycles of chemo enough?

Four cycles of adjuvant chemotherapy are sufficient for most breast cancer patients, according to results of a Phase III trial of 3,173 women reported at the CTCR-AACR San Antonio Breast Cancer Symposium.

What type of lymphoma is not curable?

Lymphoplasmacytic lymphoma or Waldenstrom macroglobulinemia.

It's found mainly in the bone marrow, lymph nodes, and spleen. This type of lymphoma can't be cured.

What is the treatment for HL?

Chemotherapy and radiation therapy are the main treatments for HL. Depending on the case, one or both of these treatments might be used. Certain patients might be treated with immunotherapy or with a stem cell transplant, especially if other treatments haven’t worked. Except for biopsy and staging, surgery is rarely used to treat HL.

Is HL a cure?

Treatment for HL is based largely on the stage (extent) of the disease. But other factors, including a person’s age and general health, and the type and location of the lymphoma, might also affect treatment options. For almost all people with HL, cure is the main goal. But treatment can have side effects, some that don’t show up for many years.

Why is it important to discuss all treatment options with your doctor?

It’s important to discuss all treatment options, including their goals and possible side effects, with your doctors to help make the decision that best fits your needs. You may feel that you need to make a decision quickly, but it’s important to give yourself time to absorb the information you have learned.

What do people with cancer need?

People with cancer need support and information, no matter what stage of illness they may be in. Knowing all of your options and finding the resources you need will help you make informed decisions about your care.

What are the services offered by the American Cancer Society?

These might include nursing or social work services, financial aid, nutritional advice, rehab, or spiritual help. The American Cancer Society also has programs and services – including rides to treatment, lodging, and more – to help you get through treatment.

What is the number to call for cancer treatment?

Call our National Cancer Information Center at 1-800-227-2345 and speak with one of our trained specialists. Palliative Care. Find Support Programs and Services in Your Area.

Why are clinical trials important?

Clinical trials are one way to get state-of-the art cancer treatment. In some cases they may be the only way to get access to newer treatments. They are also the best way for doctors to learn better methods to treat cancer. Still, they're not right for everyone.

What is the treatment for Hodgkin's lymphoma?

Following are the treatments for Hodgkin’s Lymphoma: Chemotherapy: Various chemotherapy strategies such as AVBD and BEACOPPS are currently used by the oncologist for Hodgkin’s lymphoma. Drug combination is used to minimize side effects. Advertisement. Radio therapy: Radio therapy is generally used as a adjuvant to chemotherapy ...

Is Lymphoma a cure for non-Hodgkin's?

Lymphoma, which includes both Hodgkin’s and non-Hodgkin’s, are having a high cure rate. Various treatment options are available, chemotherapy been the best one. Various chemotherapy strategies are available which comprises the combination of drugs to provide a synergistic effect.

How many cycles of AVBP for Hodgkin's lymphoma?

If the Hodgkin’s lymphoma is in stage III and IV, the treatment should be done with 6 cycles of AVBP along with radiotherapy. If there is a Lymphocyte Predominant Hodgkin’s Disease Stages III, IV, the treatment may be done with 3-6 cycles of R-CHOP. In the similar way, treatment with BEACOPP also depends upon the stage of the disease.

What is the treatment for cancer?

Chemotherapy is the treatment option at the hands of the oncologists to cure the cancer. There are various drugs used in chemotherapy , which kills the cancer cells by stopping the cell cycle. The length of the chemotherapy depends upon various factors.

How does chemotherapy kill cancer cells?

There are various drugs used in chemotherapy, which kills the cancer cells by stopping the cell cycle. The length of the chemotherapy depends upon various factors. One of the important factors for deciding the length of therapy is the stage of the disease at which chemotherapy is given.

What is the most important factor in deciding the length of chemotherapy?

One of the important factors for deciding the length of therapy is the stage of the disease at which chemotherapy is given. More advanced the cancer is, more is the number of cycles of chemotherapy. Also, the chemotherapy involves the combination of the drugs to maximize the effect with minimum side effects.

How long does it take to recover from chemo?

Generally time taken by the chemotherapy is almost 6-8 months and other treatment options are also used to reduce the time and number of cycles of chemotherapy.

How is Hodgkin lymphoma treated?

Treatment. Hodgkin lymphoma can usually be treated successfully with chemotherapy alone, or chemotherapy followed by radiotherapy.

How to treat Hodgkin lymphoma?

The main treatments for Hodgkin lymphoma are chemotherapy alone, or chemotherapy followed by radiotherapy. In a few cases, chemotherapy may be combined with steroid medication. Surgery isn't generally used to treat the condition, except for the biopsy used to diagnose it. Overall, treatment for Hodgkin lymphoma is highly effective ...

Can Hodgkin lymphoma be treated with radiotherapy?

Causes. Diagnosis. Treatment. Complications. Hodgkin lymphoma can usually be treated successfully with chemotherapy alone, or chemotherapy followed by radiotherapy.

What is the MDT team for lymphoma?

This is known as a multidisciplinary team (MDT).

Can you use chemo for Hodgkin lymphoma?

In a few cases, chemotherapy may be combined with steroid medication. Surgery isn't generally used to treat the condition, except for the biopsy used to diagnose it. Overall, treatment for Hodgkin lymphoma is highly effective and most people with the condition are eventually cured.

Can Hodgkin lymphoma be temporary?

infertility, which may be temporary or permanent (see complications of Hodgkin lymphoma for more information) Most side effects should pass once your treatment has finished. Tell your care team if the side effects become particularly troublesome, as there are treatments that can help.

What kind of doctor do you see for Hodgkin lymphoma?

During your treatment for Hodgkin lymphoma, you may see any of the following professionals: specialist cancer nurse or "key worker" – who is the first point of contact between you and the members of the care team. haematologist – a specialist in blood and bone marrow disorders.

When is Hodgkin lymphoma most common?

Hodgkin lymphoma is most common in early adulthood (age 20–39 years) and in late adulthood (age 65 years and older). Being male. The risk of adult Hodgkin lymphoma is slightly higher in males than in females. Past Epstein-Barr virus infection.

How to treat Hodgkin lymphoma during pregnancy?

Labor may be induced and the baby delivered early so the mother can begin treatment. Radiation therapy when the cancer is above the diaphragm.

What are the two types of Hodgkin lymphoma?

Key Points. Adult Hodgkin lymphoma is a disease in which malignant (cancer) cells form in the lymph system. The two main types of Hodgkin lymphoma are classic and nodular lymphocyte-predominant.

Is Hodgkin lymphoma a swollen lymph node?

Nodular lymphocyte-predominant Hodgkin lymphoma often presents as a swollen lymph node in the ne ck, chest, armpit, or groin. Most people do not have any other signs or symptoms of cancer at diagnosis.

Is Hodgkin lymphoma higher in males or females?

Being male. The risk of adult Hodgkin lymphoma is slightly higher in males than in females. Past Epstein-Barr virus infection. Having an infection with the Epstein-Barr virus in the teenage years or early childhood increases the risk of Hodgkin lymphoma.

What is stage 2 adult Hodgkin lymphoma?

Stage II adult Hodgkin lymphoma is divided into stages II and IIE. In stage II, cancer is found in two or more groups of lymph nodes that are either above the diaphragm or below the diaphragm. Enlarge. Stage II adult lymphoma.

What is advanced unfavorable Hodgkin lymphoma?

Advanced unfavorable Hodgkin lymphoma means that the patient has 4 or more of the risk factors below. The more risk factors a patient has, the more likely it is that the cancer will come back after it is treated: Having a low blood albumin ( protein) level (below 4). Having a low hemoglobin level (below 10.5).

What is the goal of Hodgkin's lymphoma treatment?

The goal of treatment is to destroy as many cancer cells as possible and bring the disease into remission.

What is the procedure to remove Hodgkin's lymphoma?

A bone marrow biopsy and aspiration procedure involves inserting a needle into your hipbone to remove a sample of bone marrow. The sample is analyzed to look for Hodgkin's lymphoma cells. Other tests and procedures may be used depending on your situation.

What tests are done to detect Hodgkin's lymphoma?

Tests may include X-ray, CT and positron emission tomography. Removing a lymph node for testing. Your doctor may recommend a lymph node biopsy procedure to remove a lymph node for laboratory testing.

What happens after a doctor determines the stage of Hodgkin's lymphoma?

After your doctor has determined the extent of your Hodgkin's lymphoma, your cancer will be assigned a stage . Knowing your cancer's stage helps your doctor determine your prognosis and treatment options.

What are the stages of Hodgkin's lymphoma?

Stages of Hodgkin's lymphoma include: Stage I. The cancer is limited to one lymph node region or a single organ. Stage II. In this stage, the cancer is in two lymph node regions or the cancer has invaded one organ and the nearby lymph nodes.

Can you get chemotherapy for Hodgkin's lymphoma?

Chemotherapy is often combined with radiation therapy in people with early-stage classical type Hodgkin's lymphoma. Radiation therapy is typically done after chemotherapy. In advanced Hodgkin's lymphoma, chemotherapy may be used alone or combined with radiation therapy.

Can alternative medicine help with Hodgkin's lymphoma?

No alternative medicines have been found to treat Hodgkin's lymphoma. But alternative medicine may help you cope with the stress of a cancer diagnosis and the side effects of cancer treatment. Talk with your doctor about your options, such as: Art therapy. Exercise.

Can you cure Hodgkin lymphoma?

These days, most people treated for Hodgkin lymphoma can be cured. Many others who are treated remain disease-free and well for a long time. Treatment usually involves chemotherapy or radiotherapy or a combination of both. In selected cases, a stem cell transplant (also called a peripheral blood stem cell or bone marrow transplant) may be used.

Can you continue chemotherapy for lymphoma?

If a decision is made not to continue with anti-cancer treatment (chemotherapy and radiotherapy) for your lymphoma there are still many things that can be done to help you to stay as healthy and comfortable as possible for some time. Palliative care is aimed at relieving any symptoms or pain you might be experiencing as a result of your disease or its treatment, rather than trying to cure or control it.

Can stem cell transplants cure lymphoma?

Occasionally, a stem cell transplant is given, providing some people a better chance of cure or long-term control of their disease. It is generally only suitable in situations where the lymphoma has come back (relapsed) or is at high risk of relapse, and where it doesn’t respond well to standard (conventional) treatment.

What is the treatment for early stage cancer?

Early-stage disease is usually treated with a combination of chemotherapy and radiotherapy. The decision regarding which of these options should be used will depend on your disease stage and which side effects of treatment are important to you.

How long does chemo last in advanced stage?

In most patients, the chemotherapy will continue for six months or even longer . Occasionally radiotherapy is also used in this stage.

How long does chemo last in stage 4?

In most patients, the chemotherapy will continue for six months or even longer. Occasionally radiotherapy is also used in this stage.

When was the Leukaemia Foundation last updated?

Last updated on June 18th, 2019. Developed by the Leukaemia Foundation in consultation with people living with a blood cancer, Leukaemia Foundation support staff, haematology nursing staff and/or Australian clinical haematologists.

What is the treatment for Hodgkin lymphoma?

It may be treated with chemotherapy, a combination of chemotherapy and radiation, immunotherapy, stem cell transplantation, or other treatments.

Can you cure Hodgkin lymphoma?

Today, most people with Hodgkin lymphoma can be cured. At Memorial Sloan Kettering, we’ll personalize a treatment plan for you based on the type and stage of your Hodgkin lymphoma.

What is the treatment for cancer?

Other new treatments are the immunotherapy drugs nivolumab (Opdivo®) and pembrolizumab (Keytruda®). They are both checkpoint inhibitors, which block specific proteins on the surface of T cells. Normally your body’s immune system uses T cells to help fight the growth of cancer in your body. Checkpoint inhibitors release a natural brake on the immune system, allowing the T cells to attack the cancer.

Who is the hematologist for Hodgkin lymphoma?

Hematologic oncologists like David Straus help develop a personalized treatment plan for Hodgkin lymphoma that takes into account the type and stage of the disease. Hodgkin lymphoma is also called Hodgkin’s disease.

What is refractory lymphoma?

If you have Hodgkin lymphoma that doesn’t get better after the first treatment, it is called refractory. There are a number of treatment options we may recommend for refractory lymphoma or lymphoma that has returned (relapsed). These include chemotherapy, radiation, novel drugs, and stem cell transplantation. ...

Can stem cell transplants cure Hodgkin lymphoma?

Stem cell transplantation can cure Hodgkin lymphoma that has come back after initial therapy. In particular, an autologous stem cell transplant, which uses a patient’s own stem cells, is often recommended.

What is it called when you don't get better after a first treatment?

If you have Hodgkin lymphoma that doesn’t get better after the first treatment, it is called refractory . There are a number of treatment options we may recommend for refractory lymphoma or lymphoma that has returned (relapsed). These include chemotherapy, radiation, novel drugs, and stem cell transplantation.

Can you wait to get treatment for non-Hodgkin's lymphoma?

It's an approach called "watch and wait," and it might be a choice for you if you don't have any pain or other symptoms. Your doctor will keep a close eye on your disease, and they won't start treatment ...

How long can you wait to get treatment for NHL?

"About half of all patients can put off treatment for at least 3 years," Abetti says. "Some patients can be in watch-and-wait mode for 10 years or more .". It's possible you'll never need treatment.

How often should I have a checkup after chemo?

You'll have checkups every 3-6 months, or even more often . The major benefit of watch and wait is that you don't have to deal with treatment side effects, Tsai says. When you skip chemotherapy, you won't get symptoms like sickness, infection, and hair loss.

Is it hard to accept that you're not actively treating your cancer?

There's a risk that your cancer may change to a fast-growing type. It may also be hard to accept that you're not actively treating your cancer. Tsai says many of his patients struggle with this, but they feel better when they learn that watch and wait is an accepted strategy.

Can you wait to see your doctor if you have a slow growing NHL?

Also, if you aren't very good about visiting your doctor, watch and wait may not be a good choice.

How often should I have a checkup?

If you choose to delay treatment, your doctor will keep a close eye on you and look for changes. You'll have checkups every 3-6 months, or even more often . The major benefit of watch and wait is that you don't have to deal with treatment side effects, Tsai says.

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Overview

  • Hodgkin's lymphoma — formerly known as Hodgkin's disease — is a cancer of the lymphatic system, which is part of your immune system. It may affect people of any age, but is most common in people between 20 and 40 years old and those over 55.In Hodgkin's lymphoma, cells in the lymphatic system grow abnormally and may spread beyond it.Hodgkin's lymphoma is one …
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Treatment

  • There have not been many large studies to investigate which treatments might be effective for this particular kind of itching in Hodgkin lymphoma, but there are some data to help guide therapeutic decision making. According to an article in the 2014 Journal of Medical Case Reports, one drug that appears to be effective is Emend (aprepitant,) a neurokinin-1 receptor antagonist, …
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  • Which Hodgkin's lymphoma treatments are right for you depends on the type and stage of your disease, your overall health, and your preferences. The goal of treatment is to destroy as many cancer cells as possible and bring the disease into remission.
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Signs And Symptoms

  • Signs and symptoms of Hodgkin's lymphoma may include: 1. Painless swelling of lymph nodes in your neck, armpits or groin 2. Persistent fatigue 3. Fever 4. Night sweats 5. Unexplained weight loss 6. Severe itching 7. Increased sensitivity to the effects of alcohol or pain in your lymph nodes after drinking alcohol...
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  • Does an itch mean that the cancer is in your skin? Non-specific skin symptoms or other skin involvement in Hodgkin lymphoma are reported to occur in 15 to 50 percent of people with the disease. Of these, a small minority may actually have Hodgkin lymphoma of the skin or cutaneous Hodgkin lymphoma. It's possible there are multiple sources of itchiness in people with Hodgkin l…
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  • Features of Hodgkin lymphoma include the following: 1. Asymptomatic lymphadenopathy 2. Unexplained weight loss, unexplained fever, night sweats 3. Chest pain, cough, shortness of breath 4. Pruritus 5. Pain at sites of nodal disease 6. Back or bone pain 7. Nodular sclerosis Hodgkin lymphoma (NSHL) has a strong genetic component and has often previously been diag…
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  • People with Hodgkin's disease may experience any of the following signs and symptoms: 1. a painless swelling of the lymph nodes in the armpits, neck, or groin area 2. persistent fatigue 3. fever and chills 4. night sweats 5. weight loss (unintended) 6. loss of appetite 7. severe itching (rarely) 8. enlarged spleen 9. cough 10. difficulty breathing 11. swelling of the legsIf you discove…
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Causes

  • Doctors aren't sure what causes Hodgkin's lymphoma. But it begins when an infection-fighting cell called a lymphocyte develops a genetic mutation. The mutation tells the cell to multiply rapidly, causing many diseased cells that continue multiplying.The mutation causes a large number of oversized, abnormal lymphocytes to accumulate in the lymphatic system, where they crowd out …
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  • The cause of this itch is not definitely known. It is believed that some blood cells release chemicals near the nerves of the skin and irritates these nerves. We feel this as an itch.
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  • The exact cause of Hodgkin's disease is unknown, as is true for most types of cancer. Studies have found an increased risk of Hodgkin's disease in people who have had the Epstein-Barr virus. This has led researchers to think that viral factors may play a role in causing this type of cancer. However, this is still not proven.Other risk factors may include an HIV infection, a family history …
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Diagnosis

  • 1. Infectious mononucleosis 2. AIDS 3. Non-Hodgkin's lymphoma 4. Tuberculosis 5. Leukaemia 6. Sarcoidosis 7. Myeloma 8. Toxoplasmosis 9. Cytomegalovirus infection 10. Tularaemia...
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  • Laboratory tests include the following: 1. Complete blood cell count studies for anemia, lymphopenia, neutrophilia, or eosinophilia 2. Erythrocyte sedimentation rate 3. Lactate dehydrogenase 4. Serum creatinine 5. Alkaline phosphatase 6. A test for HIV is important because antiviral therapies can improve disease outcomes in HIV-positive patients ; screening for hepatit…
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  • To diagnose Hodgkin's disease, a doctor will need to perform a thorough physical exam, checking the lymph nodes carefully for signs of swelling. In some cases, an abnormal mass can be detected just by feeling the nodes. Some nodes are deep in the body, so they can't be easily felt.Occasionally, the spleen enlarges (under the left rib cage) and can be felt by the doctor. A ly…
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  • Your doctor will ask you about your personal and family medical history. He or she may then have you undergo tests and procedures used to diagnose Hodgkin's lymphoma, including: 1. A physical exam. Your doctor checks for swollen lymph nodes, including in your neck, underarm and groin, as well as a swollen spleen or liver. 2. Blood tests. A sample of your blood is examined in a lab to s…
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Risk Factors

  • Factors that can increase the risk of Hodgkin's lymphoma include: 1. Your age. Hodgkin's lymphoma is most often diagnosed in people between 15 and 30 years old and those over 55. 2. A family history of lymphoma. Having a blood relative with Hodgkin's lymphoma or non-Hodgkin's lymphoma increases your risk of developing Hodgkin's lymphoma. 3. Being male. Males are slig…
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Prognosis

  • 1. Both localised and advanced Hodgkin's lymphoma can be cured in most patients. 2. With modern treatment strategies, 80-90% of patients achieve permanent remission and can be considered cured. 3. Poor prognostic indicators include: 1. Increasing tumour burden and extension of disease. 2. Increasing age. 3. Male. 4. Constitutional symptoms (unexplained fever …
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Prevention

  • Last but definitely not least, if it is your loved one coping with the Hodgkin itch, realize that the itch is real, and can be severe. Worse for the one living with the cancer itch than itching, is finding that others don't believe what they are experiencing, or don't understand how annoying it can be. Be patient when your loved one is itching. Most of us are not as kind -- and can be nasty - when we …
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  • The goal of treatment is to bring about complete remission, which is the total absence of any signs or symptoms of the disease. The type of treatment depends on the stage of the cancer.For stages 1 and 2, the common therapy is radiation. This refers to using high-energy beams of invisible particles to penetrate the body and destroy cancer cells. Radiation therapy takes place …
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Classification

  • Accurate classification of the type and accurate staging of the disease will determine the most favourable treatment options and prognosis. Hodgkin's lymphoma is classified into two distinct entities: 1. Classical Hodgkin's lymphoma (more common): 1. Nodular sclerosis 2. Mixed cellularity 3. Lymphocyte-rich 4. Lymphocyte-depleted 2. Nodular lymphocyte-predominant Hodg…
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Management

  • Before treatment, patients should be assessed for risk of acute and/or long-term complications. Cardiac and pulmonary function tests are mandatory, and consultation with an ear, nose and throat specialist should be considered (particularly for patients with involvement of the head and neck region). The patient may also need reproductive counselling if they have not yet started a f…
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  • General treatment principles include the following: 1. Radiation therapy 2. Induction chemotherapy 3. Salvage chemotherapy 4. Hematopoietic stem cell transplantation See also the Medscape article Hodgkin Lymphoma Treatment Protocols.Published guidelines from the National Comprehensive Cancer Network (NCCN), the European Society for Medical Oncology (E…
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