Hodgkin Lymphoma Cancer from Diagnosis to Treatment


What Is Hodgkin Lymphoma?

Hodgkin Lymphoma is a cancer of the lymphatic system, which is part of the body’s immune system.

It occurs when abnormal lymphocytes | a type of white blood cell | grow uncontrollably, forming tumors in the lymph nodes or other organs.

The key feature that distinguishes Hodgkin Lymphoma from other lymphomas is the presence of Reed - Sternberg cells, large abnormal B-lymphocytes visible under a microscope.


1. Early Signs and Symptoms

Painless swollen lymph nodes
Fever and night sweats
Unexplained weight loss
Fatigue and weakness
Persistent cough or chest pain
Itchy skin
Loss of appetite


2. Causes and Risk Factors
The exact cause is not fully understood, but certain factors increase risk

Epstein–Barr virus infection
Family history of lymphoma
Weakened immune system


3. Diagnostic Procedure

Physical Examination
Doctor checks for swollen lymph nodes, spleen, or liver.

Blood Tests
To assess general health, infection, and organ function.

Lymph Node Biopsy
The definitive test for Hodgkin Lymphoma.
A lymph node | or part of it | is removed and examined under a microscope to look for Reed - Sternberg cells.

Imaging Tests
CT scan, PET scan, or MRI to detect enlarged nodes and assess spread.

Bone Marrow Aspiration and Biopsy
To check if lymphoma cells have spread to the bone marrow.


4. Staging
The stage helps determine treatment.

Stage I - Cancer in one lymph node region or one organ.

Stage II - Cancer in two or more lymph node regions on the same side of the diaphragm.

Stage III - Cancer on both sides of the diaphragm.

Stage IV - Cancer spread to organs like liver, bone marrow, or lungs.

A or B classification

A - No systemic symptoms.
B - Fever, night sweats, or weight loss present.


5. Treatment Options

Chemotherapy

Common regimens:
Adriamycin, Bleomycin, Vinblastine, Dacarbazine.
BEACOPP for advanced stages.

Radiation Therapy

Targets remaining cancer cells in specific areas after chemotherapy.

Combined Modality Therapy

Chemotherapy followed by localized radiation - often used in early stages.

Targeted Therapy

Brentuximab vedotin targets CD30 protein on lymphoma cells.

Immunotherapy

Nivolumab and Pembrolizumab | checkpoint inhibitors | help the immune system attack cancer cells.

Stem Cell Transplant

For relapsed or resistant Hodgkin Lymphoma, high-dose chemo followed by stem cell transplant may be used.


6. Preferred Nutrition for Patients

High-protein foods:
chicken, fish, eggs, beans.

Fruits & vegetables:
rich in antioxidants | spinach, berries, carrots.

Whole grains:
oats, brown rice.

Hydration:
plenty of water, soups, and herbal teas.

Healthy fats:
olive oil, nuts, avocado.



7. Follow-Up

Hodgkin Lymphoma is one of the most curable cancers, with high survival rates - especially if diagnosed early.

Regular follow-up scans and blood tests help monitor for recurrence.

Survivors should be screened for long-term side effects such as thyroid problems or secondary cancers.