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Treating Lymphoma: The Various Procedures

Cancer is a word that most of us dread to hear from our doctors. We know that its something that should not be taken lightly, plus we cant even count how many times we have seen in the movies and television about the difficulties of the disease and more often than not the sad ending that follows. So hearing you have cancer of the lymph cells, which what lymphoma really is, is more than enough to give you and your family a scare. Treating lymphoma is never easy both physically and mentally for the patient. Having the full support of the family is a good thing to have in situations like these.

Lymphoma develops when the lymph cells begin to multiply quickly beyond what is normal. This abnormal growth soon forms tumors. These lymph cells are found in blood and lymph nodes thus with the grown of the cancer cells it is only natural that the lymph nodes enlarge and manifests as painless lumps in the neck, armpits or groin.

There are two main types of lymphoma. The most common one is the Hodgkin’s lymphoma. This type is distinguished from the rest by the presence of the Reed-Sternberg cell. The spread of the cancer cells in Hodgkin’s lymphoma is more predictable and often quite limited unlike the non-Hodgkin’s lymphomas where cancer cells develop first in other organs before spreading into the lymph nodes. The non-Hodgkins types of lymphomas are classified according low-grade, intermediate-grade or high-grade lymphomas which basically is based on how quickly the cancer cells spread.

Because of the number of types of lymphomas, the treatments vary. Often the treatments are combinations of various therapies and procedures. It is normal to have a number of treatments for a single lymphoma case. Once the type of lymphoma has been diagnosed and identified, the next step is to determine what stage it is in now. The kinds and extent of treatment of the cancer is dependent on the age of the patient and the degree or stage of the lymphoma. The treatment methods are either through chemotherapy, radiation therapy, antibody therapy (or biological therapy) and bone-marrow or stem cell transplantation. Again, combining one or two of these treatment methods is possible to address the present condition of a patient.

Chemotherapy uses various drugs to kill the tumor or cancer cells. The drugs can be taken orally or through injection. The advantage of using chemotherapy is that the drugs do not cause that much damage to the nearby normal and healthy cells. Radiotherapy, on the other hand, uses X-rays to kill the tumor cells. The rays damage the DNA of the cancer cells and because the DNA is damaged the cancer cells are unable to multiply which halts that growth of the cancer. Nearby healthy cells are damaged from the radiation bombardment so the goal in radiotherapy is minimize the damage to nearby, healthy cells. That is why those who undergo radiotherapy is scheduled to receive small doses of radiation at a time to lessen the damage to the cells.

Another treatment is the antibody therapy which uses antibodies which target unique molecules of a cancer cell. This attack from the antibody will eventually kill the cancer cells. And finally, the last way of treating lymphoma is by bone marrow or stem cell transplantations. These are medical procedures where the stem cells that were destroyed by high doses of chemotherapy and/or radiotherapy are replaced through surgery.


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The Types of Non-Hodgkins Lymphoma

Lymphomas are cancers of the lymph system which ironically is part of the bodys defense mechanism to fight off infections and diseases. But sometimes the abnormal growth of the healthy lymphatic cells causes the tissues to mass up creating tumors and eventually becoming cancer cells. If left untreated, the cancer cells can easily break away from the tissues and begin infecting other parts of the lymphatic system and eventually moving to other organs of the body. There are essentially two kinds of lymphomas, the Hodgkins lymphoma and non-Hodgkins lymphoma.

Hodgkins lymphoma is characterized by the presence of Reed-Sternberg cells. Other lymphomas do not contain these cells so the rest of the lymphomas were classified as non-Hodgkin’s lymphoma or NHL. There are a number of sub-types of non-Hodgkin’s lymphoma. Each are quite distinct targeting specific age groups aside from having unique forms.

One kind of NHL is the lymphoblastic lymphoma or LBL which commonly occurs in children. In fact about 30% of documented cases of lymphomas in children have been classified as lymphoblastic lymphomas. LBL is very aggressive kind of NHL and has caused quite a number of deaths in the past. But because of modern medicine and treatment techniques, LBL patients have better odds of surviving the ordeal.

Unlike LBL, the diffuse histiocytic lymphoma type or DHL is a slow growing cancer. And because it is slow-growing the cancer is quite hard to detect. Also, there are times where the cancer reappears after treatment.

Another kind of NHL appears closer to the bodys surface. The cutaneous T-cell lymphoma or CTLC is a kind of lymphoma that affects the skin. What happens is that the white blood cells of the skin become cancerous. At first, the signs are dry, scaly skin with red or dark patches. These areas of the skin also itch a lot. But as the cancer cells continue to grow, the skin will develop highly noticeable tumors. Eventually the cancer cells enter the blood stream and spreads all over the body which soon infects other tissues and organs.

Although not common, the mantle cell lymphoma is another kind of non-Hodgkin’s lymphoma. This cancer borders on being rare since only an estimated 5% of people diagnosed with NHL have it. It seems that the cancer is more likely to occur in men 50 years old and older. The cancer starts off as a slow growing lymphoma but can suddenly become aggressive in later stages.

Doctors have made 4 classifications or stages of non-Hodgkin’s lymphoma which basically indicates how fast and how far the cancer cells have spread. Stage 1 is when the cancer cells are grouped in lymph node or organ of the body. In stage 2 the cancer has spread to two or more groups of lymph nodes or organs on the same side of your diaphragm. Stage 3 is where the cancer cells have infected organs on both sides of the diaphragm and finally stage 4 is when the different types of non-Hodgkins lymphoma have gone beyond the lymphatic system and infecting other organs like the liver, bones, and lungs.


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