Malignant lymphoma chemotherapy regimen

Written by Peng Li Bo
Oncology
Updated on May 11, 2025
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The chemotherapy for malignant lymphoma, I personally don't think is very painful.

Actually, lymphoma treatment nowadays not only includes chemotherapy but also targeted therapy and immunotherapy, so it is not very painful. Moreover, generally speaking, the common side effects of chemotherapy include nausea, vomiting, fatigue, poor spirit, constipation, or diarrhea. In clinical practice, these symptoms can be controlled by using antiemetic, hepatoprotective, gastric protective, and cardioprotective drugs. Of course, another common side effect of lymphoma chemotherapy is bone marrow suppression, which can cause a decrease in white blood cells and platelets. However, if there is only a mild decrease, we can restore these levels with oral medication to increase white blood cells or injections to increase white blood cells and platelets. If the suppression is very severe, it could potentially be life-threatening. But strictly speaking, more than 95% of patients can tolerate chemotherapy.

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Written by Peng Li Bo
Oncology
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What is lymphoma Ki-67?

Lymphoma Ki67, also known as the proliferation index, is one of the indicators in immunohistochemistry performed after the pathological diagnosis of lymphoma. If this proliferation index is higher, it indicates that the activity of the tumor is stronger, and its proliferation is more active, thus the tumor should be given sufficient attention. Of course, active treatment should be pursued. Therefore, Ki67 reflects the activity of a tumor; if the index is very high, greater than 90%, it sometimes implies that the tumor can grow very rapidly, or not only grows significantly but might also spread to many places.

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Written by Liu Liang
Oncology
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Can people with lymphoma eat lamb?

Patients with lymphoma do not have any specific dietary restrictions, unlike traditional Chinese medicine, which refers to certain "heaty" foods that should be avoided. In Western medicine, as long as the diet is nutritionally balanced, including meat, protein, vegetables, and fruits, it fulfills the requirements of a balanced and comprehensive nutrition. The aim is to enhance the patient's immune system. There are no specific foods that are forbidden, so foods like lamb and beef can be consumed by lymphoma patients.

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Written by Zhou Zi Hua
Oncology
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Typical symptoms of lymphoma

Typical symptoms of lymphoma include night sweats, fever, and weight loss. This fever often occurs in the afternoon, characterized as a cyclical fever that lasts for several days with irregular patterns. There are fever-free intervals ranging from a few days to several weeks, almost a nonspecific symptom but not commonly seen. Fever, night sweats, and unexplained weight loss of more than 10% within six months, or even emaciation, are considered B symptoms and are associated with a poor prognosis. In addition, skin itching is also not uncommon in late-stage patients.

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Written by Liu Liang
Oncology
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Lymphoma registration: which department?

Patients diagnosed with lymphoma can register under the departments of Hematology or Oncology, as both departments can administer chemotherapy. However, radiation therapy can only be conducted in the Oncology department. Each hospital may have slightly different categorizations for departments and diseases. However, for a patient initially presenting with lymphoma, who has not yet been diagnosed and primarily shows symptoms of painless lymph node enlargement, they can register under General Surgery. After completing necessary examinations like an ultrasound, if lymphoma is suspected, a lymph node excision biopsy is usually performed in General Surgery.

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Written by Liu Liang
Oncology
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Early symptoms of lymphoma

The early symptoms of lymphoma patients are primarily due to its predilection for lymph nodes, with the majority of cases initially presenting with swollen lymph nodes in the neck or collarbone area. These lymph nodes usually enlarge progressively without pain, which is the most common early clinical symptom. However, some specific types of lymphoma, such as nasal NKT lymphoma, present with localized symptoms like nasal congestion, nosebleeds, or a runny nose. There are also lymphomas originating in the stomach, part of the digestive tract, whose symptoms include upper abdominal pain, nausea, or vomiting. Furthermore, some lymphomas originate in the skin, manifesting as skin nodules. Therefore, depending on the site of occurrence, the symptoms can vary, but the enlargement of superficial lymph nodes remains the primary clinical manifestation in most cases.