How long can lymphoma last?

Written by Wu Xia
Oncology
Updated on September 10, 2024
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In clinical practice, lymphomas are classified into Hodgkin's lymphoma and non-Hodgkin's lymphoma. Non-Hodgkin's lymphoma is a relatively common type of tumor in China and has the highest incidence among lymphomas. However, it is further divided into dozens of subtypes, each with distinct clinical symptoms. Aggressive lymphomas can be cured, while indolent lymphomas can be managed with the tumor remaining. Thus, the question of how long one can live with lymphoma cannot be generalized; it depends on the type and stage of the disease, and many can be cured completely.

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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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Can lymphoma be cured?

Whether lymphoma can be cured depends on the specific pathological type of lymphoma, as there are dozens of subtypes, each with different prognoses and sensitivities to treatment. Additionally, the stage of lymphoma in patients also affects the prognosis. For example, patients with early-stage lymphoma can achieve a cure through radiotherapy and chemotherapy. However, for patients with advanced-stage lymphoma, treatment primarily involves chemotherapy, especially in cases of highly aggressive lymphoma, where it is difficult to achieve a complete cure. The goal of treatment in such cases is to alleviate pain and extend the patient's life.

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Lymphoma fever symptoms

Patients with lymphoma commonly exhibit symptoms such as fever, clinically referred to as B symptoms. Some patients may also experience additional B symptoms such as fatigue, sweating, or weight loss. Patients displaying these B symptoms generally have a poorer prognosis. Furthermore, lymphoma patients typically experience fever more frequently in the afternoon or evening, usually presenting with a low-grade fever. If the condition of a lymphoma patient is not controlled, their fever symptoms will recur repeatedly. Only when the condition is under control will there be an alleviation of fever symptoms. Anti-inflammatory drugs are not effective in these cases.

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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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How to check for lymphoma?

Patients with lymphoma generally present with painless enlargement of superficial lymph nodes as their initial symptom, most commonly in areas such as the neck, above the collarbone, and the groin. For diagnostic purposes, it is best, if possible, to conduct a whole-body PADCT scan as this helps in the staging of lymphoma at the initial visit. A definitive diagnosis requires the complete excisional biopsy of the affected superficial lymph node, followed by a pathological examination. An excisional biopsy is a method for confirming the diagnosis of lymphoma.