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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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Some Side Effects of Lymphoma Treatment

Lymphoma is cancer of the lymphatic system. Like other cancers, lymphoma can be treated with chemotherapy and radiotherapy among with other methods like antibody treatment and even through bone marrow transplants. And just like any other type of cancer, there are some notable side effects of lymphoma treatments.

Treating cancer is rather toxic to the body. Cancer cells multiply in an abnormal rate. This rate of growth produces a mass of tissue which becomes a tumor. When left alone the cancer cells eventually suffocate the healthy cells nearby and shut down their functions. Whole organs can shut down completely which obviously means death to that person. Eradicating these cancer cells is the key element in cancer treatment procedures. However, the overall goal of cancer treatments is to destroy cancer cells without killing the normal and healthy cells nearby.

Chemotherapy is a common method of killing those cancer cells. This treatment uses various drugs to eliminate the cells. However, the drugs still affect some of the healthy cells. Among the more common side effects of the treatment in lymphoma patients includes decreased blood cell production, diarrhea, fatigue, mouth sores and hair loss. Decreased in blood production includes the normal red blood cells, the white blood cells and even the platelets. Some patients also reported feelings of nausea after the treatment. And because the drugs used for the treatment can also harm the production of sperm and egg cells, it is a medical fact that the treatment can indeed cause temporary or even permanent sterility of patients.

Instead of drugs, radiation therapy uses x-rays to kill the cells. But just like chemotherapy, the use of high energy x-rays can kill the neighboring healthy cells. Common side effects of this treatment include feeling tired all the time like all your energy was drained out of your body. Hair loss and nausea are also common problems when patients undergo radiation therapy. But hair loss is limited to areas where the treatment is actually targeted. Nausea and skin changes like getting red or itching are other known side effects.

Some treatments use steroids to control the growth of the cells. This is actually quite common and is used alongside other treatments. Steroids such as cortisone, prednisone and dexamethasone can cause insomnia, increased appetite, mood swings or changes and weight gain. The good thing about steroid treatment is that it is not used for long periods so the side effects are actually not strongly felt.

To counteract the side effects of lymphoma treatment, doctors suggests that you drink a lot of water before your treatment especially if you will undergo chemotherapy. If you experience mouth sores, a good way to provide some comfort is by drinking milk and cream. Juices especially tomato and citrus juices are not a good idea when you have numerous sores in your mouth. It has been suggested that you eat several small meal portions during the day instead of eating full size meals.

Remember that your immune system at this point is compromised because of your low blood count so it would be advisable to stay away from crowded areas and people that are sick. Ask your doctors for other ways to lessen the side effects.


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Looking Out For The Warning Signs Of Lymphoma

Lymphoma, the cancer of the lymph system, is one of the hardest diseases to deal with. This is because up until now, no cure has been discovered to appease the fear of people at risk in this type of disease. Although there are some preventive measures that are advertised to prevent cancer cells from growing, nothing can stop it fully once it has multiplied and disabled the function of specific organs in the body.

Lymph system refers to a network of interconnected nodes and thin tubes which paves the way for the white blood cells to be carried out in the different parts of the body. White blood cells are very important since these helps fight infections. When these cells are struck by cancer cells, it will affect the way the white blood cells and will lead to its dysfunction.

Lymphoma targets a part of the lymph system and it does not refer to single cancer but to a group of many cancers that are related. As of today, there are about 30 types of lymphoma including “Mantle Cell Lymphoma,” “Malt Lymphoma,” “Cutaneous (Skin) Lymphoma,” “Diffuse Large B-Cell Lymphoma,” “Burkitt Lymphoma,” and “Primary CNS Lymphoma” among others but these types can belong to two different categories including the Hodgkin Disease and Non-Hodgkin Lymphoma.

According to experts, both categories may exhibit the same symptoms that are why the diagnosis and sets of examinations are done. But, the major difference in these two types will be noticeable depending on the person being affected.

Red flags of lymphoma

Lymphoma could be considered as a silent threat because it will take some time before its symptoms occur. And, when they do, they can be so common or “generic” thats why many people dont take it so seriously. Unless the symptoms become so noticeable and appear ever so often, that’s the only time when the person suffering from it would consider consulting a doctor.

If you are at risk, say belong to a family whose history include cancerspecifically cancer of the lymph systemthen it would be best to undergo a check up once you:

– feel painless lumps in the neck, armpits or groin. Experts say that this is the most commonand at timesthe ONLY one that is the symptom of lymphoma. Once you have enlarged nodes, it is the best time to undergo a check up. You can check if your nodes are enlarged when changing clothes or while taking a bath. You can also ask your sister or your partner to check it for you if you feel uncertain about the lumps. However, not all emerged lymph nodes are always signs of lymphoma so its better if you consult a physician to be sure.

– drastic weight loss. Once cancer cells attack the lymph system, the person will suddenly lose weight without apparent reason. In fact, once lymphoma remains undetected in the coming months, the person may lose as much as 15 to 20 pounds!

Other symptoms of lymphoma aside from enlarged lymph nodes and drastic weight loss may include continuous fever, sweating excessively specially during night time despite cold weather, and severe itchiness on almost all parts of the body which are results of special chemicals that are secreted by lymphoma cells.


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