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lymphoma, non-Hodgkin's

   Also found in: Dictionary/thesaurus, Medical 0.04 sec.
lymphoma, non-Hodgkin's, any cancer of the lymphoid tissue (see lymphatic system lymphatic system (lĭmfăt`ĭk)
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) in which the Reed-Sternberg cells characteristic of Hodgkin's disease Hodgkin's disease, a type of cancer of the lymphatic system . First identified in 1832 in England by Thomas Hodgkin, it is a type of malignant lymphoma. Incidence peaks in young adults and the elderly.
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 (the other category of lymphoma) are not present. There are about 10 different types of non-Hodgkin's lymphomas, some slower- or faster-growing than others. Non-Hodgkin's lymphoma can affect children as well as adults. In most cases the cause is unknown, but an increased incidence has been observed in people who have been exposed to Agent Orange Agent Orange, herbicide used by U.S. forces during the Vietnam War to expose enemy guerrilla forces in forested areas. Agent Orange contains varying amounts of dioxin.
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, and some forms of the disease are frequently seen in people with AIDS AIDS or acquired immunodeficiency syndrome, fatal disease caused by a rapidly mutating retrovirus that attacks the immune system and leaves the victim vulnerable to infections, malignancies, and neurological disorders.
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, many of these in association with latent Epstein-Barr virus infection.

Symptoms

The first symptom of non-Hodgkin's lymphoma is often a painless swelling of a lymph node in the neck, the groin, or under the arm. Other symptoms include fever, night sweats, itching, and unexplained weight loss. Diagnosis is made by laboratory study of tissue obtained by taking a biopsy biopsy (bīäp`sē), examination of cells or tissues removed from a living organism.
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 of the suspicious lymph node or nodes.

Treatment

Treatment depends on how far the disease has progressed. It may include external-beam radiation therapy, chemotherapy, or biological therapy (boosting the body's immune response to the disease). Rituxan, a genetically engineered drug involving monoclonal antibodies monoclonal antibody, an antibody that is mass produced in the laboratory from a single clone and that recognizes only one antigen. Monoclonal antibodies are typically made by fusing a normally short-lived, antibody-producing B cell (see immunity ) to a fast-growing
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, has been approved for use against some low-grade (slow-growing) non-Hodgkin's lymphoma.

Bone marrow Bone marrow transplantation is a technique that infuses healthy bone marrow into a patient whose bone marrow is defective. The transplant can be autologous, consisting of bone marrow removed from the patient, treated, and then reinserted, or it can be allogeneic, consisting of
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 transplantation is also sometimes used. In this technique, bone marrow (blood cell–producing tissue inside bone) is taken from the patient and treated to kill any cancer cells. The patient is then given very high dose chemotherapy designed to destroy the cancer; it also destroys the remaining bone marrow. After chemotherapy, the stored marrow is reinserted into the patient. In children, chemotherapy is the most common treatment.

Bibliography

See publications of the National Cancer Institute and the American Cancer Society.



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