Non-Hodgkins lymphoma is a group of lymphomas. There are almost endless types of lymphoma. A few notable ones are:
- Burkitt lymphoma is associated with Epstein-Barr virus, malaria and HIV.
- t(8;14) IgH-Myc translocation is common in Burkitt’s Non-hodgkins lymphoma and characteristically causes excessive proliferation, which is treatable with chemotherapy.
MALT lymphoma
- Diffuse large B cell lymphoma often presents as a rapidly growing painless mass in patients over 65 years. (most common type)
Risk factors for non-Hodgkin’s lymphoma include:
- HIV
- Epstein-Barr Virus
- H. pylori (MALT lymphoma)
- Hepatitis B or C infection
- Exposure to pesticides and a specific chemical called trichloroethylene used in several industrial processes
- Family history
The presentation is similar to Hodgkin’s lymphoma
often they can only be differentiated when the lymph node is biopsied.
Management involves a combination of treatments depending on the type and staging of the lymphoma:
- Watchful waiting
- Chemotherapy
- Monoclonal antibodies such as rituximab
- Radiotherapy