Is lymphoma serious?

Written by Liu Liang
Oncology
Updated on September 25, 2024
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The severity of lymphoma relates to its specific pathological type and the stage of discovery among other factors. For instance, some highly aggressive lymphomas grow very rapidly, leading to swift disease progression, resulting in a poorer prognosis and more severe conditions. On the other hand, indolent lymphomas progress slowly, with lymph node growth being particularly sluggish, and the disease course can extend to even decades. Thus, conditions of such indolent lymphomas are relatively milder. The stage of lymphoma at the time of discovery also plays a role; early-stage lymphoma, such as stage I or II, is comparatively less severe. In contrast, patients with later stages, such as stage III or IV, experience more severe conditions. Therefore, the type of pathology and the stage at discovery are all significant factors.

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Oncology
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Is lymphoma a type of cancer?

Cancer refers to malignant tumors. Tumors are classified into benign and malignant types, with the malignant ones commonly referred to as cancer. Often discussed are those originating from epithelial cells, termed carcinomas, such as lung cancer and breast cancer. However, there are special types such as those originating from mesenchymal tissue, called sarcomas, including synovial sarcoma and osteosarcoma, which are also malignant tumors and belong to cancer. Lymphoma, a malignant tumor originating from lymph nodes or extranodal tissues or organs, is also classified as cancer.

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Symptoms of Lymphoma

The symptoms of lymphoma mostly present as painless enlarged superficial lymph nodes, which are common clinical manifestations. Additionally, there may be enlargement of the liver and spleen, with multiple organs throughout the body possibly affected. In advanced stages, patients may experience invasion of the bone marrow. There are also special types of extranodal lymphomas which exhibit specific symptoms. For instance, lymphomas originating in the stomach may present with upper abdominal masses, or symptoms like anemia, weight loss, black stools, and even upper abdominal pain, nausea, and vomiting related to the gastrointestinal tract. If the lymphoma originates in the nasal cavity, known as NK/T-cell lymphoma, symptoms may include tinnitus, nasal congestion, runny nose, and nosebleeds, among others. Some lymphoma patients may also experience fever, generalized weakness, weight loss, collectively referred to as B symptoms.

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Is lymphoma a cancer?

Cancer actually refers to malignant tumors. Malignant tumors are named differently based on their site of origin. For example, those originating from epithelial tissue are called carcinomas, such as lung cancer, liver cancer, colon cancer, etc. Lymphoma refers to a malignant tumor originating from lymph nodes or tissues or organs outside the lymph nodes, which we call lymphoma. There are also some malignant tumors originating from mesenchymal tissue, which we call sarcomas. Therefore, lymphoma is also a malignant tumor and is considered a type of cancer.

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What department should lymphoma go to?

Lymphoma can be treated in the departments of hematology or oncology, where chemotherapy for lymphoma can be conducted by both. In our hospital, radiotherapy is performed in the oncology department, not by the hematology department, which only provides chemotherapy. If lymphoma has not been confirmed and there is only superficial lymph node enlargement clinically, then examinations such as ultrasound or PADCT suggest the possibility of lymphoma. In such cases, patients can visit the general surgery department for a lymph node biopsy to confirm the diagnosis. After confirmation, the patient can register in either the hematology or oncology department for further treatment.

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Can people with lymphoma eat beef?

The diet for lymphoma patients isn't particularly special; it’s just like the diet of healthy individuals, with no need for specific dietary restrictions. Moreover, there aren't any prohibitions related to "hot-natured" foods as mentioned in traditional Chinese medicine. From a Western medicine perspective, the focus is simply on enhancing the patient's nutrition. This can be achieved by eating smaller, more frequent meals, and ensuring a balanced diet with a good mix of meat and vegetables. There are no special dietary taboos; all foods are permissible, provided one avoids junk food. Therefore, foods like beef and lamb are perfectly acceptable.