Call us anytime. This page was updated on November 3, Non-Hodgkin lymphoma stages. Grading non-Hodgkin lymphoma Doctors will determine whether the lymphoma is low grade indolent or slow growth rate , intermediate grade moderate growth rate or high grade aggressive or rapid growth rate. Staging non-Hodgkin lymphoma Non-Hodgkin lymphoma staging is the process of identifying the location of the cancer, the number of lymph nodes affected by the cancer and whether the disease has spread from the original site to other parts of the body, including organs outside the lymphatic system, such as the liver or lungs.
Additional staging factors for non-Hodgkin lymphoma Stages of non-Hodgkin lymphoma are identified using the numbers 1 through 4. Doctors may also use the letters A, B, E and S to help describe the cancer: A and B: The letter B indicates the presence of one or more of the following symptoms : drenching night sweats, fever or unexplained weight loss.
The stages of non-Hodgkin lymphoma are: Stage 1 non-Hodgkin lymphoma: The cancer is found in a single region or organ, usually one lymph node and the surrounding area. Have questions about cancer? Staging is a way of describing how much of your body is affected by the lymphoma.
That information will suggest how the disease is likely to progress and determine the best types of treatment. To see how far the lymphoma has spread through the lymphatic system, other tests may be done. For people with follicular lymphoma, doctors consider the hemoglobin level, which is a part of the blood, the number of lymph node groups involved, LDH level, stage, and age.
Doctors use these factors to estimate the prognosis of a lymphoma. For incurable lymphoma, they help predict how aggressive the lymphoma might be. A lower score indicates a better functional status.
Typically, the better someone is able to walk and care for themselves, the better the prognosis. Restricted in physically strenuous activity but able to walk and carry out light work while standing or sitting, such as light house work or office work. The next section in this guide is Types of Treatment. Use the menu to choose a different section to read in this guide. When staging NHL, doctors evaluate: How many cancerous lymph node areas there are Where the cancerous lymph nodes are: regional in the same area of the body or distant in other parts of the body If the cancerous lymph nodes are on 1 or both sides of the diaphragm, the thin muscle under the lungs and heart that separates the chest from the abdomen If the disease has spread to the bone marrow, spleen, or extralymphatic organs organs that are not part of the lymphatic system , such as the liver, lungs, or brain The stage of lymphoma describes the extent of spread of the tumor using the Roman numerals I, II, III, or IV 1 through 4.
Stage I: Either of these conditions applies: The cancer is found in 1 lymph node region stage I. Stage II: Either of these conditions: The cancer is in 2 or more lymph node regions on the same side of the diaphragm stage II. International Prognostic Index In addition to stage, a scale called the International Prognostic Index IPI is important in determining the prognosis of aggressive lymphomas. Patients are classified into low-risk or high-risk groups depending on several factors, including: Age 60 or older Stage III-IV disease Blood test results showing higher-than-normal levels of lactate dehydrogenase LDH , an enzyme found in the blood Lower overall health, known as performance status see below Cancer in more than 1 organ or site outside the lymph node region For people with follicular lymphoma, doctors consider the hemoglobin level, which is a part of the blood, the number of lymph node groups involved, LDH level, stage, and age.
Hodgkin lymphomas contain cells called Reed Sternberg cells. Treatment for Hodgkin lymphoma is different from other types of lymphoma. About Cancer generously supported by Dangoor Education since Questions about cancer? Call freephone 9 to 5 Monday to Friday or email us. Skip to main content. Home About cancer Hodgkin lymphoma Stages of Hodgkin lymphoma.
How doctors work out your stage Doctors look at whether the lymphoma is on one side, or both sides of the diaphragm. The diaphragm The diaphragm pronounced dia-fram is the big breathing muscle that separates the chest from the tummy abdominal area.
Doctors use the diaphragm as a guide because it is about halfway down the body. Inside or outside of the lymphatic system Doctors look at whether the lymphoma is affecting: the nodes and organs of the lymphatic system — these are called lymphatic sites areas outside of the lymphatic sites — called extranodal or extralymphatic sites Lymphatic sites include a group of lymph nodes or an organ of the lymphatic system, such as the thymus or spleen.
Extranodal sites include the lungs, liver, blood, bone marrow, kidneys, brain and spinal cord. People with B symptoms may need more treatment than those without them. Bulky disease This means you have either: a lymph node that is 10cm or more lymphoma in the centre of your chest mediastinum which is at least a third of the width of your chest Stage 1 This means that you have one of the following: lymphoma in a single lymph node or one group of lymph nodes, or an organ of the lymphatic system such as the thymus lymphoma in an extranodal site 1E Below is an example of stage 1 lymphoma.
Stage 2 This means one of the following: your lymphoma is in two or more groups of lymph nodes your lymphoma is in an extranodal site and one or more groups of lymph nodes 2E In both cases, the 2 sites of lymphoma are on the same side of the diaphragm.
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