April 17, 2024

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Swollen lymph nodes may be Hodgkin’s lymphoma

Swollen lymph nodes may be Hodgkin’s lymphoma


Swollen lymph nodes may be Hodgkin’s lymphoma. The lymph nodes in the neck were enlarged, not painful or itchy, and a little hard.

The incidence of malignant tumors is getting higher and higher, and correct screening cannot be ignored.


The “culprit” was a relatively rare tumor when the patient found the painless lymph nodes on the neck. What is going on? Let us understand the ins and outs of the next thing!

ET/CT examination showed:

There are multiple enlarged lymph nodes in the mediastinum of the right lower neck and thorax, and FDG metabolism is significantly increased. Lymphoma is considered.

After a needle biopsy at the Cancer Hospital, it was determined to be classic Hodgkin’s lymphoma (nodular sclerosis type).


Malignant tumors that are easy to “focus” on young people

Lymphoma is one of the fastest growing malignant tumors in the world in the past 10 years. According to the latest statistics of the World Health Organization, its incidence has increased by 5% to 7% annually, and the annual death toll exceeds 200,000; according to the announcement by the National Cancer Center According to data, there are about 100,000 new incidences of lymphoma in some countries each year, surpassing leukemia in the field of hematological tumors, and accounting for the eighth place among tumors.

The age of onset of lymphoma presents two peaks: one is the majority of elderly patients over 80 years old, which may be related to some countries’s entry into an aging society and the improvement of medical standards; the other is that there are many young patients, which may be related to work and life pressure and poor lifestyle.

Hodgkin’s lymphoma accounts for only 15% of all lymphomas and is a rarer lymphoma. However, compared with most other malignant tumors, the age of onset of Hodgkin’s lymphoma is relatively young. The average age of Hodgkin’s lymphoma patients is 32 years old. It is one of the most common malignant tumors in young people, and it is worthy of vigilance.


On average, there is a new patient with lymphoma every 6 minutes

The lymphatic system is a very important immune tissue of the human body. The immune system in the young and middle-aged is in the process of continuous development and is prone to malignant changes in the process of adapting to changes in the outside world. In addition, young people’s life and work pressure, irregular life, and excessive fatigue are also one of the triggers for the onset of lymphoma.

Lymphoma is a tumor with the highest incidence in the blood system. It can occur in any part of the body. The early symptoms are very similar to many common colds and other “small problems”. Some of the early signs are particularly worthy of attention, such as: frequent fever, night sweats, Bone pain, weight loss, cough, nosebleeds, fatigue and progressive swelling of the neck, clavicle fossa, armpits, and inguinal lymph nodes.

Lymphoma is a malignant tumor with a relatively high cure rate. Even the latest stage IV cure rate is very high, and even if it recurs, there is still a certain cure rate. Therefore, lymphoma is not an incurable disease. The key lies in early detection and early treatment!


What tests are needed after the diagnosis of lymphoma?

The distribution of lymphocytes and lymphoid tissues throughout the body determines that lymphoma is a type of systemic disease. At the onset of the disease, there are often multiple parts. Except for hair, nails, and cornea, parts of the body with lymphatic tissue and lymph nodes may be invaded, including blood and bone marrow. Therefore, after the diagnosis of lymphoma is clear, a comprehensive assessment of the location, number, and size of the systemic lesions should be carried out for two purposes:

Staging the disease: For the same type of lymphoma, if the stages are different, the treatment principles, duration of treatment and prognosis are often quite different;

The basic data at the initial stage of the onset of the disease is retained to facilitate the evaluation of the efficacy after treatment, and to decide whether to continue the original treatment, adjust the dose or change to a more effective treatment.

As an important imaging method, PET/CT can find abnormal lymph node lesions, which is conducive to comprehensive assessment of disease stage and treatment effect. NCCN recommends that PET/CT can be used for the initial staging of lymphoma and the evaluation of residual lesions after treatment.

PET/CT can not only show the size of tumor lesions, but also the metabolic activity inside the tumor. Especially for lymphoma, it is sometimes difficult to judge whether a slightly larger lymph node is a normal lymph node, lymph node hyperplasia, or lymphoma invasion by conventional CT and B-ultrasound. At this time, PET/CT has better judgment value. Therefore, if economic conditions permit, it is recommended to choose PET/CT examination as much as possible.

Swollen lymph nodes may be Hodgkin's lymphoma

Picture: PET/CT equipment


Sum up

Healthy lifestyles such as a combination of work and rest, regular work and rest, and a reasonable diet have a positive effect on the prevention of lymphoma. Regular physical examinations once a year can help everyone understand their health in a timely manner.

The vast majority of early-stage lymphomas can be found through standardized physical examinations. The main clinical feature of most patients is lymphadenopathy in different parts of the body, which can be found through regular physical examinations and imaging examinations.


(source:internet, reference only)

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