FAQ - lymphoma, non-hodgkin
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What can cause an inhomogenous spleen in hodgkin lymphoma?

My friend has Hodgkin lymphoma and his disease has gone away in his chest but he still has tiny densities and mild inhomogenity on his spleen. He is done with chemotherapy. What does it mean to have inhomogenous stuff on the spleen? Is it like a scar?

This is a term used by radiologists that does not help us much as clinicians because it is so non-specific. It probably means nothing. We can't safely biopsy the spleen - it bleeds too easily. If the Hodgkin's lymphoma has resolved in the chest, it is not very likely that the lymphoma is active in the "inhomogeneous" areas of the spleen.
To really know what is going on in the spleen, you would have to surgically remove it. This will not be recommended with an uncertain report stating "inhomogeneous." Follow-up and time are the key. There is no better test in this situation than the "test of time" to see if your friend has a durable remission. There is no great hurry to find recurrence. I would assume a positive outlook. We do well treating Hodgkin's lymphomas in most patients. Our best chemotherapy is given first, and your friend is finished with that.  (+ info)

Can a 14 year old have Hodgkin Lymphoma?

I've been checking my symptoms online and it all matches to Hodgkin Lymphoma. I read that only 15 years old and above can have it. Can I?

Theoretically, virtually anyone *could* have it, but it's most common in people in their mid-teens through early adulthood, and senior citizens. These are the general age ranges, but that doesn't mean there's never been a 14-year-old or a 36-year-old who has gotten Hodgkin's. Regardless of your age, regardless of how many symptoms you think you have of Hodgkin's Lymphoma based on what you've read online, you most likely do *not* have it because it's a fairly rare cancer, so please do not freak yourself out. If you've discovered a painless lump, or have been feeling run-down, had night-sweats, lost weight without drying or experienced other health issues you're concerned about, you should definitely see your doctor about them, but you should not panic. There are literally hundreds of relatively minor health issues like an infection, anemia, or allergy that could cause some of the exact same symptoms. You're probably just fine. : )  (+ info)

How is Chemotherapy “in” Hodgkin’s lymphoma?

And how often is it given?
Is this done in a hospital, or somewhere else?
Is pill or?
What are the most common side effects, with this type of cancer and treatment?

Plus do you know any good hospitals for Hodgkin's lymphoma in Madrid Spain?

I don't know which hospitals are best in Spain. However, I have been treated for Hodgkin's Disease.

There are several different chemotherapy regimens used for Hodgkin's. The most common is ABVD, but there is also MOPP, BEACOPP, and Stanford V. MOPP is no longer commonly used, but BEACOPP and Stanford V are sometimes used in advanced disease. I had 8 cycles of ABVD. That's the most common and the one I know most about so I'll explain ABVD. A cycle of ABVD is 28-days long and consists of treatments on day 1 and 15. So 8 cycles of ABVD is 16 treatments. I had a treatment every other Friday for almost 8 months. ABVD is usually given for 4, 6, or 8 cycles. How many you get depends on the stage of your disease and how well you do with chemo.

ABVD is given as an out-patient in a doctor's office or cancer center, though I had my first as an in-patient in the hospital because I was at high risk for some serious side effects because my HD was so severe. ABVD is given intravenously -- i.e. through a vein (many people get ports to make it easier). Three of the drugs are given through a syringe and are slowly injected over about 5 minutes or so, while the last drug is given as a drip over about an hour. It takes about 3 hours to get it.

ABVD commonly causes nausea, fatigue, and hair loss. Less commonly, it can cause heart problems or lung problems. Hodgkin's Disease itself causes many symptoms including night sweats, itching, swollen nodes, pain when drinking alcohol, fevers, etc.

I actually started feeling better with chemo because I was so sick to begin with. In general, I felt chemo made me feel like I had a bad flu for a few days. Then I would be fine until the next treatment. I would say it was not as bad as I expected.  (+ info)

How is non Hodgkin lymphoma diagnosed? Where are most of the tumors found?

Just wondering. Where is the lymphoma found in most cases. Is it in like random places of the body?

The only way to diagnose lymphoma is through a biopsy of the enlarged lymph nodes. The lymph nodes can be picked up by a physical examination if they are in the neck or under armpits as they are visible there. Other times they can be picked up in a CT or PET scan.

In most cases lymphoma is caught through enlarged lymph nodes in the neck, underarms or groin, as they are visible to the patient and so the patient goes to the doctor to find out what has caused them. This doesn't mean that they cannot effect other parts of the body. We have lymph nodes all over and any one of them could be effected.

For myself, it was the lymph nodes in my abdomen that were effected and they were picked up by a CT scan.  (+ info)

Is it common for a 14 year old with non Hodgkin's lymphoma to have trouble moving a limb?

I ask this since my co worker mentioned that her daughter had stage one non Hodgkin's lymphoma and going threw lots of treatments she is unable to move her leg or arm or both.

So this left me wondering if this is common.

I know that it is normal to have a lot of stiffness/soreness during chemo, but I don't know about that. Here is where you'll find the best info on the web:
Best wishes  (+ info)

Is consumption of alcohol safe after being treated for Hodgkin's Lymphoma?

I have recently been treated for Hodgkin's Lymphoma. I wanted to know if there would be any side-effects for consuming alcohol now, a month after my last chemo therapy.

Talk to your doctor. In general, a glass of wine or a beer here and there is not harmful, but you should still ask.
Some patients have permanent liver damage from chemo and even a small amount of alcohol can exacerbate the problem- it can cause nausea, vomiting, or even liver failure.
Most hospitals routinely screen their cancer patients for liver failure, and some do enzyme checks- your doctor should know if it's safe for you to drink. Even if he gives you the green light, avoid over imbibing for awhile- your liver was stressed enough by chemo.  (+ info)

Is having Hodgkin's Lymphoma and Bone cancer at the same time common?

I have Hodgkin's Lymphoma currently and I've battled it twice before. I have been in remission after each new occurrence. The Hodgkin's has come back in my abdomen and is stable. I have recently discovered that I have bone cancer in my leg. This is an entirely new cancer and not metastasized from the other. I am scared. What type of treatment is normal for this type of situation? Am I going to be able to come back from this?

I am assuming that you have been diagnosed with a second primary sarcoma . . there are different types of bone cancer . . survival will depend on the type of tumor, stage, grade, location, response to first line treatment, overall health, and age.

It is not 'common' . . but there are reports in the literature of a second primary cancer (including bone cancers) occurring after treatment for Hodgkins Lymphoma. Sometimes the tumor is located in a place radiation occurred but sometimes there is no 'explanation' . . there is also some speculation that a primary bone sarcoma after treatment for Hodgkins Lymphoma may be genetic and your family should be checked for hereditary cancers.

It's difficult to answer your specific questions as far as treatment is concerned . . your doctor is the best person to answer that question since he has examined you and knows the entire circumstances of your case. But . . in general . . there is treatment for sarcoma with the goal being surgical removal whenever possible . . it really depends on how advanced the disease has become and if there is any metastatic disease. But there is treatment. You should ask to see a sarcoma specialist as sarcoma should be treated by someone familiar with the disease. If patient is healthy enough they would follow the first line protocol for the type of bone cancer they have . . (which will be different than the treatment you received for Hodgkins).

ACS: What is bone cancer
http://www.cancer.org/docroot/CRI/content/CRI_2_4_1X_What_Is_bone_cancer_2.asp?sitearea=CRI  (+ info)

What specific defect is responsible for Hodgkin lymphoma?

What gene is affected and how does this alter the regulation of the cell cycle or cell number?
please include a source!

As a survivor of Non-Hodgkin's Lymphoma, I think I can answer your question. There is in your DNA a bunch of links. They are numbered some way. Let us say for argument that 4 is supposed to be connected to 8. In lymphoma 4 might be connected to 5. The scientists are working on a gene therapy for curing the broken link that causes the lymphoma. The problems besides the cost of the treatment when they are ready to try it, include the fact that the treatment is only good for one person. Each person with lymphoma would have to get a special treatment, thereby driving the cost up even higher. But there is hope. If they can figure out how to do this, they will be able to figure out how to do it in mass and lower the costs significantly.  (+ info)

someone i know was recently diagnosed with Hodgkin's Lymphoma, is this cancer very fatal?

A kid i know ( a 15 year old boy) was diagnosed with Hodgkin's lymphoma. I was wondering how serious (obviously every type of cancer is extremely serious) this type of cancer is compared to others. To get to the point and be frank i kinda want to know what are the chances of him dying.

As the others have already explained, Hodgkin's has an extremely high survival rate. When I was diagnosed with just before my 17th birthday last year my oncologist actually told me that if you ever were forced to pick a cancer to have, Hodgkin's would be the one because the overwhelming majority of people who have it are treated and resume living their lives. It is still cancer, and it does still involve chemo and / or radiation (depending on the stage, and whether it's A or B), and it still sucks, but almost all the treatment is outpatient. I went to the hospital every other Friday for chemo, and it wasn't as terrible as I'd feared it would be. I was given medication to help deal with the side effects of the chemo, like nausea, and the treatment was given in a very comfortable room with Wifi, Wii, a TV and dvd, books and magazines. For radiation I went in for half an hour every day for a few weeks, and the actual treatment didn't hurt at all. It made my skin really sensitive, but it wasn't awful. I'm in remission now.

Be concerned for you friend because it's very overwhelming to be diagnosed with cancer at such a young age, and he's going to have to make life changes such as cutting back on his activities and avoiding large crowds. The chemo weakens your immune system, and so you are far more prone to getting colds, the flu, and other viral infections. Since he's a minor, he will probably be assigned a pediatric oncology social worker who might even come to your school and answer questions anyone has about his cancer. He / she will help your friend figure out schooling and the like. Many with Hodgkin's continue to go to school and live fairly normal lives, but each person is a bit different.

Don't be concerned that your friend will die because there's a 90% chance that he will not. Please do not add to his stress less by fearing the worst. Just be a solid, dependable friend for him throughout this ordeal and let him be the one to explain how he feels if he so chooses rather than assuming how he feels.

I'm willing to bet that in one year your friend will be in remission and just fine. : )  (+ info)

is it true that treatment for hodgkin's lymphoma makes you infertile?

is it true that treatment for hodgkin's lymphoma makes you infertile? is there any chance of having kids without freezing eggs? as in, did anyone manage to have children despite undergoing this treatment?

My girlfriend just gave birth to a baby boy after treatment for Hodgkins when she was 14 or so years old.
She is now 24 and did fine.  (+ info)

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