Doctor insights on:
What Causes An Inhomogeneous Spleen In Hodgkin Lymphoma
Lymphoma vs. other: The spleen in hl may be heterogeneous/inhomogeneous/non-uniform due to lymphoma involvement, spleen infarction (death) due to cancer death in the spleen, or infection, or "other". The radiologist may or may not be able to determine that and your oncologist might be able to say more about it with knowing the clinical history. ...Read moreSee 1 more doctor answer
It is a malignant (cancerous) proliferation of lymphocytes with unique biological, prognostic and diagnostic features. It involves mostly lymph nodes and it may be treated and cured with the use of chemotherapy, radiation or a combination of both. It is considered a lymphoma with excellent long term prognosis ...Read more
Lymphoma in spleen: Inhomogenious spleen refer to a ct scan reading where different area of the spleen might have different texture. In general some of these cases are nonspecific, some are related to ifarction (dead tissue) and some are related to lymphoma. In this case, if the patient is already diagnosed with hodgkins lymphoma, most probably these area are lyphoma in the spleen surrounded by normal spleen tissue. ...Read more
May be: But there are other far commoner causes of itchiness than Hodgkin. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex, if you have sex. Get HPV vaccine ...Read more
Complex question: There are many different types of non-hodgkin's lymphoma and they have many different causes. Some of the lymphomas are caused by viruses and bacteria (some burkitt lymphoma, marginal zone lymphoma of the spleen, acute t-cell lymphoma). Others occur as people age because of the genetic mutations that are continually occurring in the immune system. Lymphomas spread because they are part of the immune system nd immune cells naturally travel around the body. ...Read more
Patient with hodgkin lymphoma after course of treatment develope ankle swelling what is the cause??
Possibilities: A few possibilities are there. The most common cause is fluid retention due to steroids used with chemotherapy. Another possibilities is due to the too much fluid given sometimes with chemotherapy. Last less likely possibility is heart failure induced by chemotherapy, which usually happens after multiple courses but it can happen anytime.. ...Read more
While treatment: His highly successful, perhaps >90%, it is dependent on stage, bulk, cell type, age, and b symptoms (fever, soaking sweats, weight loss). Multi agent chemotherapy may be sufficient, but intelligent field, lower dose radiotherapy is added to areas of bulk. Marrow/stem cell used at relapse. ...Read moreSee 1 more doctor answer
Nothing: Since we don't know what causes it, there is nothing one can do to prevent it. However having good dietary , sleeping, and exercise habits tend to improve one's immune function which in turn may reduce the risk for some cancers theoretically. ...Read more
No restrictions: Congratulations on surviving hodgkin's. Beyond urging you to follow the same healthy eating and fitness habits that are good for any normal person, there are no restrictions. Anyone telling you otherwise is trying to make your life unnecessarily difficult. ...Read moreSee 1 more doctor answer
Yes it can be: But pruritis(or itching) can be caused by many other reasons/conditions. ...Read more
HL in HIV patient: Hl is one of the common malignancies in patient with HIV or aids. Aids/hiv patients tend to have worse histology and advanced stage. Hiv should be treated as the chemotherapy for lymphoma may be modified by HIV status and cd4 count. Aids is an immunocompromised state. Improving cd4 count is important in the therapy of lymphoma. This is special area. See specialist for detailed advice. ...Read more
Chemotherapy in hodgkin lymphoma what's the side effects and in future condition any long term side efect?
Chemo side effects: Exact side effects depend on the specific combination of drugs your oncologist is using, but generally you can see the following: lack of energy/extreme fatigue, nausea, vomiting, low blood counts which can increase your risk of other infections, diarrhea, sore mouth sometimes with ulcers, thinning or loss of hair. Your doc can give you some meds to help with some side effects but not all. ...Read more
Hodgkin lymphoma,stage IIb, bulky. 130mm,after 8 cycle of ABVD, PET + , hypermetabolic mass and increase its size to 141mm! Why?Is Stanford V helpful?
Jury not out: There is ongoing trial to answer your question but previous studies suggest ABVD superior. That said, factors such as radiotx and personal immune response to Hodgkin D need to be considered. Fail cases to conventional chemoradiotx appear to respond to immune therapy, ie. PD-1 Blockade with Nivolumab in Relapsed or Refractory Hodgkin's Lymphoma N Engl J Med 2015; 372:311-319. Confirm ur dx 1st step ...Read more
Risk of Hodgkin's dz: There is no one "defect" that causes hodgkin's disease, but risk factors include a high socioeconomic status, having a family member with the disease, prior epstein-barr virus infection (mononucleosis), and immunosuppression as a result of conditions like aids, organ or marrow transplantation, autoimmune disease, and immunosuppressant medications. ...Read moreSee 1 more doctor answer
Pathology: The best testing for hodgkins lymphoma is pathology reading, which means taking a biopsy from the lymph node and bone marrow, slides prepared and read under microscope by an expert pathologist. It is rare for an expert pathologist to misdiagnose a hodgkins lymphoma. Definitely after diagnosis a complete radiologic work up is needed to establish the stage. ...Read more
Not per se: Petechiae are not a presenting symptom of Hodgkin. If a person is treated with chemo, then petechiae may occur due to the toxicity of chemotherapy. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex, if you have sex. Get HPV vaccine ...Read more
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