Non-Hodgkin lymphoma: diagnosis and treatment

SM Ansell - Mayo Clinic Proceedings, 2015 - Elsevier
SM Ansell
Mayo Clinic Proceedings, 2015Elsevier
Non-Hodgkin lymphomas are lymphoid malignant neoplasms with diverse biological and
clinical behavior. Patients typically present with persistent painless lymphadenopathy, but
some patients may present with constitutional symptoms or with involvement of organs other
than the lymphoid and hematopoietic system. An accurate diagnosis, careful staging of the
disease, and identification of adverse prognostic factors form the basis of treatment
selection. Patients commonly receive chemoimmunotherapy as initial treatment, and …
Abstract
Non-Hodgkin lymphomas are lymphoid malignant neoplasms with diverse biological and clinical behavior. Patients typically present with persistent painless lymphadenopathy, but some patients may present with constitutional symptoms or with involvement of organs other than the lymphoid and hematopoietic system. An accurate diagnosis, careful staging of the disease, and identification of adverse prognostic factors form the basis of treatment selection. Patients commonly receive chemoimmunotherapy as initial treatment, and radiation therapy may be added if patients have early-stage disease. Most patients respond well to treatment, but relapses are frequent and additional therapies including stem cell transplant are often needed. Because many subtypes of lymphoma remain incurable with current management strategies, clinical trials are in progress to identify novel therapies with promising activity in this disease.
Elsevier