Which department do you go to for lymphoma?

Written by Zhou Zi Hua
Oncology
Updated on September 02, 2024
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If a lump is found on the neck and lymphoma is suspected, the first step is to consult with the head and neck surgery department. The lymphoma lesion will be surgically removed by the department, and then sent for a pathological examination. If lymphoma is confirmed, the next steps involve treatment by the oncology department, hematology department, or radiation therapy department.

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How to check for lymphoma?

Patients with lymphoma generally present with painless enlargement of superficial lymph nodes as their initial symptom, most commonly in areas such as the neck, above the collarbone, and the groin. For diagnostic purposes, it is best, if possible, to conduct a whole-body PADCT scan as this helps in the staging of lymphoma at the initial visit. A definitive diagnosis requires the complete excisional biopsy of the affected superficial lymph node, followed by a pathological examination. An excisional biopsy is a method for confirming the diagnosis of lymphoma.

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What to check for malignant lymphoma?

The examination of lymphoma first requires routine blood tests and blood smears. When aggressive lymphoma invades the bone marrow, anemia, decreased white blood cells, and platelets may occur, and lymphoma cells can appear in peripheral blood; therefore, bone marrow smears and biopsies are necessary. Additionally, blood biochemistry is important, as an increase in lactate dehydrogenase is associated with tumor burden and is an indicator of poor prognosis. Furthermore, Hodgkin's lymphoma may involve the central nervous system, so patients with symptoms of central nervous system involvement need to undergo cerebrospinal fluid examination. The most important aspect of lymphoma is the histopathological examination. Based on the histopathological examination, the pathological staging is determined, and genetic rearrangement can also be performed.

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What are the early symptoms of lymphoma?

Lymphoma is a malignant tumor of the hematological system, with early symptoms including painless enlargement of the lymph nodes in the neck, which are generally well-movable and firm or hard in texture early on, without inflammatory changes such as redness, swelling, heat, or pain. Additionally, lymphomas occurring in the gastrointestinal tract can clinically present with symptoms such as upper abdominal fullness and discomfort, bloating, nausea, recurrent acid reflux, and belching. Lymphomas occurring in the respiratory system can manifest clinically with symptoms such as cough, shortness of breath after activity, and chest pain. Lymphomas occurring in the brain can cause dizziness, headaches, movement disorders, ataxia, and abnormal gait.

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Is lymphoma serious?

The severity of lymphoma relates to its specific pathological type and the stage of discovery among other factors. For instance, some highly aggressive lymphomas grow very rapidly, leading to swift disease progression, resulting in a poorer prognosis and more severe conditions. On the other hand, indolent lymphomas progress slowly, with lymph node growth being particularly sluggish, and the disease course can extend to even decades. Thus, conditions of such indolent lymphomas are relatively milder. The stage of lymphoma at the time of discovery also plays a role; early-stage lymphoma, such as stage I or II, is comparatively less severe. In contrast, patients with later stages, such as stage III or IV, experience more severe conditions. Therefore, the type of pathology and the stage at discovery are all significant factors.

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Does lymphoma infect family members?

Lymphoma and other malignant tumors, such as lung cancer, breast cancer, intestinal cancer, liver cancer, etc., are all non-contagious. Therefore, even if you live with your family every day, you do not have to worry about transmitting malignant tumors to your family members; they are not contagious. When we refer to contagious diseases, we call them infectious diseases, common ones include tuberculosis, hepatitis B, hepatitis C, H1N1, etc. These are contagious diseases, but malignant tumors are not contagious and will not be spread to family members.