Doctor insights on:
Dumb luck: To date, nobody has identified any risk factor from lifestyle. HIV patients are at somewhat greater risk if they're uncontrolled. Some say having recent infectious mono increases risk. I don't believe the claims about Agent Orange; it's possible that acromegalics and growth hormone abusers may have increased risk. ...Read more
Depends: Primarily with chemotherapy. There are several variables that predict a favorable profile. If favorable, chemotherapy alone is appropriate based on new data recently published in the new england journal of medicine. However, the guidelines suggest a combined approach with chemo and radiation. Also depends on age, sex, other comorbidities. Hope this helps. ...Read more
Type of lymphoma:
Hodgkin lymphoma, which used to be called "Hodgkin's disease" is a type of lymphoma, a cancer of white blood cells usually but not always clumped in lymph nodes.
Hodgkin lymphoma behaves so differently than all other types of lymphoma that we have grouped lymphomas broadly into "Hodgkin lymphoma" and "non-hodgkin lymphoma" (i.e., EVERYTHING else!)
Hodgkin lymphoma is highly cureable. ...Read more
Complex: Cancers, in general, are definitively diagnosed by biopsy (cutting out tissue and examining cells under a microscope). They also usually have distinct patterns of where they arise and spread. Hodgkin's disease, a cancer of lymph cells, may cause enlarged lymph nodes, with lumps in the neck, underarms, groin. Enlarged nodes, liver, or spleen may also be seen on chest x-rays and abdominal ct scans. ...Read more
Varies: Could be no symptoms other than a palpable lymph node or cluster of lymph nodes in neck, armpit, groin. But could also be other symptoms - from a chest mass (ie shortness of breath) or lcoal compression of vascular structures. Can also have b symptoms - fevers, night sweats, or >10% weight loss, unexpected. ...Read more
Other lymphomas: There are a dozen different types of lymphomas of which Hodgkin disease is one different disease. Others are therefore called non-Hodgkin lymphomas. Anyone of them can be histologically and clinically confused with Hodgkin lymphoma. it takes a good pathologist to make this crucial distinction. ...Read more
Overall curable: Hodgkin lymphoma as it is now called is one of our success stories. If it is diagnosed in the early stages, the cure rate is >90%, even late stage disease has cure rates of greater than 80%. In those cases where there is disease recurrence, stem cell transplant has been successfully used to cure many people. ...Read more
See your family doc: To get a second opinion, start with your family doctor or internist. He or she should be able to help you arrange for the second opinion. ...Read more
2nd. Opinion: If unsure & for peace of might, u certainly could. ...Read more
Lymph node CA: It depends on the oncologist for followup. ...Read more
It is fatal:
There are very few people who are not treated for this disease. It is highly curable in the majority of cases. Current treatment is designed to give enough treatment to attack the kind and stage of hodgkins disease and to minimize side effects.
Without treatment some kinds of hd patients can live a long time, but their quality of life is impaired and they die. Some kind are rapidly fatal. ...Read more
Yes: The most common type of hodgkin lymphoma is classical or nodular sclerosis and that is curable. There are 5 types and all are treatable but some more curable than others. If standard therapy doesn't work, than bone marrow transplant is potentially curable. The most common regimen is abvd (adriamycin, bleomycin, vinblastine, dacarbazine. ...Read more
Yes: Hodgkins disease has a bimodal distribution occurring most commonly in people between 15 and 30 and again between 75 and 90. ...Read more
More testing: Once hodgkin's has been confirmed, further testing is done to "stage" or determine the extent of disease (exam, ct/pet scans, etc). There are 4 stages- stage I is disease in a single area; ii is in two separate areas on one side of the diaphragm; iii is on both sides of diaphragm and IV is widespread. Prognosis is worse the higher the stage but even the worse has 85% chance of remission. ...Read more
Chemoradiation: The treatment for pediatric hodgkins lymphoma is usually chemotherapy first, then evaluate the response then followed by radiation to the involved area. The latest data shows that we can safely reduce the dose of radiaiton with effective chemotherapy and the chance of cure is over 90% for early stage. There could be some acute and long term side effects but talk to specialist treating the patient. ...Read more
Why would an individual with hodgkin's disease be instructed to avoid individuals with colds and feve?
Immuno compromised: Hodgkins' lymphoma is usually treated with chemotherapy and radiation therapy. That can cause drop in blood counts particularly white cell that may lead immuno deficiency. Thus, patients should avoid catching germs from contacts. Hand washing and avoid rubbing nose and eyes is important. ...Read more