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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Written by Wu Xia
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Is lymphoma contagious?

Current research has not found lymphoma to have a very clear genetic predisposition or familial clustering. This is entirely different from familial breast cancer and colon cancer. Although there are many causes of lymphoma, and it is likely related to certain bacterial and viral infections, the mechanism of tumor occurrence is very complex. Infection is only one of the external factors, and currently, there is no evidence that lymphoma has tendencies for contagion or outbreaks. Therefore, as a relative of a lymphoma patient, the risk of developing lymphoma is not significantly higher than that of the general population, so there is no need for excessive worry.

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Written by Liu Liang
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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 department should lymphoma go to?

Lymphoma can be treated in the departments of hematology or oncology, where chemotherapy for lymphoma can be conducted by both. In our hospital, radiotherapy is performed in the oncology department, not by the hematology department, which only provides chemotherapy. If lymphoma has not been confirmed and there is only superficial lymph node enlargement clinically, then examinations such as ultrasound or PADCT suggest the possibility of lymphoma. In such cases, patients can visit the general surgery department for a lymph node biopsy to confirm the diagnosis. After confirmation, the patient can register in either the hematology or oncology department for further treatment.

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The pattern of fever in lymphoma

Fever symptoms are quite common in patients with lymphoma, which we refer to as B symptoms. The pattern of their fevers is primarily low-grade, occurring more frequently in the afternoon or evening. Unlike ordinary bacterial infections, fevers in these patients do not respond well to anti-inflammatory drugs, but they do respond better to steroid treatment for reducing fever. However, if the lymphoma is not under control, their fever will repeatedly recur. Corresponding cooling treatments can reduce the temperature, but the fever will reoccur repeatedly. Only when the lymphoma and tumor are under control will the fever symptoms start to improve.

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Lymphoma fever symptoms

Patients with lymphoma commonly exhibit symptoms such as fever, clinically referred to as B symptoms. Some patients may also experience additional B symptoms such as fatigue, sweating, or weight loss. Patients displaying these B symptoms generally have a poorer prognosis. Furthermore, lymphoma patients typically experience fever more frequently in the afternoon or evening, usually presenting with a low-grade fever. If the condition of a lymphoma patient is not controlled, their fever symptoms will recur repeatedly. Only when the condition is under control will there be an alleviation of fever symptoms. Anti-inflammatory drugs are not effective in these cases.