Lymphoma
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The specialists at Houston Methodist are worldwide leaders in the diagnosis and treatment of lymphoma and other blood cancers. Our team provides advanced lymphoma care at eight cancer center locations across the Greater Houston area.
Lymphoma is a cancer of the lymph nodes that first affects your white blood cells, called B lymphocytes (B cells) or, less commonly, T lymphocytes (T cells). Because white blood cells produce antibodies to fight infection, their mutation can severely weaken the immune system.
Lymphoma includes two main types:
- Hodgkin lymphoma – If, during biopsy, your pathologist identifies mutated B lymphocytes known as Reed-Sternberg cells, you will be diagnosed with Hodgkin lymphoma. Hodgkin lymphoma is rare.
- Non-Hodgkin lymphoma – If Reed-Sternberg cells are not present during biopsy, you will be diagnosed with non-Hodgkin lymphoma, the seventh-most diagnosed cancer in the U.S.
Why Choose Houston Methodist for Blood Cancer
Our multidisciplinary team of experts provides advanced care, delivered with a personalized approach. Oncology nurse navigators guide you through every stage of your lymphoma care, from diagnosis through treatment.
Our hematologists, oncologists and other specialists work together to develop a tailored treatment plan specific to your unique needs. We use advanced diagnostics and treatment options — including molecular testing, immunotherapy and stem cell transplant — to slow and halt your cancer quickly while preserving your ongoing health.
Our pioneering research and clinical trials have resulted in new therapies developed to treat and cure cancer. Houston Methodist patients may access clinical trials offering promising treatments not available to the general public.
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Know Your Lymphoma Risk Factors
A risk factor is anything that increases your odds of developing lymphoma, including genetic, environmental and lifestyle factors. It is important to be aware of your individual risk factors.
Risk factors vary by the type of lymphoma. Common risk factors include:
- Age – Some lymphomas such as Hodgkin lymphoma are common in younger people, but most occur in people in their 60s or older.
- Autoimmune diseases – Autoimmune disorders such as rheumatoid arthritis and Sjögren syndrome — and the drugs used to treat them — may heighten the risk for certain lymphoma types.
- Chemical exposure – Long-term exposure to pesticides and petrochemicals may increase your risk.
- Family history – Your risk of developing lymphoma is increased if a family member has had the disease.
- Geography – Hodgkin lymphoma is less common in Asian countries.
- HIV/AIDS – Infection with HIV/AIDS causes a weakened immune system and may heighten your risk.
- Mononucleosis – People who had mononucleosis — an infection caused by the Epstein-Barr virus — are at increased risk.
- Radiation exposure – Exposure to high levels of radiation — such as in a nuclear accident — increases your risk.
- Race and sex – Some forms of lymphoma are more prevalent depending on your race or sex.
One or more risk factors does not guarantee you will develop lymphoma. At the same time, having few or no risk factors does not guarantee you won’t develop the disease. To discuss your specific risks and prevention tactics, book an appointment with one of our specialists.
Identify Lymphoma Symptoms Sooner
Lymphoma occurs when your DNA mutates and instructs your cells to grow and multiply in an abnormal way. This change seriously impacts your normal cell function and production.
When this happens, you may experience symptoms very similar to other, more common diseases. When you notice a new or persistent symptom, it is important to identify the root cause.
Lymphoma symptoms often vary, depending on the type and location of the lymphoma. Common symptoms include:
- Chest pain and persistent cough – When lymphoma affects the thymus gland or lymph nodes in the chest, it can cause chest pain, coughing or trouble breathing due to pressure on the airway or lungs.
- Fatigue and weakness – General fatigue and a feeling of weakness are common as the body's energy reserves are depleted.
- Fever and night sweats – Recurrent fevers and excessive night sweats, often drenching, are common systemic symptoms.
- Itchy skin – Persistent itching, known as pruritus, can be a symptom, particularly in Hodgkin lymphoma.
- Loss of appetite – Reduced appetite and subsequent weight loss can be signs of lymphoma.
- Swollen lymph nodes – Painless swelling of the lymph nodes in the neck, armpits or groin is the most common symptom. These enlarged nodes can become tender or painful over time.
- Unexplained weight loss – Significant and unintentional weight loss can occur in advanced stages of lymphoma.
The only way to know for sure what is causing a particular symptom is to see your physician. The early detection of lymphoma allows for timely intervention and treatment.
Lymphoma Causes, Diagnosis & Treatment
What causes lymphoma?
Lymphoma is a blood cancer that affects the lymphatic system — the tissues, organs, glands (lymph nodes) and vessels that collect and filter excess fluid (called lymph) and return it back into the bloodstream as plasma. As part of the immune system, the lymphatic system also produces some white blood cells.
Lymphoma occurs when abnormal white blood cells grow out of control, eventually accumulating to levels that negatively affect the function of your lymph nodes, spleen and liver.
How is lymphoma diagnosed?
There are no early screening tests available for blood cancers such as lymphoma, leukemia or myeloma.
If you experience symptoms of blood cancer, your doctor may perform one or more diagnostic tests to confirm a diagnosis and determine the specific type and stage of the cancer. Houston Methodist blood cancer specialists diagnose lymphoma with blood tests, bone marrow biopsies or imaging.
How is lymphoma treated?
If you receive a lymphoma diagnosis, your oncology care team will tailor your specific treatment plan to the type of blood cancer and its characteristics. We also consider your individual needs and lifestyle. Our goal is to provide effective treatments, while preserving healthy tissue and cells.
Lymphoma is classified as indolent (slow growing) or aggressive, and classified as early (stage 1 or stage 2) or advanced (stage 3 or stage 4) to categorize where the cancer originated, whether it spread, and if so, where:
- Stage 1 – It involves a single lymph node region or organ.
- Stage 2 – It involves two or more lymph node regions on the same side of the diaphragm.
- Stage 3 – It involves lymph node regions on both sides of the diaphragm.
- Stage 4 – It involves an organ not considered part of the lymphatic system.
The stage helps your oncology team determine what treatments you need. Your care team may use one or more of the following methods to treat and manage the cancer:
Chemotherapy uses drugs to stop the growth or cancer cells. The drugs kill the cells or stop them from dividing. Chemotherapy is a common treatment for Hodgkin lymphoma and non-Hodgkin lymphoma.
Radiation therapy is a cancer treatment using high-energy X-rays or other types of radiation to kill cancer skills or stop them from growing. Radiation works by targeting abnormal cells. It damages their DNA, so they are unable to reproduce. For slow-growing or limited non-Hodgkin lymphoma, radiation may be the only treatment needed. For Hodgkin lymphoma, radiation is often given after chemotherapy.
Immunotherapy uses medications to stimulate a person’s immune system. It helps the body to produce more immune cells or help your existing immune cells recognize and destroy cancerous cells. CAR T-Cell therapy is a type of immunotherapy for non-Hodgkin lymphoma that uses a person’s own white blood cells (called T cells) to target B-cell lymphoma. Bispecific T-cell engager (called BiTE) therapy is another type of therapy that helps your immune system target B-cell lymphoma.
A bone marrow transplant — also known as a stem cell transplant — may be used to treat lymphoma. This allows for higher doses of chemotherapy to be given, when a more aggressive approach is needed. The transplant replaces damaged bone marrow with healthy stem cells.
Targeted therapy is a newer type of treatment for lymphoma. It uses drugs that specifically recognize and target cancer cells without harming normal cells.
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Lymphoma Screening & Risk Factors