Hodgkin’s lymphoma

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Hodgkin's disease, liver involvement

Lymphatic system

Lymphoma, malignant - CT scan

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

Treatment primarily depends on the following:

• The type of Hodgkin's lymphoma (most people have classic Hodgkin's)
• The stage (where the disease is found)
• Whether the tumor is more than 4 inches (10 cm) wide
• The patient's age and other medical issues
• Other factors, including weight loss, night sweats, and fever

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 two lymph node areas 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).

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Treatment varies with the stage of the disease and age of the patient. The best treatment depends on each individual and should be discussed with a doctor who has experience treating this disease.

• Stages I and II (limited disease) can be treated with local radiation therapy, chemotherapy, or a combination of both.
• Stages III is treated with chemotherapy alone or a combination of radiation therapy and chemotherapy.
• Stage IV (extensive disease) is most often treated with chemotherapy alone.

People with Hodgkin’s lymphoma that returns after treatment or does not respond to treatment may receive high-dose chemotherapy followed by an autologous bone marrow transplant (using stem cells from yourself).

Additional treatments depend on other symptoms. They may include:

• Transfusion of blood products, such as platelets or red blood cells, to fight low platelet counts and anemia
• Antibiotics to fight infection, especially if a fever occurs

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.