Hodgkin lymphoma most commonly affects lymph nodes in the neck or in the area between the lungs and behind the breastbone, which is called the mediastinum. It can also begin in groups of lymph nodes under an arm, in the groin, or in the abdomen or pelvis.
Lymphoma is a cancer of the lymphatic system, which is part of the body's germ-fighting network. The lymphatic system includes the lymph nodes (lymph glands), spleen, thymus gland and bone marrow. Lymphoma can affect all those areas as well as other organs throughout the body.
The most common sites are in the chest, neck, or under the arms. Hodgkin lymphoma most often spreads through the lymph vessels from lymph node to lymph node. Rarely, late in the disease, it can invade the bloodstream and spread to other parts of the body, such as the liver, lungs, and/or bone marrow.
Common areas where lymph nodes can be easily felt, especially if they are enlarged, are the groin, armpits (axilla), above the clavicle (supraclavicular), in the neck (cervical), and the back of the head just above hairline (occipital). Hodgkin's disease (lymphoma) is a malignant cancer that can affect many organs.
The most common symptom of Hodgkin lymphoma is a swelling in the neck, armpit or groin. The swelling is usually painless, although some people find that it aches. The swelling is caused by an excess of affected lymphocytes (white blood cells) collecting in a lymph node (also called lymph glands).
The most common symptom of HL is a lump in the neck, under the arm, or in the groin, which is an enlarged lymph node. It doesn't usually hurt, but it may become painful after drinking alcohol. The lump might get bigger over time, or new lumps might appear near it or even in other parts of the body.
With lymphoma, the lymph nodes often grow slowly and may be there for months or years before they're noticed. But sometimes they grow very quickly. Usually, the swollen nodes don't hurt. But some people say their lumps ache or are painful.
The 5-year relative survival rate of people with localized Hodgkin lymphoma is 93%. If the cancer spreads regionally, the 5-year relative survival rate is 95%. If the cancer has spread to different parts of the body, the 5-year relative survival rate is 83%.
Epstein Barr virus
It's estimated that around 40 out of 100 cases (40%) of Hodgkin lymphoma in the UK are related to EBV infection.
Lymphoma is cancer that starts in the lymph nodes. For example, if breast cancer spreads to the lymph nodes in the armpits it does not become lymphoma. The cancer cells that have spread to the lymph nodes are still breast cancer cells. So they are treated as breast cancer.
Biopsy. A biopsy is the removal of a small amount of tissue for examination under a microscope. Other tests can suggest that cancer is present, but Hodgkin lymphoma can only be diagnosed after a biopsy of an affected tissue, preferably by removal (or excision) of a lymph node.
Hodgkin lymphoma starts when an abnormal change to the DNA of a white blood cell (called a lymphocyte) causes it to become a lymphoma cell that, if untreated, results in the uncontrolled growth of cancerous lymphocytes.
The most common sign of lymphoma is a lump or lumps, usually in the neck, armpit or groin. These lumps are swollen lymph nodes, sometimes known as 'glands'. Usually, they're painless. Fatigue is different to normal tiredness.
Certain areas of skin may also thicken, harden and form plaques that itch and ulcerate. Typically, these plaques develop on the face or buttocks or within skin folds. As a skin lymphoma rash progresses, papules (small bumps) may start to appear.
Lymphomas that start or grow in the abdomen (belly) can cause swelling or pain in the abdomen. This could be from lymph nodes or organs such as the spleen or liver enlarging, but it can also be caused by the build-up of large amounts of fluid.
Survival for all stages
around 90 out of 100 (around 90%) survive their cancer for 1 year or more after diagnosis. more than 80 out of 100 (more than 80%) survive their cancer for 5 years or more after diagnosis. 75 out of 100 people (75%) survive their cancer for 10 years or more after they are diagnosed.
Results: At a median follow-up of 7.8 years, 725 of 4401 patients (16.5%) had died, 51% of HL, 10% of treatment-related toxicity, 18% of second cancer, 5% of cardiovascular diseases, 2% of infections, 8% of other causes, and 6% of an unspecified cause.
Overall, around 8 out of 10 people with Hodgkin lymphoma live at least 5 years and most of these will be cured. However, there's a risk of long-term problems after treatment, including infertility and an increased risk of developing another type of cancer in the future.
Blood tests are not used to diagnose lymphoma, but they can sometimes help determine how advanced the lymphoma is.
Cancer-related fatigue is exhaustion that's at a much higher level than would usually be expected – you might feel tired very quickly after doing quite little. It can be physical, emotional or mental exhaustion.
Cutaneous T cell lymphoma
Many types of CTCL start as flat red patches on the skin, which can sometimes be itchy. With darker skin, the patches may appear lighter or darker than the surrounding skin. In the early stages, the skin patches can look like other common conditions such as eczema or psoriasis.
Urgent referral to a specialist
night sweats. unexplained weight loss. itchy skin. shortness of breath or cough.
Loss of Appetite
Not feeling hungry or getting full very quickly is another possible sign of lymphoma. Some patients also feel nauseous, vomit, or develop abdominal pain. Lymphoma affecting your liver might also cause you to feel bloated, resulting from a fluid build-up in your abdomen.
Although lymphoma lumps often appear in clusters, it is possible to have a single lump. The lumps may be confined to one area of the body, such as the neck, or develop in multiple areas, such as the neck, armpits and groin. Lymphoma lumps have a rubbery feel and are usually painless.