Understanding Hodgkin Lymphoma

A Comprehensive Guide for Patients and Caregivers

Oncology

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Last updated: Mar 24, 2025

What is Hodgkin Lymphoma?

Hodgkin lymphoma (HL) is a type of cancer that starts in the lymphatic system, specifically affecting white blood cells called lymphocytes. It's distinguished from other lymphomas by the presence of Reed-Sternberg cells, which are abnormal large cells visible under a microscope.

Types of Hodgkin Lymphoma

  • Classical Hodgkin Lymphoma (cHL)
    • Nodular sclerosis
    • Mixed cellularity
    • Lymphocyte-rich
    • Lymphocyte-depleted
  • Nodular Lymphocyte Predominant Hodgkin Lymphoma (NLPHL)

Common Symptoms

  • Painless swelling of lymph nodes (neck, armpit, groin)
  • Persistent fatigue
  • Fever and night sweats
  • Unexplained weight loss
  • Itching
  • Cough or breathing difficulties

Diagnosis

Initial Assessment

  • Physical examination
  • Medical history review
  • Blood tests

Confirmatory Tests

  • Lymph node biopsy
  • Imaging studies (PET-CT scan)
  • Bone marrow biopsy (if needed)

Treatment Options

  1. Chemotherapy

    • ABVD regimen is most common
    • Treatment cycles typically last 2-8 months
  2. Radiation Therapy

    • Often combined with chemotherapy
    • Targeted to affected areas
  3. Immunotherapy

    • For relapsed or resistant cases
    • Includes targeted antibody treatments

Prognosis and Recovery

  • High cure rates (>80% for early stages)
  • Regular follow-up care essential
  • Long-term monitoring for late effects

Living with Hodgkin Lymphoma

  • Maintain healthy lifestyle
  • Follow medical advice closely
  • Seek emotional support
  • Join support groups

When to Contact Your Healthcare Team

  • New or worsening symptoms
  • Treatment side effects
  • Unexplained fever
  • Severe pain or discomfort

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