Non-Hodgkin lymphoma

Low urgency
-Moderately severe

Malignant non-Hodgkin lymphomas (NHL) are cancers of the blood that have in common their origin in lymphoid cells, at different stages of development.

In NHLs, a lymphoid cell reproduces uncontrollably, causing an increase in the size of the organ in which they occur. They can occur anywhere in the body and from there spread to other organs and tissues. They are somewhat more frequent in men and in patients with diseases of the immune system (AIDS, immunodeficiencies, organ transplant recipients, autoimmune diseases), and infections (Helicobacter gastritis, Epstein Barr virus).

Symptoms are highly variable. Most are detected as a result of adenopathy (large or swollen lymph node). Fever, night sweats, weight loss, fatigue and repeated infections may be present.

Diagnosis is made by history and physical examination. Confirmation is usually obtained by biopsy of a lymph node. 

Treatment will depend on the type of lymphoma, the patient's age, general condition and the extent of the tumour. It may be chemotherapy and/or radiotherapy. The prognosis is highly variable depending on the type of tumour.

Bibliographic references
  1. Arnold S Freedman. Clinical presentation and diagnosis of non-Hodgkin lymphoma. UpToDate. Octubre 2016
  2. Ghobrial IM. Therapeutic options in patients with lymphoma and severe liver dysfunction. Mayo Clin Proc 2004; 79:169.
  3. Ottinger H. Deep venous thrombosis and pulmonary artery embolism in high-grade non Hodgkin's lymphoma: incidence, causes and prognostic relevance. Eur J Haematol 1995; 54:186.
  4. Viala K, Béhin A. Neuropathy in lymphoma: a relationship between the pattern of neuropathy, type of lymphoma and prognosis? J Neurol Neurosurg Psychiatry 2008; 79:778.
  5. Dan L. Longo. Neoplasias malignas de las células linfoides. Harrison. Principios de Medicina Interna, 19e. Capítulo 134
  6. A. López Guillermo. Linfomas y otras enfermedades ganglionares. Farreras Rozman. Medicina Interna, ed 18. Capítulo 206
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Tiredness / fatigue


    Excessive sweating


    Loss of appetite


    Swollen neck glands


    Swollen lymph node

Symptoms to watch out for

Pain that doesn't subside with analgesics
Fever (temperature higher than 38 ºC)
10% weight loss in a week

Self-care

Maintain a balanced diet: increase fruit, vegetable, and white meat consumption and reduce the intake of fatty meals and fritters.
Maintain hydration of 2 litres per day.
Engage in regular physical activity, adapted to age and physical condition, at least 3 times a week.
If you have pain, take over-the-counter analgesics.
Often take part in activities that help reduce anxiety levels (yoga, tai chi, meditation).