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You are here : Healthopedia.com > Medical Encyclopedia > Diseases and Conditions > Hodgkin's Lymphoma: Treatment & Monitoring
      Category : Health Centers > Cancers and Tumors

Hodgkin's Lymphoma

Alternate Names : Hodgkin's Disease

Hodgkin's Lymphoma | Symptoms & Signs | Diagnosis & Tests | Prevention & Expectations | Treatment & Monitoring | Attribution


What are the treatments for the disease?

Some of the treatment options for Hodgkin's lymphoma are as follows:

  • chemotherapy, which uses chemicals or drugs to kill certain cells
  • radiation therapy
  • a combination of both radiation and chemotherapy
  • Bone marrow transplants may be successful for some high-risk people whose lymphoma has recurred despite other treatments. This treatment involves giving the person high doses of chemotherapy, total body radiation, and an infusion of bone marrow from another person.

    Hodgkin's lymphoma that recurs after radiation is often treated successfully with chemotherapy. If the spleen is involved, it may be removed with surgery.

    What are the side effects of the treatments?

    Radiation therapy can cause these side effects:

  • irritation of the esophagus or intestines
  • lymphedema, which occurs when a fluid called lymph builds up and causes swelling of an extremity
  • nausea and vomiting
  • risk for other cancers
  • skin burning
  • temporarily lowered blood counts
  • Chemotherapy can cause side effects such as the following:

  • abnormal bleeding
  • fatigue
  • hair loss
  • increased chance of needing blood transfusions
  • lowered blood cell counts
  • mouth and lip sores
  • nausea and vomiting
  • risk of infections
  • stomach upset
  • These treatments also can cause damage to the following areas:

  • bone marrow
  • heart
  • kidneys
  • liver
  • lungs
  • peripheral nerves
  • A combination of radiation and chemotherapy can cause more severe side effects. High-dose chemotherapy and bone marrow transplantation are highly toxic and risky treatments. Sometimes the transplanted immune system attacks the person's normal cells and tissue. There can be mild problems with skin rash and diarrhea. There can also be major organ failure, causing death.

    What happens after treatment for the disease?

    After treatment, people are managed for chronic side effects. They are also monitored for recurrence of their disease. People who have had their spleen removed need to be vaccinated to prevent certain bacterial infections. Recommended vaccines include those for pneumonia, Haemophilus influenza, and, sometimes, meningococcal meningitis.

    How is the disease monitored?

    Hodgkin's disease sometimes recurs. For this reason, the healthcare provider will monitor a person for several years by doing the following:

  • blood chemistry tests
  • bone marrow biopsies
  • bone scans
  • CAT scans
  • complete blood counts
  • physical exams
  • X-rays
  • Any new or worsening symptoms should be reported to the healthcare provider.


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    Hodgkin's Lymphoma: Prevention & Expectations

     

    Hodgkin's Lymphoma: Attribution

    Author: Thomas Fisher, MD
    Reviewer: Eileen McLaughlin, RN, BSN
    Date Reviewed: 07/31/01









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    Page Last Updated: 6th April, 2009