Understanding Non-Hodgkin Lymphoma

A Comprehensive Guide for Patients and Caregivers

Oncology

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Last updated: Mar 24, 2025

What is Non-Hodgkin Lymphoma?

Non-Hodgkin Lymphoma is a type of blood cancer that develops in the lymphatic system. It occurs when lymphocytes (white blood cells) grow abnormally and can form tumors throughout the body.

Types of NHL

  • B-cell lymphomas (most common, ~85% of cases)
    • Diffuse large B-cell lymphoma
    • Follicular lymphoma
    • Mantle cell lymphoma
  • T-cell lymphomas (~15% of cases)
    • Peripheral T-cell lymphoma
    • Cutaneous T-cell lymphoma

Common Symptoms

  • Painless swelling of lymph nodes
  • Unexplained fever
  • Night sweats
  • Unintentional weight loss
  • Persistent fatigue
  • Shortness of breath
  • Itchy skin

Risk Factors

  • Age (most common in people over 60)
  • Weakened immune system
  • Previous exposure to certain chemicals
  • Certain viral infections (e.g., Epstein-Barr virus)
  • Family history

Diagnosis

  1. Physical examination
  2. Imaging tests
    • CT scan
    • PET scan
    • MRI
  3. Biopsy
    • Lymph node biopsy
    • Bone marrow biopsy

Treatment Options

Main treatments include:

  • Chemotherapy
  • Radiation therapy
  • Immunotherapy
  • Targeted therapy
  • Stem cell transplantation

Prognosis

Prognosis varies depending on:

  • Type and stage of lymphoma
  • Age and overall health
  • Response to treatment

Living with NHL

  • Regular follow-up care
  • Healthy lifestyle choices
  • Support groups and counseling
  • Side effect management

When to Contact Your Doctor

Seek immediate medical attention if you experience:

  • Severe pain
  • High fever
  • Difficulty breathing
  • Unusual bleeding

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