Stage 4 lymphoma: facts, types, symptoms and treatment
Stage 4 lymphoma: facts, types, symptoms and treatment
Combating anxiety and knowledge
But it is important to know that some types of stage 4 lymphomas can be cured. Your prognosis depends, in part, on the type of Stage 4 lymphoma you have.
Learn more about different lymphoma subtypes, including treatment options and long-term prospects for Hodgkin's lymphoma and non-Hodgkin's lymphoma.
TypesTypes of lymphoma
Lymphoma is not a unique disease. The term refers to a group of blood cancers that can develop in your lymphatic system. There are two main types of lymphoma:
Hodgkin lymphoma
Non-Hodgkin's lymphoma (NHL)
If a lymphoma is diagnosed, your doctor will perform tests to determine the stage of the disease you have. Stage 4 is the most advanced stage of lymphoma. The characteristics of the Stage 4 lymphoma vary, depending on the lymphoma subtype you have.
Hodgkin lymphoma
According to estimates by the American Cancer Society (ACS), about 8 500 new cases of Hodgkin's lymphoma will be diagnosed in the United States in 2016.
Hodgkin's lymphoma is treatable, especially in its early stages. The one-year survival rate for all patients diagnosed with Hodgkin's lymphoma is about 92%. The five-year survival rate is about 86%. For people with stage 4 Hodgkin lymphoma, the survival rate is lower. But even at stage 4, you can beat the disease.
If you have Hodgkin's lymphoma that spreads into one or more organs outside of your lymphatic system, you will be diagnosed with stage 4 of the disease. For example, cancer may have spread to the liver, lungs or bone marrow.
Non-Hodgkin's lymphoma (NHL)
Represents about 4% of all cancers in the United States, reports the SCA. It is estimated that about 72 580 people in the country will be diagnosed in 2016.
The many NHL subtypes are categorized either as B lymphocytes or lymphocyte-type T lymphocytes. Subtypes are further categorized as aggressive or indolent.
Aggressive NHL progresses rapidly. According to the Leukemia and Lymphoma Society (they), about 60 percent of people with NHL have aggressive subtypes of the disease. Large B-cell diffuse lymphoma (DLBCL) is the most common aggressive subtype. It affects about 30 percent of people with NHL in the United States.
The indolent NHL is growing slowly. It represents about 30 percent of the NHL cases in the United States, reports it. Follicular lymphoma is the most common type of indolent NHL.
If you have an NHL that spreads out of your lymphatic system to an organ that is not next to a lymph node reached, you have reached stage 4 of the disease. You also have a stage 4 NHL if it spreads to the bone marrow, liver, lungs, brain or spinal cord.
Symptoms symptoms of a stage 4 lymphoma
Stage 4 Hodgkin's lymphoma and NHL show similar symptoms. Your symptoms will depend on the type of lymphoma you have and the organs affected. Your symptoms may include:
Fatigue
Sweats
Recurrent fevers
Weight loss
Itching
Bone pain, if your bone marrow is affected
Loss of appetite
Abdominal pain
Abdominal swelling
Nausea
Vomiting
Constipation, if your spleen, your intestines or other parts of your abdomen are affected
Chest pain, shortness of breath or coughing if you have tumors press your trachea or your upper vena cava
TraitementTraitement for Stage 4 lymphoma
Your recommended treatment plan will vary. This will depend on the type of lymphoma you have, the organs affected, your health and your medical history.
Hodgkin lymphoma
To treat Hodgkin's lymphoma, your doctor may recommend chemotherapy. For example, they may recommend:
Six or more cycles of ABVD, a chemotherapy regimen that includes drugs doxorubicin, bleomycin, vinblastine, and Dacarbazine
12 weeks of the Stanford V protocol, a combination of mechlorethamine drugs, doxorubicin, vinblastine, vincristine, bleomycin, etoposide and prednisone, followed by the BEACOPP diet, which includes bleomycin drugs, Etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine and prednisone
If your condition is not. Answering the initial treatment, your doctor may recommend other combinations of medications, higher doses of medications or a transplant
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