What to check for malignant lymphoma?

Written by Zhou Chen
Oncology
Updated on January 28, 2025
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The examination of lymphoma first requires routine blood tests and blood smears. When aggressive lymphoma invades the bone marrow, anemia, decreased white blood cells, and platelets may occur, and lymphoma cells can appear in peripheral blood; therefore, bone marrow smears and biopsies are necessary. Additionally, blood biochemistry is important, as an increase in lactate dehydrogenase is associated with tumor burden and is an indicator of poor prognosis. Furthermore, Hodgkin's lymphoma may involve the central nervous system, so patients with symptoms of central nervous system involvement need to undergo cerebrospinal fluid examination. The most important aspect of lymphoma is the histopathological examination. Based on the histopathological examination, the pathological staging is determined, and genetic rearrangement can also be performed.

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Written by Peng Li Bo
Oncology
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Lymphoma has what manifestations?

The symptoms of lymphoma, simply put, are that some people feel a lump on their neck or in their armpit; it starts as a sudden appearance of a swelling that gets larger over time, sometimes not just one, but multiple lumps clustered together. This is indeed the most common symptom, where one can feel something on their neck, including under the jaw or the chin, noticing suddenly a nodule has formed, whether it's the size of a chicken egg or otherwise. That's one aspect. The second involves systemic symptoms, which primarily include fever, night sweats, and weight loss. These three symptoms are quite common.

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Written by Peng Li Bo
Oncology
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What are the symptoms of lymphoma spread?

The symptoms of lymphoma spread depend primarily on its original location. Generally, the most common site of origin is in the neck. Spread means that it has moved to other areas, so it may have spread to the armpits, groin, or popliteal fossa. If there is swelling or a tumor in the lymph nodes in these areas, it manifests as a tumor that can be felt in those specific locations, like in the groin or armpits. Of course, it is possible that it may spread to substantive organs, such as the lungs. If it spreads to the lungs, symptoms might include shortness of breath, coughing, and blood in the sputum.

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Written by Liu Liang
Oncology
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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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Written by Liu Liang
Oncology
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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.

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Written by Peng Li Bo
Oncology
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Early symptoms of lymphoma

The early symptoms of lymphoma involve the painless enlargement of both superficial and deep lymph nodes, most commonly located in areas such as the neck, armpits, and groin. Of course, lymphoma also presents with systemic symptoms, such as fever, night sweats, weight loss, and skin itching. Since lymphoma commonly occurs in the neck, armpits, and groin, if it develops in other areas, such as the lungs or elsewhere, it may cause respiratory symptoms, including coughing, expectoration, and shortness of breath.