Learn About Hodgkin Lymphoma

What is the definition of Hodgkin Lymphoma?
Hodgkin’s lymphoma, also known as Hodgkin’s disease, is one of the most common types of lymphatic cancer (cancer of the immune system) and is one of the most curable forms of cancer. Lymphoma is a term used to describe cancers that affect the lymph nodes and lymph system (immune system), which is also composed of many blood vessels and organs, including the spleen, areas of the intestines, thymus gland, tonsils, and adenoids. Hodgkin’s lymphoma has two main types: 1) Classical Hodgkin’s lymphoma, and 2) nodular lymphocyte-predominant Hodgkin’s lymphoma. Classical Hodgkin’s lymphoma is the most common type of Hodgkin’s lymphoma and is characterized by large, abnormal cells (Reed-Sternberg cells) in the lymph nodes and is divided into four subtypes: 1) nodular sclerosis Hodgkin’s lymphoma, 2) mixed cellularity Hodgkin’s lymphoma, 3) lymphocyte-depleted Hodgkin’s lymphoma, and 4) lymphocyte-rich Hodgkin’s lymphoma. Nodular sclerosis Hodgkin’s lymphoma is rare, grows more slowly than classic Hodgkin’s lymphoma, is characterized by large, abnormal cells called popcorn cells, is treated differently, and has a better chance of cure. Hodgkin’s lymphoma is categorized by the following stages: Stage I – The lymphoma is only in one lymph node region or a single organ. Stage II – The lymphoma is in two lymph node regions or has spread (metastasized) to one organ and its nearly lymph nodes but is limited to either above or below the diaphragm. Stage III – The lymphoma has spread to the lymph nodes both above and below the diaphragm and may have spread (metastasized) to tissue near an organ, lymph nodes, or the spleen. Stage IV – In this advanced stage of lymphoma, the cancer has spread (metastasized) to several areas of one or more organs or tissues and affects the lymph nodes and other areas of the body, such as the lungs, liver, or bone. Hodgkin’s lymphoma is further described as either A (no significant symptoms) or B (significant symptoms, such as chronic fever, unexplained weight loss, and severe night sweats).
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What are the alternative names for Hodgkin Lymphoma?
Hodgkin’s lymphoma may also be referred to as HL or Hodgkin's disease.
What are the causes of Hodgkin Lymphoma?
While the causes of Hodgkin’s lymphoma are unknown, the disease begins when cells (lymphocytes) in the lymphatic system undergo a genetic mutation that causes the cells to grow abnormally and multiply in areas of the lymphatic system, such as the lymph nodes, and eventually form tumors. Several risk factors also increase the chances of developing Hodgkin’s lymphoma, including being male, having been infected with the Epstein-Barr virus (EBV), which causes mononucleosis, being infected with the human immunodeficiency virus (HIV), having a weakened immune system, being between the ages of 15 and 40-years-old or over the age of 50, and having a family history of lymphoma.
What are the symptoms of Hodgkin Lymphoma?
The most common symptom of early-stage Hodgkin’s lymphoma is the appearance of a painless, swollen lymph node in the neck (most common site), underarm, or groin. Further symptoms of Hodgkin’s lymphoma may include chronic fatigue, unexplained weight loss, cough, severe itching, increased sensitivity to alcohol, including pain in lymph nodes after drinking, fever, difficulty breathing (dyspnea), night sweats, enlargement of the liver (hepatomegaly) or spleen (splenomegaly), abnormalities of the gastrointestinal system and/or kidneys, and rarely, bone pain.
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What are the current treatments for Hodgkin Lymphoma?
Treatment for Hodgkin’s lymphoma depends on the type and how far it has advanced (stage) and focuses on killing the cancer cells in order to achieve remission. Treatments for Hodgkin’s lymphoma include chemotherapy, radiation therapy, targeted therapy, immunotherapy, and bone marrow transplant (stem cell transplant). Chemotherapy – Chemotherapy uses drugs to kill cancer cells and can be administered orally (pill), intravenously (systemic chemotherapy; IV), or by other methods and is often used in combination with radiation therapy or other drugs, such as corticosteroids, for Hodgkin’s lymphoma. Chemotherapy drugs combined with corticosteroids used for Hodgkin’s lymphoma include the combination regimen of nitrogen mustard, vincristine (Oncovin), procarbazine, and prednisone (MOPP), the combination regimen of doxorubicin (Adriamycin), bleomycin, vinblastine, and dacarbazine (ABVD), or a combination of MOPP and ABVD every other month, the combination regimen of nitrogen mustard, vincristine (Oncovin), procarbazine, bleomycin, Adriamycin, and prednisone (MOP-BAP), and the combination regimen chlorambucil, vinblastine, procarbazine, and prednisone (ChlVPP). The drug, Leukine, has recently been approved for the treatment of Hodgkin’s lymphoma. Radiation therapy – Radiation therapy uses high-energy radiation, such as X-Rays or protons, to kill cancer cells and is often used in combination with chemotherapy for classical Hodgkin’s lymphoma. Early-stage nodular lymphocyte-predominant Hodgkin’s lymphoma may be treated with radiation therapy alone. Several radiation treatments may be given several times a week over a period of weeks, usually 30 minutes at a time. Targeted therapy – Targeted therapy uses drugs that are designed to attack certain proteins on cancer cells to kill them or stop them from growing and includes drugs that target specific genetic mutations for Hodgkin’s lymphoma, which include the monoclonal antibodies, brentuximab and rituximab. Immunotherapy (Biological therapy) – Immunotherapy for Hodgkin’s disease uses immune checkpoint inhibitor therapy such as the PD-1  inhibitors, nivolumab and pembrolizumab, to treat Hodgkin’s lymphoma that has recurred.  Bone marrow transplant, also known as stem cell transplant, may be used to replace diseased bone marrow with healthy stem cells for Hodgkin’s lymphoma that has recurred after treatment.  For pregnant women with Hodgkin’s lymphoma, treatment may include watchful waiting or steroid therapy. The chemotherapy drug, Vinblastine, may be given in the second or third trimester of pregnancy, if necessary.
Who are the top Hodgkin Lymphoma Local Doctors?
Highly rated in

RWJBarnabas Health

1275 York Ave 
New York, NY 10065

Anas Younes is an Oncologist in New York, New York. Dr. Younes has been practicing medicine for over 39 years and is rated as an Elite doctor by MediFind in the treatment of Hodgkin Lymphoma. He is also highly rated in 25 other conditions, according to our data. His top areas of expertise are Non-Hodgkin Lymphoma, Diffuse Large B-Cell Lymphoma, Hodgkin Lymphoma, and B-Cell Lymphoma. He is licensed to treat patients in New York and Texas.

Highly rated in
Pediatric Hematology Oncology

Roswell Park Comprehensive Cancer Center

665 Elm St 
Buffalo, NY 14203

Kara Kelly is a Pediatric Hematologist Oncology specialist and a Pediatrics doctor in Buffalo, New York. Dr. Kelly has been practicing medicine for over 33 years and is rated as an Elite doctor by MediFind in the treatment of Hodgkin Lymphoma. She is also highly rated in 4 other conditions, according to our data. Her top areas of expertise are Hodgkin Lymphoma, Acute Lymphoblastic Leukemia, Leukemia, and Rosai-Dorfman Disease. She is licensed to treat patients in New York. Dr. Kelly is currently accepting new patients.

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Highly rated in
Hematology Oncology


1500 E Duarte Rd 
Duarte, CA 91010

Matthew Mei is a Hematologist and a Hematologist Oncology doctor in Duarte, California. Dr. Mei has been practicing medicine for over 15 years and is rated as an Elite doctor by MediFind in the treatment of Hodgkin Lymphoma. He is also highly rated in 23 other conditions, according to our data. His top areas of expertise are Hodgkin Lymphoma, Diffuse Large B-Cell Lymphoma, Non-Hodgkin Lymphoma, and Acute Myeloid Leukemia. He is licensed to treat patients in California.

What are the support groups for Hodgkin Lymphoma?
There are several online, local, national, and international support groups for Hodgkin’s lymphoma, including the following: CancerCare - https://www.cancercare.org/diagnosis/lymphoma Cancer Support Community - https://www.cancersupportcommunity.org/hodgkin-lymphoma Leukemia and Lymphoma Society - https://www.lls.org/support/support-groups
What is the outlook (prognosis) for Hodgkin Lymphoma?
While the outcomes (prognosis) for Hodgkin’s lymphoma depend on the stage of the cancer, the type of Hodgkin lymphoma, whether the lymphoma has spread (metastasized), or whether the cancer has recurred, and the patient’s overall health, most Hodgkin’s lymphoma can be cured.
What are the possible complications of Hodgkin Lymphoma?
Most complications of Hodgkin’s lymphoma are related to the cancer treatment and may include chronic fatigue, infertility, low thyroid (hypothyroidism), severe infection, an increased risk of secondary cancers, a weakened immune system, headaches, diarrhea, aching muscles, painful, blistering rash, lung problems, heart disease, and avascular necrosis of bone (loss of blood flow, usually to the hip bone).
When should I contact a medical professional for Hodgkin Lymphoma?
If you experience any symptoms of Hodgkin’s lymphoma, such as persistent fever, fatigue, difficulty breathing or wheezing, lymph node pain after drinking alcohol, severe itching, night sweats, and especially the appearance of a painless, swollen lymph node in the neck, underarm, or groin, make an appointment with your doctor as soon as possible.
How do I prevent Hodgkin Lymphoma?
There is no known method of prevention for Hodgkin’s lymphoma other than avoiding infection with the human immunodeficiency virus (HIV) by practicing safe sex and not injecting drugs with dirty or unsterilized needles.
What are the latest Hodgkin Lymphoma Clinical Trials?
A Study of CD137 Agonist ADG106 Administered Intravenously in Patients With Advanced or Metastatic Solid Tumors and/or Non-Hodgkin Lymphoma
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Phase I Study of MK-3475 (Pembrolizumab) in Patients With Human Immunodeficiency Virus (HIV) and Relapsed/Refractory or Disseminated Malignant Neoplasm
What are the Latest Advances for Hodgkin Lymphoma?
Durable remission for four pediatric patients with high-risk relapsed classical Hodgkin lymphoma treated with brentuximab vedotin plus gemcitabine but without autologous stem cell transplantation: A report from the Children's Oncology Group.
A drug profile on selinexor for the treatment of refractory diffuse large B-cell lymphoma.
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Sugemalimab: First Approval.