Thursday, September 18, 2014

Non-Hodgkin's Lymphoma Diagnoses Are Up; So Are Options

54,000 Americans diagnosed each year with non-Hodgkin's lymphoma (NHL) - once uncommon cancers of the immune system. The rate of NHL in the U.S. has nearly doubled since the 1970s. For many people with these cancers, relapse scenarios are all too familiar. But treatment options for NHL are on the rise.
Rising rates of non-Hodgkin's lymphoma in the U.S. are likely due to more widespread use of drugs that affect the immune system, according to Stephanie Gregory, MD, oncologist and professor of medicine at Rush University Medical Center.
"We're helping people with autoimmune diseases and organ transplants to live longer," part of the cost is "an increase in the incidence of lymphomas."
Non-Hodgkin's lymphoma can defy generalization, because there are over 20 different forms of the disease.
"You could be in a room with 100 people with lymphoma and at most only 30 people would have the same thing you're dealing with," John Leonard, MD, director of the Cornell Center for Lymphoma and Myeloma at Weill Cornell Medical Center, stated.
Lymphomas result when certain blood cells, called lymphocytes, multiply and refuse to obey normal signals -- especially the command to die normally. Lymphocytes build up, especially in lymph nodes, and eventually cause serious problems by their size and their ineffectiveness at fighting infections, which is their usual job.
For slow-growing lymphomas, long-term survival is common, although they cannot be cured. More aggressive tumors are more dangerous, but a permanent cure is possible. The lymphoma type, its effects, and its growth rate determine the best treatment.
The most common types of NHL are:
  • The usually slow-growing follicular lymphoma
  • The often more aggressive diffuse large B-cell lymphoma
Less common types include:

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