Chłoniak nieziarniczy
Leczenie
Chłoniak nieziarniczy (NHL) to heterogenna grupa nowotworów układu limfatycznego, której leczenie zależy od podtypu, stopnia zaawansowania, tempa wzrostu oraz stanu pacjenta. W przypadku indolentnych NHL stosuje się często strategię uważnej obserwacji lub mniej agresywne schematy chemioterapii, takie jak bendamustyna z obinutuzumabem/rytuksymabem, CHOP lub CVP z przeciwciałami monoklonalnymi, a także radioterapię w wczesnych stadiach (I-II). Agresywne chłoniaki wymagają natychmiastowego leczenia, najczęściej chemioimmunoterapii R-CHOP lub pola-R-CHP (z polatuzumabem wedotinem), a w niektórych podtypach (np. chłoniak z komórek płaszcza) rozważa się przeszczepienie komórek macierzystych. Immunoterapia obejmuje rytuksymab, inhibitory punktów kontrolnych (np. pembrolizumab), terapię CAR T-komórkową oraz przeciwciała dwuswoiste (epcoritamab, glofitamab). Terapia celowana wykorzystuje inhibitory kinaz (ibrutynib), koniugaty przeciwciało-lek (polatuzumab wedotin) oraz radioimmunioterapię (ibritumomab tiuxetan). Przeszczepienie komórek macierzystych, zarówno autologiczne, jak i allogeniczne, jest stosowane głównie w nawrotowych lub opornych przypadkach NHL.
- Wprowadzenie do leczenia chłoniaka nieziarniczego
- Strategie leczenia indolentnych chłoniaków nieziarniczych
- Obserwacja i wyczekiwanie
- Chemioterapia w indolentnych chłoniakach
- Radioterapia w indolentnych chłoniakach
- Leczenie agresywnych chłoniaków nieziarniczych
- Nowoczesne metody leczenia chłoniaka nieziarniczego
- Leczenie nawrotowych i opornych na leczenie chłoniaków nieziarniczych
- Leczenie specyficznych podtypów chłoniaka nieziarniczego
- Chłoniak rozlany z dużych komórek B (DLBCL)
- Chłoniak grudkowy
- Chłoniak z komórek płaszcza
- Chłoniak Burkitta
- Objawy uboczne i powikłania leczenia
- Nowe kierunki w leczeniu chłoniaka nieziarniczego
- Podsumowanie i perspektywy
Wprowadzenie do leczenia chłoniaka nieziarniczego
Chłoniak nieziarniczy (NHL – Non-Hodgkin Lymphoma) to heterogenna grupa nowotworów wywodzących się z układu limfatycznego. Leczenie tego schorzenia jest złożone i zależy od wielu czynników, w tym od podtypu chłoniaka, jego stopnia zaawansowania, tempa wzrostu, a także wieku i ogólnego stanu zdrowia pacjenta12. Strategie terapeutyczne dzielą się na te stosowane w przypadku chłoniaków indolentnych (wolno rosnących) oraz agresywnych (szybko rosnących)3.
Leczenie chłoniaka nieziarniczego może obejmować różne metody, stosowane pojedynczo lub w kombinacji. Do najczęściej wykorzystywanych metod należą: chemioterapia, immunoterapia, terapia celowana, radioterapia, przeszczepienie komórek macierzystych oraz w niektórych przypadkach chirurgia45. W przypadku indolentnych postaci NHL, gdzie nowotwór rośnie powoli i nie wywołuje objawów, stosuje się często strategię uważnej obserwacji (ang. watchful waiting)6.
Decyzje dotyczące leczenia podejmowane są przez wielodyscyplinarny zespół specjalistów, w tym hematologów, onkologów klinicznych, radioterapeutów oraz innych specjalistów7. Celem terapii może być całkowite wyleczenie, kontrola choroby lub łagodzenie objawów, w zależności od rodzaju chłoniaka i jego zaawansowania8.
Strategie leczenia indolentnych chłoniaków nieziarniczych
Indolentne chłoniaki nieziarnicze charakteryzują się powolnym wzrostem i mogą nie wymagać natychmiastowego leczenia9. W ich przypadku stosuje się następujące podejścia:
Obserwacja i wyczekiwanie
Dla pacjentów z indolentnym NHL, którzy nie wykazują objawów, często zaleca się strategię uważnej obserwacji10. Polega ona na regularnych badaniach kontrolnych i monitorowaniu stanu pacjenta bez aktywnego leczenia, dopóki choroba nie zacznie postępować lub nie pojawią się objawy1112. Taka strategia pozwala uniknąć niepotrzebnych skutków ubocznych terapii przy jednoczesnym monitorowaniu progresji choroby13.
Chemioterapia w indolentnych chłoniakach
Gdy indolentny chłoniak powoduje objawy lub wykazuje oznaki progresji, często stosuje się chemioterapię14. Może być ona stosowana samodzielnie lub w połączeniu z immunoterapią (chemioimmunoterapia)15. W przypadku indolentnych chłoniaków stosuje się zazwyczaj mniej agresywne schematy chemioterapii, mające na celu kontrolę choroby przez długi czas16.
Popularne schematy chemioterapii w indolentnych NHL obejmują17:
- Bendamustyna w połączeniu z obinutuzumabem lub rytuksymabem18
- CHOP (cyklofosfamid, doksorubicyna, winkrystyna, prednizon) w połączeniu z obinutuzumabem lub rytuksymabem19
- CVP (cyklofosfamid, winkrystyna, prednizon) z obinutuzumabem lub rytuksymabem20
- Lenalidomid z rytuksymabem21
Radioterapia w indolentnych chłoniakach
Radioterapia może być stosowana jako jedyna metoda leczenia we wczesnych stadiach (I lub II) indolentnego NHL, szczególnie gdy choroba ograniczona jest do jednego obszaru22. Może ona prowadzić do całkowitego zaniku chłoniaka i w niektórych przypadkach do wyleczenia23. Radioterapia jest również stosowana w celu łagodzenia objawów, takich jak ból wywołany przez powiększone węzły chłonne24.
Leczenie agresywnych chłoniaków nieziarniczych
Agresywne chłoniaki nieziarnicze wymagają natychmiastowego leczenia ze względu na szybkie tempo wzrostu25. Celem terapii jest całkowita eliminacja choroby i wyleczenie pacjenta26.
Chemioimmunoterapia w agresywnych chłoniakach
Standardowym leczeniem pierwszego rzutu w przypadku agresywnych chłoniaków B-komórkowych jest chemioimmunoterapia, najczęściej schemat R-CHOP, który łączy rytuksymab (immunoterapia) z chemioterapią CHOP (cyklofosfamid, doksorubicyna, winkrystyna i prednizon)2728. Ten intensywny, wielolekowy schemat może być bardzo skuteczny w leczeniu agresywnych chłoniaków, prowadząc do wyleczenia znacznej części pacjentów29.
Nowszym schematem leczenia jest pola-R-CHP, który zawiera polatuzumab wedotin (koniugat przeciwciało-lek) w połączeniu z rytuksymabem, cyklofosfamidem, doksorubicyną i prednizonem30. W 2023 roku schemat ten został włączony jako preferowany schemat pierwszego rzutu w leczeniu DLBCL (chłoniaka rozlanego z dużych komórek B) przez National Comprehensive Cancer Network31.
Inne schematy stosowane w agresywnych chłoniakach to32:
- CODOX-M/IVAC (cyklofosfamid, winkrystyna, doksorubicyna i wysokie dawki metotreksatu) naprzemiennie z IVAC (ifosfamid, etopozyd i wysokie dawki cytarabiny) – stosowany głównie w chłoniaku Burkitta33
- R-EPOCH (rytuksymab z etopozydem, prednizonem, winkrystyną, cyklofosfamidem i doksorubicyną) – stosowany m.in. w pierwotnym chłoniaku śródpiersia z dużych komórek B34
Leczenie konsolidujące i podtrzymujące
Po zakończeniu leczenia indukcyjnego, w zależności od odpowiedzi i ryzyka nawrotu, może być stosowana radioterapia konsolidująca, zwłaszcza w obszarach, gdzie początkowo występowała duża masa nowotworu35. W niektórych przypadkach stosuje się również leczenie podtrzymujące z rytuksymabem, co może wydłużyć czas przeżycia wolny od progresji choroby w porównaniu z samą obserwacją36.
W przypadku niektórych agresywnych podtypów chłoniaka nieziarniczego, takich jak chłoniak z komórek płaszcza czy niektóre chłoniaki T-komórkowe, lekarze mogą zalecać przeszczepienie komórek macierzystych jako część początkowego planu leczenia, aby zapobiec nawrotowi37.
Nowoczesne metody leczenia chłoniaka nieziarniczego
Immunoterapia
Immunoterapia stała się kluczowym elementem leczenia chłoniaków nieziarniczych38. Pomaga ona wzmocnić lub przywrócić zdolność układu odpornościowego do walki z nowotworem39. Główne rodzaje immunoterapii stosowane w NHL obejmują:
Przeciwciała monoklonalne – najczęściej stosowanym przeciwciałem monoklonalnym jest rytuksymab (Rituxan), który wiąże się z antygenem CD20 występującym na powierzchni komórek B i komórek chłoniaka B-komórkowego40. Inne stosowane przeciwciała monoklonalne to obinutuzumab i ofatumumab41.
Inhibitory punktów kontrolnych – blokują białka punktów kontrolnych, umożliwiając komórkom układu odpornościowego, takim jak limfocyty T, atakowanie i niszczenie komórek chłoniaka42. Pembrolizumab (Keytruda) jest inhibitorem punktów kontrolnych stosowanym w leczeniu pierwotnego chłoniaka śródpiersia z dużych komórek B, który nie odpowiada na leczenie lub nawraca po dwóch różnych rodzajach chemioterapii lub terapii celowanej43.
Terapia CAR T-komórkowa – jest to zaawansowana forma immunoterapii, w której limfocyty T pacjenta są pobierane z krwi, modyfikowane genetycznie w laboratorium, a następnie ponownie podawane pacjentowi4445. Zmodyfikowane komórki T (CAR T-cells) potrafią lepiej rozpoznawać i atakować komórki nowotworowe46. FDA zatwierdziła kilka terapii CAR T-komórkowych do leczenia nawrotowych lub opornych na leczenie chłoniaków B-komórkowych, w tym axicabtagene ciloleucel (Yescarta), tisagenlecleucel (Kymriah) i lisocabtagene maraleucel (Breyanzi)47.
Przeciwciała dwuswoiste (bispecific antibodies) – to nowy rodzaj immunoterapii zaprojektowany do przyłączania się do dwóch różnych celów – komórki układu odpornościowego i komórki nowotworowej. Przeciwciała dwuswoiste łączą te dwie komórki, aby pomóc układowi odpornościowemu atakować komórki chłoniaka48. Przykłady to epcoritamab (Epkinly) i glofitamab (Columvi)49.
Terapia celowana
Terapia celowana wykorzystuje leki, które atakują specyficzne cechy komórek nowotworowych, minimalizując uszkodzenia zdrowych komórek50. W leczeniu NHL stosuje się różne rodzaje terapii celowanej:
Inhibitory kinaz – blokują enzymy (kinazy) biorące udział we wzroście i podziale komórek nowotworowych51. Przykładem jest ibrutynib, inhibitor kinazy Brutona, stosowany w niektórych typach chłoniaków B-komórkowych52.
Koniugaty przeciwciało-lek – łączą przeciwciała monoklonalne z lekami przeciwnowotworowymi. Przeciwciało przyłącza się do specyficznego białka na powierzchni komórki nowotworowej, dostarczając lek bezpośrednio do komórki nowotworowej53. Przykładem jest polatuzumab wedotin, koniugat przeciwciało-lek skierowany przeciwko CD79b, stosowany w połączeniu z bendamustyną i rytuksymabem u dorosłych z nawrotowym lub opornym DLBCL54.
Radioimmunioterapia – łączy przeciwciało monoklonalne z radioaktywną cząsteczką, która dostarcza promieniowanie bezpośrednio do komórek chłoniaka55. Przykładem jest ibritumomab tiuxetan (Zevalin), stosowany w leczeniu chłoniaka grudkowego56.
Leki immunomodulujące – modyfikują środowisko komórki nowotworowej i pomagają układowi odpornościowemu zabijać komórki nowotworowe57. Przykładem jest lenalidomid, stosowany w połączeniu z rytuksymabem w leczeniu niektórych typów chłoniaków B-komórkowych58.
Przeszczepienie komórek macierzystych
Przeszczepienie komórek macierzystych jest intensywną formą leczenia, stosowaną głównie u pacjentów z nawrotowym lub opornym na leczenie chłoniakiem nieziarniczym59. Umożliwia ono zastosowanie bardzo wysokich dawek chemioterapii lub radioterapii w celu zniszczenia komórek nowotworowych, a następnie przywrócenie funkcji szpiku kostnego poprzez podanie zdrowych komórek macierzystych60.
Istnieją dwa główne rodzaje przeszczepień stosowanych w leczeniu NHL:
Autologiczne przeszczepienie komórek macierzystych – wykorzystuje własne komórki macierzyste pacjenta. Jest to najczęściej stosowany rodzaj przeszczepu w leczeniu agresywnych postaci NHL61. Komórki macierzyste są pobierane od pacjenta przed wysokodawkową chemioterapią, a następnie ponownie podawane po zakończeniu chemioterapii62.
Allogeniczne przeszczepienie komórek macierzystych – wykorzystuje komórki macierzyste od dawcy. Może być rozważane w leczeniu indolentnych form NHL, szczególnie u młodszych pacjentów, których choroba zachowuje się bardziej agresywnie lub ma cechy wysokiego ryzyka63. Allogeniczne przeszczepienie pozostaje potencjalną metodą wyleczenia nawrotowego DLBCL, ale niektórzy pacjenci mogą nie kwalifikować się do przeszczepu ze względu na zaawansowany wiek lub obecność innych schorzeń medycznych64.
Leczenie nawrotowych i opornych na leczenie chłoniaków nieziarniczych
Mimo skuteczności współczesnych metod leczenia, u części pacjentów dochodzi do nawrotu choroby lub rozwija się oporność na zastosowane leczenie65. W takich przypadkach stosuje się leczenie ratunkowe, którego celem jest uzyskanie kontroli nad chorobą lub, jeśli to możliwe, wyleczenie66.
Chemioterapia ratunkowa
W przypadku nawrotu choroby stosuje się często alternatywne schematy chemioterapii, różne od tych, które były stosowane w leczeniu pierwszej linii67. Przykładowe schematy ratunkowe to:
- R-GDP (rytuksymab, gemcytabina, deksametazon, cisplatyna)68
- R-ICE (rytuksymab, ifosfamid, karboplatyna, etopozyd)69
- R-DHAP (rytuksymab, deksametazon, cytarabina w wysokich dawkach, cisplatyna)70
Wysokodawkowa chemioterapia z autologicznym przeszczepieniem komórek macierzystych jest leczeniem z wyboru dla pacjentów z nawrotowymi agresywnymi chłoniakami71.
Nowe terapie w leczeniu nawrotowych chłoniaków
W ostatnich latach wprowadzono szereg nowych terapii dla pacjentów z nawrotowym lub opornym na leczenie chłoniakiem nieziarniczym:
Terapia CAR T-komórkowa – zatwierdzona do stosowania u dorosłych pacjentów z nawrotowym lub opornym na leczenie chłoniakiem z dużych komórek B, po dwóch lub więcej liniach leczenia systemowego72. Badania kliniczne wykazały obiecujące wyniki u pacjentów, u których wcześniejsze terapie były nieskuteczne73.
Przeciwciała dwuswoiste – FDA niedawno zatwierdziła epcoritamab (Epkinly) i glofitamab (Columvi) do leczenia pacjentów z nawrotowym/opornym DLBCL po co najmniej dwóch wcześniejszych liniach terapii74.
Inhibitory punktów kontrolnych – pembrolizumab jest stosowany w leczeniu pacjentów z nawrotowym lub opornym na leczenie pierwotnym chłoniakiem śródpiersia z dużych komórek B75.
Polatuzumab wedotin – koniugat przeciwciało-lek, uzyskał przyspieszoną aprobatę FDA do stosowania w połączeniu z bendamustyną i rytuksymabem u dorosłych z nawrotowym lub opornym DLBCL, którzy otrzymali co najmniej 2 wcześniejsze terapie i nie są kandydatami do przeszczepienia76.
Leczenie specyficznych podtypów chłoniaka nieziarniczego
Chłoniak rozlany z dużych komórek B (DLBCL)
DLBCL jest najczęstszym typem chłoniaka nieziarniczego u dorosłych77. Standardowe leczenie pierwszej linii obejmuje chemioimmunoterapię R-CHOP lub pola-R-CHP78. W przypadku wczesnego stadium (I-II) zazwyczaj podaje się 3-6 cykli R-CHOP, z radioterapią lub bez79. W stadium III lub IV preferowanym leczeniem jest 6 cykli R-CHOP80.
W przypadku nawrotu lub oporności na leczenie stosuje się chemioterapię wysokodawkową z autologicznym przeszczepieniem komórek macierzystych, terapię CAR T-komórkową lub nowe leki, takie jak polatuzumab wedotin, epcoritamab czy glofitamab81.
Chłoniak grudkowy
Chłoniak grudkowy jest drugim najczęstszym typem NHL i należy do indolentnych chłoniaków82. W przypadku wczesnych stadiów (I-II) często stosuje się radioterapię jako jedyną metodę leczenia83.
W zaawansowanych stadiach preferowane schematy leczenia pierwszej linii obejmują bendamustynę z obinutuzumabem lub rytuksymabem, CHOP z obinutuzumabem lub rytuksymabem, CVP z obinutuzumabem lub rytuksymabem, lub lenalidomid z rytuksymabem84.
W przypadku nawrotu stosuje się różne schematy, w tym immunoterapię (rytuksymab lub obinutuzumab) z chemioterapią lub bez, lenalidomid z rytuksymabem, inhibitory EZH2 (tazemetostat) oraz radioimmunioterapię85.
Chłoniak z komórek płaszcza
Chłoniak z komórek płaszcza (MCL) jest agresywnym typem chłoniaka B-komórkowego86, chociaż niektóre przypadki mogą mieć przebieg indolentny87. W przypadku indolentnego MCL, pacjenci mogą nie mieć objawów i nie wymagać natychmiastowego leczenia88.
Standardowe leczenie MCL z wieloma obszarami zajęcia obejmuje agresywną chemioterapię w połączeniu z rytuksymabem u odpowiednich pacjentów89. W zależności od tego, czy odpowiednie jest bardziej agresywne leczenie indukcyjne, czy mniej agresywne, preferowane schematy leczenia są różne90.
W przypadku nawrotu lub oporności na leczenie, można stosować inhibitory kinazy tyrozynowej Brutona (BTK), takie jak ibrutynib, a także terapię CAR T-komórkową, w tym brexucabtagene autoleucel i lisocabtagene maraleucel91.
Chłoniak Burkitta
Chłoniak Burkitta jest najszybciej rosnącym nowotworem ludzkim i wymaga natychmiastowego leczenia92. Leczenie obejmuje intensywną chemioterapię wielolekową z profilaktyką zajęcia ośrodkowego układu nerwowego93.
Stosowane schematy obejmują CODOX-M/IVAC (cyklofosfamid, winkrystyna, doksorubicyna i wysokie dawki metotreksatu) naprzemiennie z IVAC (ifosfamid, etopozyd i wysokie dawki cytarabiny)94. Innym schematem jest Hyper-CVAD (cyklofosfamid, winkrystyna, doksorubicyna i deksametazon) naprzemiennie z wysokimi dawkami metotreksatu i cytarabiny, z rytuksymabem95.
Badania pokazują, że chłoniak Burkitta jest wyleczalny u znacznej grupy pacjentów. Około 60-90% dzieci i młodych dorosłych z tą chorobą osiąga trwałą remisję, jeśli są leczeni szybko i odpowiednio96.
Objawy uboczne i powikłania leczenia
Leczenie chłoniaka nieziarniczego, szczególnie intensywna chemioterapia i radioterapia, może powodować szereg skutków ubocznych i powikłań97. Ich rodzaj i nasilenie różnią się w zależności od zastosowanego leczenia i indywidualnej reakcji pacjenta98.
Skutki uboczne chemioterapii
Chemioterapia niszczy szybko dzielące się komórki, w tym komórki nowotworowe, ale również zdrowe komórki, takie jak komórki szpiku kostnego, mieszków włosowych i nabłonka przewodu pokarmowego99. Do najczęstszych skutków ubocznych chemioterapii należą:
Wpływ na szpik kostny – chemioterapia upośledza zdolność szpiku kostnego do produkcji odpowiedniej liczby komórek krwi100. Może to prowadzić do:
- Neutropenii (spadku liczby neutrofili) – zwiększa ryzyko infekcji101
- Małopłytkowości (spadku liczby płytek krwi) – zwiększa ryzyko siniaków i krwawień102
- Anemii (spadku liczby czerwonych krwinek) – powoduje zmęczenie i osłabienie103
Nudności i wymioty – często występują po chemioterapii, ale obecnie, dzięki znacznej poprawie leków przeciwwymiotnych, są zazwyczaj dobrze kontrolowane104.
Zapalenie błon śluzowych (mukozytis) – zapalenie wyściółki jamy ustnej, gardła lub przewodu pokarmowego, które powoduje ból i trudności w jedzeniu105.
Zmiany w funkcjonowaniu jelit – chemioterapia może powodować uszkodzenie wyściółki ściany jelita, prowadząc do skurczów, wzdęć, biegunki lub zaparć106.
Utrata włosów – bardzo częsty efekt uboczny chemioterapii, zwykle tymczasowy. Włosy zazwyczaj zaczynają odrastać 3-6 miesięcy po zakończeniu leczenia107.
Zmęczenie – większość osób doświadcza pewnego stopnia zmęczenia w dniach i tygodniach po chemioterapii108.
Skutki uboczne radioterapii
Radioterapia może powodować podobne skutki uboczne jak chemioterapia, w tym nudności, wymioty, utratę włosów i zmęczenie109. Rodzaj skutków ubocznych zależy od obszaru ciała, który był napromieniany.
Reakcje skórne – są powszechne i mogą obejmować suchość, podrażnienie i wrażliwość skóry w obszarze napromieniania110.
Zapalenie ślinianek (parotitis) – zapalenie gruczołów wytwarzających ślinę w jamie ustnej, które może wystąpić, jeśli gruczoły te znajdują się w polu napromieniania111.
Suchość w ustach – może być trwała, jeśli napromienianiu poddawane są gruczoły ślinowe112.
Uszkodzenie płuc lub serca – może wystąpić w przypadku radioterapii klatki piersiowej113.
Długoterminowe skutki leczenia
Niektóre skutki leczenia chłoniaka nieziarniczego mogą ujawnić się dopiero po miesiącach lub latach od zakończenia terapii i mogą być trwałe114. Do długoterminowych skutków leczenia należą:
Problemy z płodnością – niektóre rodzaje chemioterapii i radioterapii mogą powodować tymczasowe lub trwałe zmniejszenie płodności115. U kobiet niektóre rodzaje chemioterapii i radioterapii mogą powodować różnego stopnia uszkodzenie normalnego funkcjonowania jajników116. U mężczyzn produkcja plemników może być upośledzona przez pewien czas, ale w przyszłości może wrócić do normy117.
Przedwczesna menopauza – niektóre terapie przeciwnowotworowe mogą wpływać na normalne funkcjonowanie jajników, co może prowadzić do niepłodności i wcześniejszego niż oczekiwano wystąpienia menopauzy, nawet w młodym wieku118.
Wtórne nowotwory – radioterapia i niektóre leki chemioterapeutyczne mogą zwiększać ryzyko rozwoju innych typów nowotworów w przyszłości119.
Uszkodzenie nerwów (neuropatia) – niektóre leki chemioterapeutyczne, zwłaszcza winkrystyna, mogą powodować uszkodzenie nerwów, prowadząc do drętwienia, mrowienia lub bólu w dłoniach i stopach120.
Problemy z sercem – niektóre leki chemioterapeutyczne, zwłaszcza doksorubicyna, mogą powodować uszkodzenie serca121.
Nowe kierunki w leczeniu chłoniaka nieziarniczego
Leczenie chłoniaka nieziarniczego szybko ewoluuje, a badania kliniczne testują nowe metody leczenia, które mogą poprawić wyniki i zmniejszyć skutki uboczne122.
Badania kliniczne
Badania kliniczne są odpowiednie dla pacjentów na wszystkich etapach choroby123. Celem badań klinicznych jest bezpieczne monitorowanie wpływu leku na pacjentów w czasie i identyfikacja skuteczniejszych terapii dla określonych chorób124.
Obecnie trwają badania kliniczne testujące nowe schematy chemioterapii, terapie przeciwciałami i inne terapie celowane, immunoterapie, w tym immunoterapie komórkowe i inhibitory punktów kontrolnych125.
Nowe leki i podejścia terapeutyczne
Wśród nowych leków i podejść terapeutycznych testowanych w badaniach klinicznych są:
Dwuswoiste przeciwciała – FDA niedawno zatwierdziła mosunetuzumab-axgb (Lunsumio), nową kategorię immunoterapii dla zaawansowanego chłoniaka grudkowego. To dwuswoiste przeciwciało jest pierwszym w swoim rodzaju lekiem do leczenia chłoniaka grudkowego. Ten podtyp chłoniaka nieziarniczego miał ograniczone opcje leczenia, zwłaszcza gdy pacjenci nie reagują na inne metody leczenia lub gdy chłoniak powraca. Lunsumio działa poprzez angażowanie komórek B i T do niszczenia komórek nowotworowych126.
Nowe terapie CAR T-komórkowe – naukowcy pracują nad udoskonaleniem istniejących terapii CAR T-komórkowych i opracowaniem nowych, które byłyby skuteczniejsze i miały mniej skutków ubocznych127.
Kombinacje leków immunoterapeutycznych – badacze testują ponad tysiąc różnych kombinacji leków, aby znaleźć najbardziej skuteczne podejście do leczenia chłoniaków nieziarniczych128.
Nowe inhibitory punktów kontrolnych – testowane są nowe inhibitory punktów kontrolnych, które mogą być skuteczne u pacjentów, którzy nie reagują na istniejące terapie129.
Podsumowanie i perspektywy
Leczenie chłoniaka nieziarniczego znacznie się poprawiło w ostatnich latach, dzięki czemu pacjenci żyją dłużej i zdrowiej130. Kluczem do skutecznego leczenia jest indywidualne podejście, uwzględniające specyficzny typ chłoniaka, jego stadium, ogólny stan zdrowia pacjenta oraz jego preferencje131.
Tradycyjne metody leczenia, takie jak chemioterapia i radioterapia, są nadal podstawą terapii, ale coraz większą rolę odgrywają nowoczesne podejścia, takie jak immunoterapia, terapia celowana czy terapia CAR T-komórkowa132.
Badania kliniczne nieustannie testują nowe metody leczenia, a przyszłość terapii chłoniaka nieziarniczego wydaje się obiecująca. Naukowcy pracują nad bardziej precyzyjnymi lekami, które mogą bezpośrednio celować w specyficzne typy komórek, a nawet w konkretne nieprawidłowości w komórkach, aby zatrzymać wzrost raka133.
Ogólnie rzecz biorąc, perspektywy dla pacjentów z chłoniakiem nieziarniczym są lepsze niż kiedykolwiek. Dane dotyczące wskaźników przeżycia pokazują, że 89% osób z chłoniakiem Hodgkina i 74% osób z chłoniakiem nieziarniczym żyje pięć lat po diagnozie134. Z każdym rokiem wskaźniki przeżycia poprawiają się, dając nadzieję pacjentom i ich rodzinom135.
Kolejne rozdziały
Zapraszamy do dalszego czytania naszego leksykonu.
Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.
Materiały źródłowe
- #1https://www.nhs.uk/conditions/non-hodgkin-lymphoma/treatment/
Non-Hodgkin lymphoma is usually treated with chemotherapy or radiotherapy, although some people may not need treatment straight away. […] The recommended treatment plan will depend on your general health and age, as many of the treatments can put a strain on the body. […] Discussions about your treatment plan will usually take place with several doctors and other health professionals who specialise in different aspects of treating lymphoma. […] Your MDT will recommend the best treatment options for you. […] If non-Hodgkin lymphoma is low grade (slow developing) and you’re well, a period of „watch and wait” is often recommended. […] Chemotherapy is a widely used treatment for non-Hodgkin lymphoma that involves using medicine to kill cancer cells. […] It may be used on its own, combined with biological therapy, or combined with radiotherapy.
- #2 Treatment options for non-Hodgkin lymphoma | Cancer Research UKhttps://www.cancerresearchuk.org/about-cancer/non-hodgkin-lymphoma/treatment/decisions
A team of healthcare professionals decide if you need treatment straight away. They also decide what your treatment options are. The most common treatment options for non-Hodgkin lymphoma (NHL) are: chemotherapy, targeted and immunotherapy cancer drugs, steroids, radiotherapy, stem cell transplant. Your treatment depends on what type of NHL you have. […] Your MDT usually includes: a haematologist – a doctor specialising in blood cancers, a specialist haematology nurse – also called a clinical nurse specialist (CNS), a pathologist – a doctor who diagnoses diseases from examining lymph node biopsies, a clinical oncologist – a doctor specialising in radiotherapy treatment, a pharmacist, a radiologist a doctor specialising in reading x-rays and scans. […] If you need treatment, your team plans it depending on: your type of NHL, how fast your NHL is growing – this is the grade, how many places in your body are affected by NHL and where these are this is the stage, your general health, your age.
- #3 Non-Hodgkin Lymphoma Treatment – NCIhttps://www.cancer.gov/types/lymphoma/patient/adult-nhl-treatment-pdq
Non-Hodgkin lymphoma is a disease in which malignant (cancer) cells form in the lymph system. […] Non-Hodgkin lymphoma can be indolent or aggressive. […] The treatments for indolent and aggressive lymphoma are different. […] Treatment is needed if signs or symptoms occur after the cancer disappeared or after initial cancer treatment. […] Treatment for non-Hodgkin lymphoma may cause side effects. […] The following types of treatment are used: Radiation therapy, Chemotherapy, Immunotherapy, Targeted therapy, Plasmapheresis, Watchful waiting, Antibiotic therapy, Surgery, Stem cell transplant. […] For pregnant women with non-Hodgkin lymphoma, treatment is carefully chosen to protect the fetus. […] Treatment decisions are based on the mother’s wishes, the stage of the non-Hodgkin lymphoma, and the trimester of the pregnancy.
- #4 Non-Hodgkin lymphoma – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/non-hodgkins-lymphoma/diagnosis-treatment/drc-20375685
Non-Hodgkin lymphoma treatment often starts with medicines or radiation therapy. Medicines used for this cancer include chemotherapy, immunotherapy and targeted therapy. […] The treatments your healthcare team chooses for you depend on your lymphoma. Your healthcare team considers the types of cells involved and how quickly the cancer is growing. Your team also considers your overall health and what you prefer. […] If your lymphoma seems to be growing slowly and doesn’t cause symptoms, you might not need treatment right away. Instead, you may have checkups every few months. The checkups help your healthcare team watch your condition and see if your cancer is growing. […] Chemotherapy treats cancer with strong medicines. There are many chemotherapy medicines. Most chemotherapy medicines are given through a vein. Some come in pill form.
- #5 4 Innovative Non-Hodgkin Lymphoma Treatment Options | MD Anderson Cancer Centerhttps://www.mdanderson.org/cancer-types/non-hodgkin-lymphoma/non-hodgkin-lymphoma-treatment.html
MD Anderson is committed to helping people with non-Hodgkin lymphoma live longer, healthier lives and were making great strides toward advanced therapies that minimize side effects. […] We have found the most successful way to treat indolent (slow-growing) Non-Hodgkin lymphoma often is with strategies that limit or avoid the use of chemotherapy and have less impact on your body. […] Your treatment for non-Hodgkin lymphoma cancer will be customized to your particular needs. One or more of the following therapies may be recommended to treat the cancer or help relieve symptoms. […] Chemotherapy kills fast-growing cells, including cancer cells. This is the treatment most often used for non-Hodgkin lymphoma. […] Radiation therapy uses focused beams of energy to kill cancer cells. Radiation therapy may be used in early-stage lymphoma or to help symptoms such as pain.
- #6 Treatments for non-Hodgkin lymphoma | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/non-hodgkin-lymphoma/treatment
Your healthcare team will create a treatment plan just for you. The plan is based on your health and specific information about the cancer. What you want is also important when planning treatment. When deciding which treatments to offer for non-Hodgkin lymphoma (NHL), your healthcare team will consider: […] When planning treatment, the healthcare will look at if the NHL is an indolent or aggressive type. […] Indolent NHL means that the cancer is growing slowly. Because it grows slowly, some people will only ever need watchful waiting. If other treatments are used, like chemotherapy or targeted therapy, indolent NHLs usually respond well to treatment and can often be controlled for many years. […] Aggressive NHL means that the cancer is growing quickly. An aggressive NHL often causes symptoms soon after it develops, and these symptoms usually need to be treated right away. Aggressive NHLs usually respond well to treatment.
- #7 Non-Hodgkin lymphoma (NHL) | Macmillan Cancer Supporthttps://www.macmillan.org.uk/cancer-information-and-support/lymphoma/non-hodgkin
Some types of NHL grow very slowly and may not need treatment for months or years. Other types grow quickly and need treatment soon after diagnosis. […] A team of specialists will meet to discuss the best possible treatment for you. This is called a multidisciplinary team (MDT). […] There are different types of treatment for NHL. You may need just one type of treatment or a combination of treatments. […] Your doctor or cancer specialist or nurse will explain the different treatments and their side effects. They will also talk to you about things to consider when making treatment decisions. […] Treating lymphoma will depend on: the type of lymphoma and the stage and grade of the lymphoma. […] Types of treatment you may have include: Watch and wait, Chemotherapy, Steroids, Targeted therapies, Radiotherapy, Stem cell transplant. […] You may have some treatments as part of a clinical trial. […] We have more information about treating non-Hodgkin lymphoma.
- #8 Non-Hodgkin Lymphoma: Treatment Choices | Saint Luke’s Health Systemhttps://www.saintlukeskc.org/health-library/non-hodgkin-lymphoma-treatment-choices
There are many treatment choices for non-Hodgkin lymphoma. The one that’s best for you depends on things such as: […] Treatment for cancer is either local or systemic. Systemic treatment is most often used for lymphoma, but you may have both. […] Treatment may control or cure the lymphoma. It can also improve your quality of life by helping to control symptoms of the disease. The goal of non-Hodgkin lymphoma treatment is to do one or more of these things: […] Here’s a list of common non-Hodgkin lymphoma treatments: […] Chemotherapy (chemo). This is the use of strong medicines to treat cancer. It’s often the main treatment for non-Hodgkin lymphoma. One or more medicines might be used to kill lymphoma cells all over your body. Chemo might be given along with other types of treatment.
- #9https://www.nhs.uk/conditions/non-hodgkin-lymphoma/treatment/
Non-Hodgkin lymphoma is usually treated with chemotherapy or radiotherapy, although some people may not need treatment straight away. […] The recommended treatment plan will depend on your general health and age, as many of the treatments can put a strain on the body. […] Discussions about your treatment plan will usually take place with several doctors and other health professionals who specialise in different aspects of treating lymphoma. […] Your MDT will recommend the best treatment options for you. […] If non-Hodgkin lymphoma is low grade (slow developing) and you’re well, a period of „watch and wait” is often recommended. […] Chemotherapy is a widely used treatment for non-Hodgkin lymphoma that involves using medicine to kill cancer cells. […] It may be used on its own, combined with biological therapy, or combined with radiotherapy.
- #10 Treatments for non-Hodgkin lymphoma | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/non-hodgkin-lymphoma/treatment
For some types of NHL, your healthcare team may use imaging tests to check how the cancer is responding to treatment. […] Chemotherapy uses drugs to destroy cancer cells. Non-Hodgkin lymphoma (NHL) is often treated with chemotherapy. […] Targeted therapy uses drugs to target specific molecules on cancer cells. Non-Hodgkin lymphoma (NHL) is usually treated with targeted therapy. […] Watchful waiting may be offered for non-Hodgkin lymphoma (NHL). The healthcare team watches the cancer closely to see if it is growing before offering other treatments. […] Non-Hodgkin lymphoma (NHL) is sometimes treated with immunotherapy. It helps strengthen the immune system to fight cancer. […] A stem cell transplant replaces stem cells. Non-Hodgkin lymphoma (NHL) is sometimes treated with stem cell transplant.
- #11 Non-Hodgkin lymphoma – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/non-hodgkins-lymphoma/diagnosis-treatment/drc-20375685
Non-Hodgkin lymphoma treatment often starts with medicines or radiation therapy. Medicines used for this cancer include chemotherapy, immunotherapy and targeted therapy. […] The treatments your healthcare team chooses for you depend on your lymphoma. Your healthcare team considers the types of cells involved and how quickly the cancer is growing. Your team also considers your overall health and what you prefer. […] If your lymphoma seems to be growing slowly and doesn’t cause symptoms, you might not need treatment right away. Instead, you may have checkups every few months. The checkups help your healthcare team watch your condition and see if your cancer is growing. […] Chemotherapy treats cancer with strong medicines. There are many chemotherapy medicines. Most chemotherapy medicines are given through a vein. Some come in pill form.
- #12 Treating Non-Hodgkin lymphoma (NHL) | Macmillan Cancer Supporthttps://www.macmillan.org.uk/cancer-information-and-support/lymphoma/non-hodgkin/treatment
You may have one, or a combination, of the following treatments: chemotherapy with different drugs, targeted therapy and immunotherapies, radiotherapy, stem cell transplant, CAR-T therapy. […] For some people with low-grade lymphoma, the doctor may suggest monitoring the lymphoma with regular tests rather than starting more treatment straight away. This is called watch and wait.
- #13 4 Innovative Non-Hodgkin Lymphoma Treatment Options | MD Anderson Cancer Centerhttps://www.mdanderson.org/cancer-types/non-hodgkin-lymphoma/non-hodgkin-lymphoma-treatment.html
Proton therapy delivers high radiation doses directly to the tumor site, with minimal damage to nearby healthy tissue. […] Immunotherapy for Non-Hodgkin lymphoma may include: Chimeric Antigen Receptor (CAR) T cell therapy, Monoclonal antibodies including rituximab, Biological therapies that develop antibodies to help the body fight the cancer, Immune modulators, such lenalidomide, that modify the environment of the tumor cell and allow the immune system to kill the cancer, Targeted therapies that attack cancer cells by using small molecules to block pathways cells used to survive and multiply, Small molecule treatments. […] If non-Hodgkin lymphoma does not respond to chemotherapy or if it returns, your doctor may recommend a stem cell transplant. […] This approach involves closely monitoring non-Hodgkin lymphoma without active treatment. Sometimes this is appropriate for some patients with low-grade lymphomas.
- #14 Treating Non-Hodgkin lymphoma (NHL) | Macmillan Cancer Supporthttps://www.macmillan.org.uk/cancer-information-and-support/lymphoma/non-hodgkin/treatment
Treatment for non-Hodgkin lymphoma (NHL) depends on the type and stage of the lymphoma you have. Chemotherapy is the most common treatment for NHL. […] There are different types of treatment for NHL. You may need just one type of treatment or a combination of treatments. […] The most common treatment for early stage (stage 1 or 2), low-grade NHL is radiotherapy. It is given to the affected lymph nodes and can usually make the lymphoma disappear completely. Some people are cured after radiotherapy alone. […] Treatment aims to control the lymphoma rather than cure it. It is often very successful at shrinking the lymphoma. You will feel well and will not have any symptoms. This is called remission. […] When low-grade advanced NHL causes symptoms, the most common treatments are: chemotherapy, rituximab or a similar targeted and immunotherapy drug, a combination of chemotherapy and a targeted and immunotherapy drug (called chemoimmunotherapy).
- #15 Treating Non-Hodgkin lymphoma (NHL) | Macmillan Cancer Supporthttps://www.macmillan.org.uk/cancer-information-and-support/lymphoma/non-hodgkin/treatment
High-grade lymphoma is usually fast-growing and needs to be treated straightaway. The aim is to make the lymphoma disappear completely. This is called complete remission. […] The most commonly used treatments are: chemotherapy and steroids, a combination of chemotherapy and a targeted and immunotherapy drug, such as rituximab (chemoimmunotherapy) and steroids. […] Many people with high-grade NHL are cured. But if the lymphoma does not completely respond to treatment your doctor may talk to you about having more intensive treatment. This may involve high-dose chemotherapy with a stem cell transplant using your own or a donor’s stem cells. […] Treatment can often cure high-grade NHL. But, in some people, the lymphoma comes back. If this happens, it may be possible to have more treatment to try to cure it.
- #16 Medications for Non-Hodgkin Lymphoma | NYU Langone Healthhttps://nyulangone.org/conditions/non-hodgkin-lymphoma/treatments/medications-for-non-hodgkin-lymphoma
Chemotherapy drugs are used to kill cancer cells throughout the body. These medications may be given by mouth or through a vein in an IV infusion. The type of non-Hodgkin lymphoma and the genetic features of the tumor tissue, determined at the time of diagnosis, help your doctors decide which chemotherapy drugs to use, as well as the length and number of treatment cycles. Often, our doctors give chemotherapy a few times each week in several cycles that last three or four weeks each. […] For slow-growing non-Hodgkin lymphoma, our doctors recommend using less aggressive chemotherapy drugs to manage the cancer, whereas a combination may be needed for intermediate or aggressive cancer. […] New targeted therapies, for example, monoclonal antibody medications, are also used in the management of non-Hodgkin lymphoma. These medications are made with antibodies, the immune proteins that recognize substances as foreign and help remove them from the body. Monoclonal antibodies attach to proteins on the surface of non-Hodgkin lymphoma cells, interfering with their ability to function. Because monoclonal antibodies target cancer cells and not healthy tissue, they may cause fewer side effects than chemotherapy. They are usually given through an IV.
- #17 Non-Hodgkin Lymphoma Treatment & Pharmacologic Managementhttps://www.cancertherapyadvisor.com/ddi/non-hodgkin-lymphoma-pharmacological-treatment/
High-dose therapy with autologous stem cell rescue (HDT/ASCR) is used as salvage therapy in patients with relapsed or refractory DLBCL. […] Chimeric antigen receptor (CAR) T-cell therapy has emerged as a preferred treatment for patients who do not wish to undergo HDT/ASCR. […] For second-line therapy of patients who do not intend to proceed with HDT/ASCR, the following regimens are listed as preferred by the NCCN. […] Nonchemotherapy options such as ibrutinib or lenalidomide-rituximab may be considered in certain circumstances. […] The US Food and Drug Administration (FDA) recently approved new treatments for patients with relapsed/refractory DLBCL after at least 2 prior lines of therapy, including epcoritamab-bysp (Epkinly) in May 2023 and glofitamab-gxbm (Columvi) in June 2023. […] The preferred first-line treatments for patients with follicular lymphoma include bendamustine+obinutuzumab or rituximab; CHOP+obinutuzumab or rituximab; CVP (cyclophosphamide, vincristine sulfate, prednisone)+obinutuzumab or rituximab; or lenalidomide+rituximab.
- #18 Non-Hodgkin Lymphoma Treatment & Pharmacologic Managementhttps://www.cancertherapyadvisor.com/ddi/non-hodgkin-lymphoma-pharmacological-treatment/
High-dose therapy with autologous stem cell rescue (HDT/ASCR) is used as salvage therapy in patients with relapsed or refractory DLBCL. […] Chimeric antigen receptor (CAR) T-cell therapy has emerged as a preferred treatment for patients who do not wish to undergo HDT/ASCR. […] For second-line therapy of patients who do not intend to proceed with HDT/ASCR, the following regimens are listed as preferred by the NCCN. […] Nonchemotherapy options such as ibrutinib or lenalidomide-rituximab may be considered in certain circumstances. […] The US Food and Drug Administration (FDA) recently approved new treatments for patients with relapsed/refractory DLBCL after at least 2 prior lines of therapy, including epcoritamab-bysp (Epkinly) in May 2023 and glofitamab-gxbm (Columvi) in June 2023. […] The preferred first-line treatments for patients with follicular lymphoma include bendamustine+obinutuzumab or rituximab; CHOP+obinutuzumab or rituximab; CVP (cyclophosphamide, vincristine sulfate, prednisone)+obinutuzumab or rituximab; or lenalidomide+rituximab.
- #19 Non-Hodgkin Lymphoma Treatment & Pharmacologic Managementhttps://www.cancertherapyadvisor.com/ddi/non-hodgkin-lymphoma-pharmacological-treatment/
High-dose therapy with autologous stem cell rescue (HDT/ASCR) is used as salvage therapy in patients with relapsed or refractory DLBCL. […] Chimeric antigen receptor (CAR) T-cell therapy has emerged as a preferred treatment for patients who do not wish to undergo HDT/ASCR. […] For second-line therapy of patients who do not intend to proceed with HDT/ASCR, the following regimens are listed as preferred by the NCCN. […] Nonchemotherapy options such as ibrutinib or lenalidomide-rituximab may be considered in certain circumstances. […] The US Food and Drug Administration (FDA) recently approved new treatments for patients with relapsed/refractory DLBCL after at least 2 prior lines of therapy, including epcoritamab-bysp (Epkinly) in May 2023 and glofitamab-gxbm (Columvi) in June 2023. […] The preferred first-line treatments for patients with follicular lymphoma include bendamustine+obinutuzumab or rituximab; CHOP+obinutuzumab or rituximab; CVP (cyclophosphamide, vincristine sulfate, prednisone)+obinutuzumab or rituximab; or lenalidomide+rituximab.
- #20 Non-Hodgkin Lymphoma Treatment & Pharmacologic Managementhttps://www.cancertherapyadvisor.com/ddi/non-hodgkin-lymphoma-pharmacological-treatment/
High-dose therapy with autologous stem cell rescue (HDT/ASCR) is used as salvage therapy in patients with relapsed or refractory DLBCL. […] Chimeric antigen receptor (CAR) T-cell therapy has emerged as a preferred treatment for patients who do not wish to undergo HDT/ASCR. […] For second-line therapy of patients who do not intend to proceed with HDT/ASCR, the following regimens are listed as preferred by the NCCN. […] Nonchemotherapy options such as ibrutinib or lenalidomide-rituximab may be considered in certain circumstances. […] The US Food and Drug Administration (FDA) recently approved new treatments for patients with relapsed/refractory DLBCL after at least 2 prior lines of therapy, including epcoritamab-bysp (Epkinly) in May 2023 and glofitamab-gxbm (Columvi) in June 2023. […] The preferred first-line treatments for patients with follicular lymphoma include bendamustine+obinutuzumab or rituximab; CHOP+obinutuzumab or rituximab; CVP (cyclophosphamide, vincristine sulfate, prednisone)+obinutuzumab or rituximab; or lenalidomide+rituximab.
- #21 Non-Hodgkin Lymphoma Treatment & Pharmacologic Managementhttps://www.cancertherapyadvisor.com/ddi/non-hodgkin-lymphoma-pharmacological-treatment/
High-dose therapy with autologous stem cell rescue (HDT/ASCR) is used as salvage therapy in patients with relapsed or refractory DLBCL. […] Chimeric antigen receptor (CAR) T-cell therapy has emerged as a preferred treatment for patients who do not wish to undergo HDT/ASCR. […] For second-line therapy of patients who do not intend to proceed with HDT/ASCR, the following regimens are listed as preferred by the NCCN. […] Nonchemotherapy options such as ibrutinib or lenalidomide-rituximab may be considered in certain circumstances. […] The US Food and Drug Administration (FDA) recently approved new treatments for patients with relapsed/refractory DLBCL after at least 2 prior lines of therapy, including epcoritamab-bysp (Epkinly) in May 2023 and glofitamab-gxbm (Columvi) in June 2023. […] The preferred first-line treatments for patients with follicular lymphoma include bendamustine+obinutuzumab or rituximab; CHOP+obinutuzumab or rituximab; CVP (cyclophosphamide, vincristine sulfate, prednisone)+obinutuzumab or rituximab; or lenalidomide+rituximab.
- #22 Treating Non-Hodgkin lymphoma (NHL) | Macmillan Cancer Supporthttps://www.macmillan.org.uk/cancer-information-and-support/lymphoma/non-hodgkin/treatment
Treatment for non-Hodgkin lymphoma (NHL) depends on the type and stage of the lymphoma you have. Chemotherapy is the most common treatment for NHL. […] There are different types of treatment for NHL. You may need just one type of treatment or a combination of treatments. […] The most common treatment for early stage (stage 1 or 2), low-grade NHL is radiotherapy. It is given to the affected lymph nodes and can usually make the lymphoma disappear completely. Some people are cured after radiotherapy alone. […] Treatment aims to control the lymphoma rather than cure it. It is often very successful at shrinking the lymphoma. You will feel well and will not have any symptoms. This is called remission. […] When low-grade advanced NHL causes symptoms, the most common treatments are: chemotherapy, rituximab or a similar targeted and immunotherapy drug, a combination of chemotherapy and a targeted and immunotherapy drug (called chemoimmunotherapy).
- #23 Non-Hodgkin lymphoma | Causes, Symptoms & Treatments | Cancer Councilhttps://www.cancer.org.au/cancer-information/types-of-cancer/non-hodgkin-lymphoma
Radiation therapy uses x-rays to kill or injure cancer cells and is generally used in early stage (I or II) of non-Hodgkin lymphoma. In more advanced lymphomas, a combination of radiation therapy and chemotherapy is usually used. […] Your doctor may recommend a stem cell transplant if there is a risk of the cancer returning, if the cancer has returned or if you have not responded to other forms of treatment. […] In some cases of non-Hodgkin lymphoma, your medical team may talk to you about palliative care. Palliative care aims to improve your quality of life by alleviating symptoms of cancer without aiming to cure the disease. […] As well as slowing the spread of non-Hodgkin lymphoma, palliative treatment can relieve pain and help to manage other symptoms. Treatment may include chemotherapy, radiotherapy or other drug therapies. […] Depending on your treatment, your treatment team may consist of a number of different health professionals, such as GP (General Practitioner), Haematologist, Radiation oncologist, Medical oncologist, Cancer nurse, and other allied health professionals.
- #24 Non-Hodgkin Lymphoma Treatment – NCIhttps://www.cancer.gov/types/lymphoma/patient/adult-nhl-treatment-pdq
Treatment of indolent stage I and indolent, contiguous stage II non-Hodgkin lymphoma may include the following: Radiation therapy, Monoclonal antibody therapy (rituximab) and/or chemotherapy, Watchful waiting. […] Treatment of aggressive stage I and aggressive, contiguous stage II non-Hodgkin lymphoma may include the following: Monoclonal antibody therapy (rituximab) and combination chemotherapy. […] Treatment of aggressive, noncontiguous stage II, III, or IV non-Hodgkin lymphoma may include the following: Monoclonal antibody therapy (rituximab) with combination chemotherapy, Combination chemotherapy. […] Treatment of recurrent non-Hodgkin lymphoma may include the following: Monoclonal antibody therapy (rituximab or obinutuzumab) with or without chemotherapy, Lenalidomide and rituximab, EZH2 inhibitor therapy (tazemetostat), Radiation therapy as palliative therapy to relieve symptoms and improve quality of life.
- #25 Treatments for non-Hodgkin lymphoma | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/non-hodgkin-lymphoma/treatment
Your healthcare team will create a treatment plan just for you. The plan is based on your health and specific information about the cancer. What you want is also important when planning treatment. When deciding which treatments to offer for non-Hodgkin lymphoma (NHL), your healthcare team will consider: […] When planning treatment, the healthcare will look at if the NHL is an indolent or aggressive type. […] Indolent NHL means that the cancer is growing slowly. Because it grows slowly, some people will only ever need watchful waiting. If other treatments are used, like chemotherapy or targeted therapy, indolent NHLs usually respond well to treatment and can often be controlled for many years. […] Aggressive NHL means that the cancer is growing quickly. An aggressive NHL often causes symptoms soon after it develops, and these symptoms usually need to be treated right away. Aggressive NHLs usually respond well to treatment.
- #26 Treating Non-Hodgkin lymphoma (NHL) | Macmillan Cancer Supporthttps://www.macmillan.org.uk/cancer-information-and-support/lymphoma/non-hodgkin/treatment
High-grade lymphoma is usually fast-growing and needs to be treated straightaway. The aim is to make the lymphoma disappear completely. This is called complete remission. […] The most commonly used treatments are: chemotherapy and steroids, a combination of chemotherapy and a targeted and immunotherapy drug, such as rituximab (chemoimmunotherapy) and steroids. […] Many people with high-grade NHL are cured. But if the lymphoma does not completely respond to treatment your doctor may talk to you about having more intensive treatment. This may involve high-dose chemotherapy with a stem cell transplant using your own or a donor’s stem cells. […] Treatment can often cure high-grade NHL. But, in some people, the lymphoma comes back. If this happens, it may be possible to have more treatment to try to cure it.
- #27 https://www.lls.org/lymphoma/non-hodgkin-lymphoma/nhl-subtypes/treatment-aggressive-nhl-subtypeshttps://www.lls.org/lymphoma/non-hodgkin-lymphoma/nhl-subtypes/treatment-aggressive-nhl-subtypes
Aggressive non-Hodgkin lymphoma (NHL) progresses rapidly. Treatment for aggressive B-cell NHL subtypes starts at the time of diagnosis. Patients with fast-growing NHL are frequently treated with chemotherapy that consists of four or more drugs. In most cases, this is the combination therapy called R-CHOP (rituximab [Rituxan], cyclophosphamide [Cytoxan], doxorubicin [hydroxydoxorubicin], Oncovin [vincristine] and prednisone). This intensive, multidrug chemotherapy can be very effective for aggressive lymphoma, and cures have been achieved. Chemotherapy can be supplemented by radiation therapy in select cases, for instance, when large NHL masses are found during the diagnostic and staging process. […] Treatment outcomes depend on how well the patient with AIDS responds to therapy and manages the effects of chemotherapy on blood counts.
- #28 Non-Hodgkin’s Lymphoma | Conditions | UCSF Healthhttps://www.ucsfhealth.org/conditions/non-hodgkins-lymphoma
The most common therapy for non-Hodgkin’s lymphoma is called R-CHOP and consists of four different chemotherapy medications plus a type of immunotherapy called rituximab, which specifically targets some lymphoma cells. […] Radiation therapy, also called radiotherapy, is the use of high-energy rays to kill cancer cells. Treatment with radiation may be given alone or with chemotherapy. […] At UCSF Medical Center, stem cell transplantation, also called bone marrow transplantation, is offered to all patients with recurrent non-Hodgkin’s lymphoma. […] Biological therapy, also called immunotherapy, is a form of treatment that uses the body’s immune system, either directly or indirectly, to fight cancer or to lessen the side effects that can be caused by some cancer treatments.
- #29 https://www.lls.org/lymphoma/non-hodgkin-lymphoma/nhl-subtypes/treatment-aggressive-nhl-subtypeshttps://www.lls.org/lymphoma/non-hodgkin-lymphoma/nhl-subtypes/treatment-aggressive-nhl-subtypes
Aggressive non-Hodgkin lymphoma (NHL) progresses rapidly. Treatment for aggressive B-cell NHL subtypes starts at the time of diagnosis. Patients with fast-growing NHL are frequently treated with chemotherapy that consists of four or more drugs. In most cases, this is the combination therapy called R-CHOP (rituximab [Rituxan], cyclophosphamide [Cytoxan], doxorubicin [hydroxydoxorubicin], Oncovin [vincristine] and prednisone). This intensive, multidrug chemotherapy can be very effective for aggressive lymphoma, and cures have been achieved. Chemotherapy can be supplemented by radiation therapy in select cases, for instance, when large NHL masses are found during the diagnostic and staging process. […] Treatment outcomes depend on how well the patient with AIDS responds to therapy and manages the effects of chemotherapy on blood counts.
- #30 Non-Hodgkin Lymphoma Treatment & Pharmacologic Managementhttps://www.cancertherapyadvisor.com/ddi/non-hodgkin-lymphoma-pharmacological-treatment/
The following treatment recommendations established by the National Comprehensive Cancer Network (NCCN) offer guidance on induction therapy, maintenance therapy, and treatment for relapsed or refractory disease for the most common types of B-cell lymphoma. […] Cure is possible for a substantial number of patients with Burkitt lymphoma by using dose-intensive multiagent chemotherapy regimens. However, this type of cancer grows very quickly, so immediate treatment is important. More than half of people with Burkitt lymphoma can be cured with intensive chemotherapy. […] Treatment recommendations from the NCCN involve chemotherapy and central nervous system prophylaxis with intrathecal chemotherapy. […] First-line treatment recommendations for patients with stage I to II DLBCL (excluding stage II with extensive mesenteric disease) include RCHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, prednisone) or pola-R-CHP (polatuzumab vedotin-piiq, rituximab, cyclophosphamide, doxorubicin, prednisone).
- #31 Non-Hodgkin lymphoma – Wikipediahttps://en.wikipedia.org/wiki/Non-Hodgkin_lymphoma
Treatment depends on whether the lymphoma is slow or fast growing and if it is in one area or many areas. Treatments may include chemotherapy, radiation, immunotherapy, targeted therapy, stem-cell transplantation, surgery, or watchful waiting. […] The traditional treatment of NHL includes chemotherapy, radiotherapy, and stem-cell transplants. There have also been developments in immunotherapy used in the treatment of NHL. […] The most common chemotherapy used for B-cell non-Hodgkin lymphoma is R-CHOP, which is a regimen of four drugs (cyclophosphamide, doxorubicin, vincristine, and prednisone) plus rituximab. […] R-CHP with polatuzumab vedotin, an antibody-drug conjugate, was included as a category 1 preferred regimen for first-line DLBCL by the National Comprehensive Cancer Network in 2023. […] If participants receive stem-cell transplants, they can develop a graft-versus-host disease. […] Platelet transfusions may be necessary for those who receive chemotherapy or undergo a stem cell transplantation due to the higher risk for bleeding.
- #32 https://www.lls.org/lymphoma/non-hodgkin-lymphoma/nhl-subtypes/treatment-aggressive-nhl-subtypeshttps://www.lls.org/lymphoma/non-hodgkin-lymphoma/nhl-subtypes/treatment-aggressive-nhl-subtypes
Doctors typically use highly aggressive chemotherapy that often require admission to the hospital to treat this subtype of NHL. Commonly used regimens include: CODOX-M/IVAC (cyclophosphamide, vincristine [Oncovin], doxorubicin and high-dose methotrexate) alternating with IVAC (ifosfamide, etoposide and highdose cytarabine). […] Studies report that BL is curable in a significant group of patients when treated with high-dose, multidrug chemotherapy regimens that include central nervous system (CNS) prophylaxis. About 60 to 90 percent of children and young adults with the disease achieve durable remissions if treated timely and appropriately. […] Standard treatment may include chemotherapy that includes intrathecal methotrexate, corticosteroid drugs and/or radiation therapy. Immunotherapy and high-dose chemotherapy with stem cell transplantation are being studied in clinical trials.
- #33 https://www.lls.org/lymphoma/non-hodgkin-lymphoma/nhl-subtypes/treatment-aggressive-nhl-subtypeshttps://www.lls.org/lymphoma/non-hodgkin-lymphoma/nhl-subtypes/treatment-aggressive-nhl-subtypes
Doctors typically use highly aggressive chemotherapy that often require admission to the hospital to treat this subtype of NHL. Commonly used regimens include: CODOX-M/IVAC (cyclophosphamide, vincristine [Oncovin], doxorubicin and high-dose methotrexate) alternating with IVAC (ifosfamide, etoposide and highdose cytarabine). […] Studies report that BL is curable in a significant group of patients when treated with high-dose, multidrug chemotherapy regimens that include central nervous system (CNS) prophylaxis. About 60 to 90 percent of children and young adults with the disease achieve durable remissions if treated timely and appropriately. […] Standard treatment may include chemotherapy that includes intrathecal methotrexate, corticosteroid drugs and/or radiation therapy. Immunotherapy and high-dose chemotherapy with stem cell transplantation are being studied in clinical trials.
- #34 https://www.lls.org/lymphoma/non-hodgkin-lymphoma/nhl-subtypes/treatment-aggressive-nhl-subtypeshttps://www.lls.org/lymphoma/non-hodgkin-lymphoma/nhl-subtypes/treatment-aggressive-nhl-subtypes
Treatments for previously untreated patients include: R-CHOP (rituximab [Rituxan], cyclophosphamide [Cytoxan], doxorubicin [hydroxydoxorubicin], Oncovin [vincristine] and prednisone). […] The standard treatment is a combination chemotherapy regimen, either with or without an autologous stem cell transplant. […] For most newly diagnosed cases of PTCL, the initial treatment is usually combination chemotherapy. Clinical trials are underway to study the efficacy and safety of potential new drugs and drug combinations to treat PTCL. […] Patients with PMBCL often need more intensive treatment. There are two standard combination regimens: R-EPOCH and R-CHOP. The R-EPOCH regimen is being used more often as a treatment for PMBCL, as there is less need for radiation therapy with this regimen. Treatment for people whose disease is refractory to treatment or has relapsed includes the monoclonal antibody pembrolizumab (Keytruda), and the CAR T-cell therapy products axicabtagene ciloleucel (Yescarta) and lisocabtagene maraleucel (Breyanzi).
- #35 logo–sylvesterhttps://umiamihealth.org/en/sylvester-comprehensive-cancer-center/treatments-and-services/hematologic-(blood)-cancers-/non-hodgkin-lymphoma
Immunotherapy: This treatment makes use of substances made to simulate the protective actions of your immune system. These drugs help your immune system to fight the lymphoma. […] Targeted Therapy: This treatment uses medicines to attack parts of cancer cells that make them unique from healthy cells. […] Radiation Therapy: Radiation therapy is used to consolidate gains made by systemic treatments, especially in areas where there was a large volume of disease originally or where disease persists after chemotherapy. […] Stem Cell Transplant: Stem cells can come from a donor (allogeneic transplant) or your own body (autologous transplant). This process occurs before you undergo high dose chemotherapy or radiation therapy to kill off cancer cells. […] In rare cases, a surgeon may take out an organ, such as your spleen, if it has lymphoma.
- #36 Non-Hodgkin Lymphoma (NHL) Treatment & Management: Approach Considerations, Management of Indolent NHL, Management of Aggressive NHLhttps://emedicine.medscape.com/article/203399-treatment
Randomized trials have shown that adding rituximab to chemotherapy regimens results in higher response rates, longer time to progression, and longer survival than chemotherapy. […] Maintenance therapy with rituximab after induction chemotherapy has been reported to prolong progression-free survival (PFS) in comparison with observation alone in patients with indolent lymphoma. […] In patients with indolent NHL that is refractory to rituximab, obinutuzumab plus bendamustine followed by obinutuzumab maintenance has improved efficacy over bendamustine monotherapy, with manageable toxicity. […] High-dose chemotherapy plus stem-cell transplantation is the treatment of choice for patients who have recurrent aggressive lymphomas. […] In 2019, polatuzumab vedotin, a CD79b-directed antibody-drug conjugate, gained accelerated approval from the FDA for use in combination with bendamustine and a rituximab product for adults with relapsed or recurrent DLBCL who have received at least 2 prior therapies and are not candidates for transplantation.
- #37 Non-Hodgkin Lymphoma – Treatment Options – Messino Cancer Centershttps://messinocancercenters.com/resource/non-hodgkin-lymphoma/non-hodgkin-lymphoma-treatment-options/
Radiation treatment for NHL is usually external-beam radiation therapy, which is radiation given from a machine outside the body. […] A bone marrow transplant is a medical procedure in which bone marrow or peripheral blood cells containing highly specialized cells, called hematopoietic stem cells, are used as part of a treatment plan. […] Transplantation is considered an aggressive treatment. It is generally used only for people with NHL whose disease is progressive or recurrent. […] For some NHL subtypes, such as mantle cell lymphoma and some T-cell lymphomas, doctors may recommend transplantation as part of the initial treatment plan to prevent recurrence. […] Treatment options for refractory NHL depend on 4 factors: Where the cancer is, The lymphoma subtype, The type of treatment given before, The patients overall health.
- #38 Non-Hodgkin lymphoma – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/non-hodgkins-lymphoma/diagnosis-treatment/drc-20375685
For many types of non-Hodgkin lymphoma, chemotherapy is the first treatment. Sometimes it’s combined with targeted therapy. […] Immunotherapy for cancer is a treatment with medicine that helps the body’s immune system kill cancer cells. The immune system fights off diseases by attacking germs and other cells that shouldn’t be in the body. Cancer cells survive by hiding from the immune system. Immunotherapy helps the immune system cells find and kill the cancer cells. […] People with certain types of non-Hodgkin lymphoma may have immunotherapy if other treatments haven’t helped. […] Targeted therapy for cancer is a treatment that uses medicines that attack specific chemicals in the cancer cells. By blocking these chemicals, targeted treatments can cause cancer cells to die. […] For non-Hodgkin lymphoma, targeted therapy may be used alone. But more often, it’s combined with chemotherapy. This mix may be your first treatment. It can be your second treatment if your lymphoma comes back.
- #39 Immunotherapy for non-Hodgkin lymphoma | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/non-hodgkin-lymphoma/treatment/immunotherapy
Immunotherapy helps to strengthen or restore the immune system’s ability to fight cancer. This works to kill cancer cells and stop cancer cells from growing and spreading. […] Immunotherapy is sometimes used to treat non-Hodgkin lymphoma (NHL). If you have immunotherapy, your healthcare team will use what they know about the cancer and about your health to plan the drugs, doses and schedules. […] Immunotherapy may be the only treatment you have or it may be used along with other treatments. You may have immunotherapy to: treat NHL that expresses certain proteins, treat NHL that comes back or doesn’t respond to other treatments, control symptoms of NHL. […] Different types of immunotherapy are used for NHL. These include: immune checkpoint inhibitors, CAR T-cell therapy, bispecific antibodies.
- #40 Non-Hodgkin Lymphoma – Treatment Options – Messino Cancer Centershttps://messinocancercenters.com/resource/non-hodgkin-lymphoma/non-hodgkin-lymphoma-treatment-options/
A chemotherapy regimen, or schedule, usually consists of a specific number of cycles given over a set period of time. A patient may receive 1 drug at a time or a combination of different drugs given at the same time. The stage and type of NHL determines which chemotherapy is used. […] The most common chemotherapy combination for the first treatment of aggressive NHL is called CHOP and contains 4 medications: Cyclophosphamide, Doxorubicin, Prednisone, Vincristine. […] For patients with B-cell lymphoma, adding an anti-CD20 monoclonal antibody, such as rituximab or obinutuzumab, to CHOP works better than using CHOP alone. […] Targeted therapy is a treatment that targets the cancers specific genes, proteins, or the tissue environment that contributes to cancer growth and survival. This type of treatment blocks the growth and spread of cancer cells while limiting damage to healthy cells.
- #41 Non-Hodgkin Lymphoma (NHL) Treatment & Management: Approach Considerations, Management of Indolent NHL, Management of Aggressive NHLhttps://emedicine.medscape.com/article/203399-treatment
Randomized trials have shown that adding rituximab to chemotherapy regimens results in higher response rates, longer time to progression, and longer survival than chemotherapy. […] Maintenance therapy with rituximab after induction chemotherapy has been reported to prolong progression-free survival (PFS) in comparison with observation alone in patients with indolent lymphoma. […] In patients with indolent NHL that is refractory to rituximab, obinutuzumab plus bendamustine followed by obinutuzumab maintenance has improved efficacy over bendamustine monotherapy, with manageable toxicity. […] High-dose chemotherapy plus stem-cell transplantation is the treatment of choice for patients who have recurrent aggressive lymphomas. […] In 2019, polatuzumab vedotin, a CD79b-directed antibody-drug conjugate, gained accelerated approval from the FDA for use in combination with bendamustine and a rituximab product for adults with relapsed or recurrent DLBCL who have received at least 2 prior therapies and are not candidates for transplantation.
- #42 Immunotherapy for non-Hodgkin lymphoma | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/non-hodgkin-lymphoma/treatment/immunotherapy
The immunotherapy drugs used to treat NHL may not be covered by all provincial or territorial health plans. […] Immune checkpoint inhibitors are drugs that block the checkpoint proteins so immune system cells, such as T cells, can attack and kill the lymphoma cells. […] Pembrolizumab (Keytruda) is an immune checkpoint inhibitor that may be used to treat primary mediastinal large B-cell lymphoma (PMBCL) that doesn’t respond to treatment (called refractory disease) or comes back (relapses) after 2 different types of chemotherapy or targeted therapy. […] CAR T-cell therapy is a very complex treatment. It involves removing some T cells from your blood, making small changes to them in the lab and then giving them back to you. […] The following CAR T-cell therapies may be used to treat NHL.
- #43 Immunotherapy for non-Hodgkin lymphoma | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/non-hodgkin-lymphoma/treatment/immunotherapy
The immunotherapy drugs used to treat NHL may not be covered by all provincial or territorial health plans. […] Immune checkpoint inhibitors are drugs that block the checkpoint proteins so immune system cells, such as T cells, can attack and kill the lymphoma cells. […] Pembrolizumab (Keytruda) is an immune checkpoint inhibitor that may be used to treat primary mediastinal large B-cell lymphoma (PMBCL) that doesn’t respond to treatment (called refractory disease) or comes back (relapses) after 2 different types of chemotherapy or targeted therapy. […] CAR T-cell therapy is a very complex treatment. It involves removing some T cells from your blood, making small changes to them in the lab and then giving them back to you. […] The following CAR T-cell therapies may be used to treat NHL.
- #44 Non-Hodgkin lymphoma – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/non-hodgkins-lymphoma/diagnosis-treatment/drc-20375685
Chimeric antigen receptor T cell therapy, also called CAR-T cell therapy, trains the immune system cells to fight non-Hodgkin lymphoma. This treatment begins with removing some white blood cells, including T cells, from the blood. […] A bone marrow transplant, also called a bone marrow stem cell transplant, involves putting healthy bone marrow stem cells into the body. These cells replace cells hurt by chemotherapy and other treatments. People with non-Hodgkin lymphoma may have a bone marrow transplant if other treatments haven’t helped. […] Radiation therapy treats cancer with powerful energy beams. The energy can come from X-rays, protons or other sources. During radiation therapy, you lie on a table while a machine moves around you. The machine directs radiation to precise points on your body.
- #45 Immunotherapy for non-Hodgkin lymphoma | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/non-hodgkin-lymphoma/treatment/immunotherapy
The immunotherapy drugs used to treat NHL may not be covered by all provincial or territorial health plans. […] Immune checkpoint inhibitors are drugs that block the checkpoint proteins so immune system cells, such as T cells, can attack and kill the lymphoma cells. […] Pembrolizumab (Keytruda) is an immune checkpoint inhibitor that may be used to treat primary mediastinal large B-cell lymphoma (PMBCL) that doesn’t respond to treatment (called refractory disease) or comes back (relapses) after 2 different types of chemotherapy or targeted therapy. […] CAR T-cell therapy is a very complex treatment. It involves removing some T cells from your blood, making small changes to them in the lab and then giving them back to you. […] The following CAR T-cell therapies may be used to treat NHL.
- #46 Lymphoma – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/lymphoma/diagnosis-treatment/drc-20352642
Targeted therapy for cancer is a treatment that uses medicines that attack specific chemicals in the cancer cells. By blocking these chemicals, targeted treatments can cause cancer cells to die. Your lymphoma cells might be tested to see if targeted therapy will help you. […] Radiation therapy treats cancer with powerful energy beams. The energy comes from X-rays, protons or other sources. During radiation therapy, you lie on a table while a machine moves around you. The machine directs radiation to precise points in your body. […] Chimeric antigen receptor (CAR)-T cell therapy, also called CAR-T cell therapy, trains your immune system cells to fight lymphoma. This treatment begins with removing some white blood cells, including T cells, from your blood. The cells are sent to a lab. In the lab, the cells are treated to recognize the lymphoma cells. The cells are then put back into your body. They then can find and destroy the lymphoma cells.
- #47 Non-Hodgkin Lymphoma (NHL) Treatment & Management: Approach Considerations, Management of Indolent NHL, Management of Aggressive NHLhttps://emedicine.medscape.com/article/203399-treatment
Chimeric antigen receptor (CAR) T-cell therapy is approved for use in adult patients with relapsed or refractory large B-cell lymphoma, after two or more lines of systemic therapy. […] The following CAR T-cell therapies have FDA approval: Axicabtagene ciloleucel (Yescarta), Tisagenlecleucel (Kymriah), and Lisocabtagene maraleucel (Breyanzi).
- #48 Immunotherapy for non-Hodgkin lymphoma | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/non-hodgkin-lymphoma/treatment/immunotherapy
Bispecific antibodies are a new type of immunotherapy designed to attach to 2 different targets an immune cell and a cancer cell. Bispecific antibodies bring the 2 cells together to help the body’s immune system attack the lymphoma cells. […] Epcoritamab (Epkinly) can be used to treat relapsed or refractory diffuse large B-cell lymphoma (DLBCL), an indolent (slow-growing) lymphoma that transformed into DLBCL, high-grade B-cell lymphoma, primary mediastinal B-cell lymphoma or grade 3B follicular lymphoma. […] Glofitamab (Columvi) can be used to treat relapsed or refractory DLBCL, DLBCL that develops from follicular lymphoma or DLBCL that develops from primary mediastinal B-cell lymphoma.
- #49 Immunotherapy for non-Hodgkin lymphoma | Canadian Cancer Societyhttps://cancer.ca/en/cancer-information/cancer-types/non-hodgkin-lymphoma/treatment/immunotherapy
Bispecific antibodies are a new type of immunotherapy designed to attach to 2 different targets an immune cell and a cancer cell. Bispecific antibodies bring the 2 cells together to help the body’s immune system attack the lymphoma cells. […] Epcoritamab (Epkinly) can be used to treat relapsed or refractory diffuse large B-cell lymphoma (DLBCL), an indolent (slow-growing) lymphoma that transformed into DLBCL, high-grade B-cell lymphoma, primary mediastinal B-cell lymphoma or grade 3B follicular lymphoma. […] Glofitamab (Columvi) can be used to treat relapsed or refractory DLBCL, DLBCL that develops from follicular lymphoma or DLBCL that develops from primary mediastinal B-cell lymphoma.
- #50 Non-Hodgkin lymphoma – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/non-hodgkins-lymphoma/diagnosis-treatment/drc-20375685
For many types of non-Hodgkin lymphoma, chemotherapy is the first treatment. Sometimes it’s combined with targeted therapy. […] Immunotherapy for cancer is a treatment with medicine that helps the body’s immune system kill cancer cells. The immune system fights off diseases by attacking germs and other cells that shouldn’t be in the body. Cancer cells survive by hiding from the immune system. Immunotherapy helps the immune system cells find and kill the cancer cells. […] People with certain types of non-Hodgkin lymphoma may have immunotherapy if other treatments haven’t helped. […] Targeted therapy for cancer is a treatment that uses medicines that attack specific chemicals in the cancer cells. By blocking these chemicals, targeted treatments can cause cancer cells to die. […] For non-Hodgkin lymphoma, targeted therapy may be used alone. But more often, it’s combined with chemotherapy. This mix may be your first treatment. It can be your second treatment if your lymphoma comes back.
- #51 Treatment Options for Lymphoma | Lymphoma Research Foundationhttps://lymphoma.org/understanding-lymphoma/treatment-planning-and-options/treatments/
Clinical trials are appropriate for patients at all stages of disease. […] The term immunotherapy (also called immune-oncology) refers to treatments that interact with the immune system. […] Radiation therapy (also called radiotherapy) uses high-energy x-rays to kill cancer cells and shrink tumors. […] The ability to transplant stem cells allows physicians to use higher doses of chemotherapy to treat the cancer than the body would normally tolerate, increasing the probability of killing cancer cells. […] Most types of targeted therapy help treat lymphoma by interfering with specific proteins that help tumors grow and spread throughout the body.
- #52 Non-Hodgkin Lymphoma Treatment & Pharmacologic Managementhttps://www.cancertherapyadvisor.com/ddi/non-hodgkin-lymphoma-pharmacological-treatment/
High-dose therapy with autologous stem cell rescue (HDT/ASCR) is used as salvage therapy in patients with relapsed or refractory DLBCL. […] Chimeric antigen receptor (CAR) T-cell therapy has emerged as a preferred treatment for patients who do not wish to undergo HDT/ASCR. […] For second-line therapy of patients who do not intend to proceed with HDT/ASCR, the following regimens are listed as preferred by the NCCN. […] Nonchemotherapy options such as ibrutinib or lenalidomide-rituximab may be considered in certain circumstances. […] The US Food and Drug Administration (FDA) recently approved new treatments for patients with relapsed/refractory DLBCL after at least 2 prior lines of therapy, including epcoritamab-bysp (Epkinly) in May 2023 and glofitamab-gxbm (Columvi) in June 2023. […] The preferred first-line treatments for patients with follicular lymphoma include bendamustine+obinutuzumab or rituximab; CHOP+obinutuzumab or rituximab; CVP (cyclophosphamide, vincristine sulfate, prednisone)+obinutuzumab or rituximab; or lenalidomide+rituximab.
- #53 Non-Hodgkin’s Lymphoma Treatment: Combination Therapyhttps://www.webmd.com/cancer/lymphoma/non-hodgkins-multiple-treatments
R-CHOP causes side effects for most people. Some of these, like a high fever and very low white blood cell count, are life-threatening. […] This type of immunotherapy combines a monoclonal antibody like rituximab with a single chemo drug. […] One example is a drug called brentuximab vedotin (Adcetris). […] This treatment works like antibody-drug conjugates, but the antibody is attached to a radioactive molecule. […] Your doctor may prescribe a medicine called ibritumomab tiuxetan (Zevalin) if you have follicular cell lymphoma that comes back or isn’t helped by other treatments. Some of the most serious side effects of radioimmunotherapy are very low blood counts and the chance you’ll get another kind of cancer.
- #54 Non-Hodgkin Lymphoma (NHL) Treatment & Management: Approach Considerations, Management of Indolent NHL, Management of Aggressive NHLhttps://emedicine.medscape.com/article/203399-treatment
Randomized trials have shown that adding rituximab to chemotherapy regimens results in higher response rates, longer time to progression, and longer survival than chemotherapy. […] Maintenance therapy with rituximab after induction chemotherapy has been reported to prolong progression-free survival (PFS) in comparison with observation alone in patients with indolent lymphoma. […] In patients with indolent NHL that is refractory to rituximab, obinutuzumab plus bendamustine followed by obinutuzumab maintenance has improved efficacy over bendamustine monotherapy, with manageable toxicity. […] High-dose chemotherapy plus stem-cell transplantation is the treatment of choice for patients who have recurrent aggressive lymphomas. […] In 2019, polatuzumab vedotin, a CD79b-directed antibody-drug conjugate, gained accelerated approval from the FDA for use in combination with bendamustine and a rituximab product for adults with relapsed or recurrent DLBCL who have received at least 2 prior therapies and are not candidates for transplantation.
- #55 Treatment Options for Non-Hodgkin Lymphoma :: MN Oncologyhttps://mnoncology.com/cancers-and-blood-disorders/blood-cancers/non-hodgkin-lymphoma/treatment-options-non-hodgkin-lymphoma
People with certain types of non-Hodgkin lymphoma may have biological therapy. This type of treatment helps the immune system fight cancer. […] Monoclonal antibodies are the type of biological therapy used for lymphoma. They are proteins made in the lab that can bind to cancer cells. They help the immune system kill lymphoma cells. […] Radiation therapy (also called radiotherapy) uses high-energy rays to kill lymphoma cells. It can shrink tumors and help control pain. […] Two types of radiation therapy are used for people with lymphoma: External radiation: A large machine aims the rays at the part of the body where lymphoma cells have collected. […] Systemic radiation: Some people with lymphoma receive an injection of radioactive material that travels throughout the body. The radioactive material is bound to monoclonal antibodies that seek out lymphoma cells. The radiation destroys the lymphoma cells.
- #56 Non-Hodgkin’s Lymphoma Treatment: Combination Therapyhttps://www.webmd.com/cancer/lymphoma/non-hodgkins-multiple-treatments
R-CHOP causes side effects for most people. Some of these, like a high fever and very low white blood cell count, are life-threatening. […] This type of immunotherapy combines a monoclonal antibody like rituximab with a single chemo drug. […] One example is a drug called brentuximab vedotin (Adcetris). […] This treatment works like antibody-drug conjugates, but the antibody is attached to a radioactive molecule. […] Your doctor may prescribe a medicine called ibritumomab tiuxetan (Zevalin) if you have follicular cell lymphoma that comes back or isn’t helped by other treatments. Some of the most serious side effects of radioimmunotherapy are very low blood counts and the chance you’ll get another kind of cancer.
- #57 4 Innovative Non-Hodgkin Lymphoma Treatment Options | MD Anderson Cancer Centerhttps://www.mdanderson.org/cancer-types/non-hodgkin-lymphoma/non-hodgkin-lymphoma-treatment.html
Proton therapy delivers high radiation doses directly to the tumor site, with minimal damage to nearby healthy tissue. […] Immunotherapy for Non-Hodgkin lymphoma may include: Chimeric Antigen Receptor (CAR) T cell therapy, Monoclonal antibodies including rituximab, Biological therapies that develop antibodies to help the body fight the cancer, Immune modulators, such lenalidomide, that modify the environment of the tumor cell and allow the immune system to kill the cancer, Targeted therapies that attack cancer cells by using small molecules to block pathways cells used to survive and multiply, Small molecule treatments. […] If non-Hodgkin lymphoma does not respond to chemotherapy or if it returns, your doctor may recommend a stem cell transplant. […] This approach involves closely monitoring non-Hodgkin lymphoma without active treatment. Sometimes this is appropriate for some patients with low-grade lymphomas.
- #58 Non-Hodgkin Lymphoma Treatment – NCIhttps://www.cancer.gov/types/lymphoma/patient/adult-nhl-treatment-pdq
Treatment of indolent stage I and indolent, contiguous stage II non-Hodgkin lymphoma may include the following: Radiation therapy, Monoclonal antibody therapy (rituximab) and/or chemotherapy, Watchful waiting. […] Treatment of aggressive stage I and aggressive, contiguous stage II non-Hodgkin lymphoma may include the following: Monoclonal antibody therapy (rituximab) and combination chemotherapy. […] Treatment of aggressive, noncontiguous stage II, III, or IV non-Hodgkin lymphoma may include the following: Monoclonal antibody therapy (rituximab) with combination chemotherapy, Combination chemotherapy. […] Treatment of recurrent non-Hodgkin lymphoma may include the following: Monoclonal antibody therapy (rituximab or obinutuzumab) with or without chemotherapy, Lenalidomide and rituximab, EZH2 inhibitor therapy (tazemetostat), Radiation therapy as palliative therapy to relieve symptoms and improve quality of life.
- #59 Non-Hodgkin Lymphoma – Treatment Options – Messino Cancer Centershttps://messinocancercenters.com/resource/non-hodgkin-lymphoma/non-hodgkin-lymphoma-treatment-options/
Radiation treatment for NHL is usually external-beam radiation therapy, which is radiation given from a machine outside the body. […] A bone marrow transplant is a medical procedure in which bone marrow or peripheral blood cells containing highly specialized cells, called hematopoietic stem cells, are used as part of a treatment plan. […] Transplantation is considered an aggressive treatment. It is generally used only for people with NHL whose disease is progressive or recurrent. […] For some NHL subtypes, such as mantle cell lymphoma and some T-cell lymphomas, doctors may recommend transplantation as part of the initial treatment plan to prevent recurrence. […] Treatment options for refractory NHL depend on 4 factors: Where the cancer is, The lymphoma subtype, The type of treatment given before, The patients overall health.
- #60 https://www.lls.org/lymphoma/non-hodgkin-lymphoma/treatment/relapsed-and-refractoryhttps://www.lls.org/lymphoma/non-hodgkin-lymphoma/treatment/relapsed-and-refractory
Refractory non-Hodgkin lymphoma (NHL) is NHL that has not responded to initial treatment. Refractory disease may be disease that is getting worse or staying the same. […] Most patients with relapsed or refractory NHL receive second-line therapy (treatment other than the type used the first time around), sometimes followed by stem cell transplantation. Additional treatments for relapsed or refractory lymphomas may be available through a clinical trial. […] High-dose chemotherapy and an autologous stem cell transplant (ASCT) may be used to treat patients whose disease has relapsed after disease remission, but only a minority of patients achieve long-term remissions with this therapy. Allogeneic stem cell transplantation remains a potential cure for relapsed DLBCL, but some patients may not qualify for a transplant due to advanced age or the presence of other medical conditions. The efficacy of reduced-intensity transplantation is being evaluated in clinical trials.
- #61 https://www.lls.org/lymphoma/non-hodgkin-lymphoma/treatment/relapsed-and-refractoryhttps://www.lls.org/lymphoma/non-hodgkin-lymphoma/treatment/relapsed-and-refractory
Autologous stem cell transplantation remains a key component of the standard medical care for patients with aggressive forms of non-Hodgkin lymphoma (NHL). For indolent lymphomas, autologous stem cell transplantation is primarily used to treat patients with relapsed NHL. Allogeneic transplantation may be considered in the treatment of indolent forms of NHL, particularly for younger patients whose disease behaves more aggressively or has high-risk features. […] Stem cell transplantation can cause serious side effects that can be life threatening, so it may not be a treatment option for all NHL patients. The risks and benefits of transplantation must always be considered when making treatment decisions.
- #62 Non-Hodgkin Lymphoma Treatment – NYOHhttps://newyorkoncology.com/non-hodgkin-lymphoma/treatment-options
Chemotherapy is given in cycles. You have a treatment period followed by a rest period. The length of the rest period and the number of treatment cycles depend on the stage of your disease and on the anticancer drugs used. […] People with certain types of non-Hodgkin lymphoma may have biological therapy. This type of treatment of lymphoma helps the immune system fight cancer. […] Monoclonal antibodies are the type of biological therapy used for lymphoma. They are proteins made in the lab that can bind to cancer cells. They help the immune system kill lymphoma cells. […] Radiation therapy (also called radiotherapy) uses high-energy rays to kill lymphoma cells. It can shrink tumors and help control pain. […] If lymphoma returns after treatment, you may receive bone marrow transplant. A transplant of your own blood-forming cells allows you to receive high doses of chemotherapy, radiation therapy, or both. The high doses destroy both lymphoma cells and healthy blood cells in the bone marrow.
- #63 https://www.lls.org/lymphoma/non-hodgkin-lymphoma/treatment/relapsed-and-refractoryhttps://www.lls.org/lymphoma/non-hodgkin-lymphoma/treatment/relapsed-and-refractory
Autologous stem cell transplantation remains a key component of the standard medical care for patients with aggressive forms of non-Hodgkin lymphoma (NHL). For indolent lymphomas, autologous stem cell transplantation is primarily used to treat patients with relapsed NHL. Allogeneic transplantation may be considered in the treatment of indolent forms of NHL, particularly for younger patients whose disease behaves more aggressively or has high-risk features. […] Stem cell transplantation can cause serious side effects that can be life threatening, so it may not be a treatment option for all NHL patients. The risks and benefits of transplantation must always be considered when making treatment decisions.
- #64 https://www.lls.org/lymphoma/non-hodgkin-lymphoma/treatment/relapsed-and-refractoryhttps://www.lls.org/lymphoma/non-hodgkin-lymphoma/treatment/relapsed-and-refractory
Refractory non-Hodgkin lymphoma (NHL) is NHL that has not responded to initial treatment. Refractory disease may be disease that is getting worse or staying the same. […] Most patients with relapsed or refractory NHL receive second-line therapy (treatment other than the type used the first time around), sometimes followed by stem cell transplantation. Additional treatments for relapsed or refractory lymphomas may be available through a clinical trial. […] High-dose chemotherapy and an autologous stem cell transplant (ASCT) may be used to treat patients whose disease has relapsed after disease remission, but only a minority of patients achieve long-term remissions with this therapy. Allogeneic stem cell transplantation remains a potential cure for relapsed DLBCL, but some patients may not qualify for a transplant due to advanced age or the presence of other medical conditions. The efficacy of reduced-intensity transplantation is being evaluated in clinical trials.
- #65 Treating Non-Hodgkin lymphoma (NHL) | Macmillan Cancer Supporthttps://www.macmillan.org.uk/cancer-information-and-support/lymphoma/non-hodgkin/treatment
High-grade lymphoma is usually fast-growing and needs to be treated straightaway. The aim is to make the lymphoma disappear completely. This is called complete remission. […] The most commonly used treatments are: chemotherapy and steroids, a combination of chemotherapy and a targeted and immunotherapy drug, such as rituximab (chemoimmunotherapy) and steroids. […] Many people with high-grade NHL are cured. But if the lymphoma does not completely respond to treatment your doctor may talk to you about having more intensive treatment. This may involve high-dose chemotherapy with a stem cell transplant using your own or a donor’s stem cells. […] Treatment can often cure high-grade NHL. But, in some people, the lymphoma comes back. If this happens, it may be possible to have more treatment to try to cure it.
- #66 Treatment for non Hodgkin lymphoma | Cancer Research UKhttps://www.cancerresearchuk.org/about-cancer/non-hodgkin-lymphoma/treatment
A stem cell transplant allows you to have high doses of chemotherapy. You then have new stem cells which go into the bone marrow so you can start making blood cells again. […] CAR T-cell therapy is a type of immunotherapy. It is also called adoptive cell transfer. It’s a possible treatment for some children and adults with leukaemia. It is also a treatment for some adults with lymphoma. […] Surgery isnt a common treatment for NHL. You might have surgery to remove your spleen for a rare type of NHL called splenic marginal zone lymphoma. […] After your treatment, you have regular follow up appointments. These are to check how you are and see whether you have any problems or worries. […] NHL that does not respond to treatment is called refractory lymphoma. NHL that comes back after treatment is called relapsed disease.
- #67 https://www.lls.org/lymphoma/non-hodgkin-lymphoma/treatment/relapsed-and-refractoryhttps://www.lls.org/lymphoma/non-hodgkin-lymphoma/treatment/relapsed-and-refractory
Refractory non-Hodgkin lymphoma (NHL) is NHL that has not responded to initial treatment. Refractory disease may be disease that is getting worse or staying the same. […] Most patients with relapsed or refractory NHL receive second-line therapy (treatment other than the type used the first time around), sometimes followed by stem cell transplantation. Additional treatments for relapsed or refractory lymphomas may be available through a clinical trial. […] High-dose chemotherapy and an autologous stem cell transplant (ASCT) may be used to treat patients whose disease has relapsed after disease remission, but only a minority of patients achieve long-term remissions with this therapy. Allogeneic stem cell transplantation remains a potential cure for relapsed DLBCL, but some patients may not qualify for a transplant due to advanced age or the presence of other medical conditions. The efficacy of reduced-intensity transplantation is being evaluated in clinical trials.
- #68 https://www.lls.org/lymphoma/non-hodgkin-lymphoma/treatment/relapsed-and-refractoryhttps://www.lls.org/lymphoma/non-hodgkin-lymphoma/treatment/relapsed-and-refractory
Refractory non-Hodgkin lymphoma (NHL) is NHL that has not responded to initial treatment. Refractory disease may be disease that is getting worse or staying the same. […] Most patients with relapsed or refractory NHL receive second-line therapy (treatment other than the type used the first time around), sometimes followed by stem cell transplantation. Additional treatments for relapsed or refractory lymphomas may be available through a clinical trial. […] High-dose chemotherapy and an autologous stem cell transplant (ASCT) may be used to treat patients whose disease has relapsed after disease remission, but only a minority of patients achieve long-term remissions with this therapy. Allogeneic stem cell transplantation remains a potential cure for relapsed DLBCL, but some patients may not qualify for a transplant due to advanced age or the presence of other medical conditions. The efficacy of reduced-intensity transplantation is being evaluated in clinical trials.
- #69 https://www.lls.org/lymphoma/non-hodgkin-lymphoma/treatment/relapsed-and-refractoryhttps://www.lls.org/lymphoma/non-hodgkin-lymphoma/treatment/relapsed-and-refractory
Refractory non-Hodgkin lymphoma (NHL) is NHL that has not responded to initial treatment. Refractory disease may be disease that is getting worse or staying the same. […] Most patients with relapsed or refractory NHL receive second-line therapy (treatment other than the type used the first time around), sometimes followed by stem cell transplantation. Additional treatments for relapsed or refractory lymphomas may be available through a clinical trial. […] High-dose chemotherapy and an autologous stem cell transplant (ASCT) may be used to treat patients whose disease has relapsed after disease remission, but only a minority of patients achieve long-term remissions with this therapy. Allogeneic stem cell transplantation remains a potential cure for relapsed DLBCL, but some patients may not qualify for a transplant due to advanced age or the presence of other medical conditions. The efficacy of reduced-intensity transplantation is being evaluated in clinical trials.
- #70 https://www.lls.org/lymphoma/non-hodgkin-lymphoma/treatment/relapsed-and-refractoryhttps://www.lls.org/lymphoma/non-hodgkin-lymphoma/treatment/relapsed-and-refractory
Refractory non-Hodgkin lymphoma (NHL) is NHL that has not responded to initial treatment. Refractory disease may be disease that is getting worse or staying the same. […] Most patients with relapsed or refractory NHL receive second-line therapy (treatment other than the type used the first time around), sometimes followed by stem cell transplantation. Additional treatments for relapsed or refractory lymphomas may be available through a clinical trial. […] High-dose chemotherapy and an autologous stem cell transplant (ASCT) may be used to treat patients whose disease has relapsed after disease remission, but only a minority of patients achieve long-term remissions with this therapy. Allogeneic stem cell transplantation remains a potential cure for relapsed DLBCL, but some patients may not qualify for a transplant due to advanced age or the presence of other medical conditions. The efficacy of reduced-intensity transplantation is being evaluated in clinical trials.
- #71 Non-Hodgkin Lymphoma (NHL) Treatment & Management: Approach Considerations, Management of Indolent NHL, Management of Aggressive NHLhttps://emedicine.medscape.com/article/203399-treatment
Randomized trials have shown that adding rituximab to chemotherapy regimens results in higher response rates, longer time to progression, and longer survival than chemotherapy. […] Maintenance therapy with rituximab after induction chemotherapy has been reported to prolong progression-free survival (PFS) in comparison with observation alone in patients with indolent lymphoma. […] In patients with indolent NHL that is refractory to rituximab, obinutuzumab plus bendamustine followed by obinutuzumab maintenance has improved efficacy over bendamustine monotherapy, with manageable toxicity. […] High-dose chemotherapy plus stem-cell transplantation is the treatment of choice for patients who have recurrent aggressive lymphomas. […] In 2019, polatuzumab vedotin, a CD79b-directed antibody-drug conjugate, gained accelerated approval from the FDA for use in combination with bendamustine and a rituximab product for adults with relapsed or recurrent DLBCL who have received at least 2 prior therapies and are not candidates for transplantation.
- #72 Non-Hodgkin Lymphoma (NHL) Treatment & Management: Approach Considerations, Management of Indolent NHL, Management of Aggressive NHLhttps://emedicine.medscape.com/article/203399-treatment
Chimeric antigen receptor (CAR) T-cell therapy is approved for use in adult patients with relapsed or refractory large B-cell lymphoma, after two or more lines of systemic therapy. […] The following CAR T-cell therapies have FDA approval: Axicabtagene ciloleucel (Yescarta), Tisagenlecleucel (Kymriah), and Lisocabtagene maraleucel (Breyanzi).
- #73 Non-Hodgkin Lymphoma | UH Seidman Cancer Center | University Hospitals | University Hospitalshttps://www.uhhospitals.org/services/cancer-services/hematologic-malignancy/lymphoma/non-hodgkin-lymphoma
In immunotherapy, certain parts of your own immune system are harnessed to fight cancer. One such therapy is CAR T-cell therapy, which is FDA-approved to treat relapsed and treatment-resistant non-Hodgkin lymphoma in adults. […] Radiation therapy is typically used in the early stage of NHL to alleviate symptoms. For more advanced lymphomas and certain aggressive lymphomas, radiation therapy and chemotherapy may be used together. […] Proton therapy delivers high doses of radiation directly to the tumor without damaging surrounding healthy tissue. […] Bone marrow transplants (also called stem cell transplants) may be recommended if a patients condition does not respond to chemotherapy or if it returns.
- #74 Non-Hodgkin Lymphoma Treatment & Pharmacologic Managementhttps://www.cancertherapyadvisor.com/ddi/non-hodgkin-lymphoma-pharmacological-treatment/
High-dose therapy with autologous stem cell rescue (HDT/ASCR) is used as salvage therapy in patients with relapsed or refractory DLBCL. […] Chimeric antigen receptor (CAR) T-cell therapy has emerged as a preferred treatment for patients who do not wish to undergo HDT/ASCR. […] For second-line therapy of patients who do not intend to proceed with HDT/ASCR, the following regimens are listed as preferred by the NCCN. […] Nonchemotherapy options such as ibrutinib or lenalidomide-rituximab may be considered in certain circumstances. […] The US Food and Drug Administration (FDA) recently approved new treatments for patients with relapsed/refractory DLBCL after at least 2 prior lines of therapy, including epcoritamab-bysp (Epkinly) in May 2023 and glofitamab-gxbm (Columvi) in June 2023. […] The preferred first-line treatments for patients with follicular lymphoma include bendamustine+obinutuzumab or rituximab; CHOP+obinutuzumab or rituximab; CVP (cyclophosphamide, vincristine sulfate, prednisone)+obinutuzumab or rituximab; or lenalidomide+rituximab.
- #75 https://www.lls.org/lymphoma/non-hodgkin-lymphoma/nhl-subtypes/treatment-aggressive-nhl-subtypeshttps://www.lls.org/lymphoma/non-hodgkin-lymphoma/nhl-subtypes/treatment-aggressive-nhl-subtypes
Treatments for previously untreated patients include: R-CHOP (rituximab [Rituxan], cyclophosphamide [Cytoxan], doxorubicin [hydroxydoxorubicin], Oncovin [vincristine] and prednisone). […] The standard treatment is a combination chemotherapy regimen, either with or without an autologous stem cell transplant. […] For most newly diagnosed cases of PTCL, the initial treatment is usually combination chemotherapy. Clinical trials are underway to study the efficacy and safety of potential new drugs and drug combinations to treat PTCL. […] Patients with PMBCL often need more intensive treatment. There are two standard combination regimens: R-EPOCH and R-CHOP. The R-EPOCH regimen is being used more often as a treatment for PMBCL, as there is less need for radiation therapy with this regimen. Treatment for people whose disease is refractory to treatment or has relapsed includes the monoclonal antibody pembrolizumab (Keytruda), and the CAR T-cell therapy products axicabtagene ciloleucel (Yescarta) and lisocabtagene maraleucel (Breyanzi).
- #76 Non-Hodgkin Lymphoma (NHL) Treatment & Management: Approach Considerations, Management of Indolent NHL, Management of Aggressive NHLhttps://emedicine.medscape.com/article/203399-treatment
Randomized trials have shown that adding rituximab to chemotherapy regimens results in higher response rates, longer time to progression, and longer survival than chemotherapy. […] Maintenance therapy with rituximab after induction chemotherapy has been reported to prolong progression-free survival (PFS) in comparison with observation alone in patients with indolent lymphoma. […] In patients with indolent NHL that is refractory to rituximab, obinutuzumab plus bendamustine followed by obinutuzumab maintenance has improved efficacy over bendamustine monotherapy, with manageable toxicity. […] High-dose chemotherapy plus stem-cell transplantation is the treatment of choice for patients who have recurrent aggressive lymphomas. […] In 2019, polatuzumab vedotin, a CD79b-directed antibody-drug conjugate, gained accelerated approval from the FDA for use in combination with bendamustine and a rituximab product for adults with relapsed or recurrent DLBCL who have received at least 2 prior therapies and are not candidates for transplantation.
- #77 logo–sylvesterhttps://umiamihealth.org/en/sylvester-comprehensive-cancer-center/treatments-and-services/hematologic-(blood)-cancers-/non-hodgkin-lymphoma
The most common lymphoma is non-Hodgkin lymphoma (NHL), which has 35 different subtypes. These variations help us to determine the best treatment for your exact case. There are aggressive (fast-growing) and low-grade or indolent lymphomas. […] Aggressive lymphomas include: Burkitts lymphoma: This form of non-Hodgkin’s lymphoma starts in immune cells called B-cells. Burkitt lymphoma is the fastest growing human tumor. It is associated with impaired immunity and progresses rapidly if left untreated. […] Diffuse large B-cell lymphoma (DLBL): DLBL is a cancer of B cells, a type of white blood cell responsible for producing antibodies. It is the most common type of non-Hodgkin lymphoma among adults. […] Mantle cell lymphoma: Mantle cell lymphoma (MCL) is a B-cell non-Hodgkin lymphoma. It often starts by enlarging lymph nodes. It spreads to other tissues such as the bone marrow, liver, and gastrointestinal tract.
- #78 Non-Hodgkin Lymphoma Treatment & Pharmacologic Managementhttps://www.cancertherapyadvisor.com/ddi/non-hodgkin-lymphoma-pharmacological-treatment/
The following treatment recommendations established by the National Comprehensive Cancer Network (NCCN) offer guidance on induction therapy, maintenance therapy, and treatment for relapsed or refractory disease for the most common types of B-cell lymphoma. […] Cure is possible for a substantial number of patients with Burkitt lymphoma by using dose-intensive multiagent chemotherapy regimens. However, this type of cancer grows very quickly, so immediate treatment is important. More than half of people with Burkitt lymphoma can be cured with intensive chemotherapy. […] Treatment recommendations from the NCCN involve chemotherapy and central nervous system prophylaxis with intrathecal chemotherapy. […] First-line treatment recommendations for patients with stage I to II DLBCL (excluding stage II with extensive mesenteric disease) include RCHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, prednisone) or pola-R-CHP (polatuzumab vedotin-piiq, rituximab, cyclophosphamide, doxorubicin, prednisone).
- #79 Non-Hodgkin Lymphoma – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK559328/
Non-Hodgkin lymphoma is a group of malignant neoplasms originating from lymphoid tissues, mainly the lymph nodes. […] This activity describes the evaluation and management of non-Hodgkin Lymphoma and explains the interprofessional team’s role in evaluating and treating patients with this condition. […] The treatment of NHL varies greatly, depending on tumor stage, grade, type of lymphoma, and various patient factors (eg, symptoms, age, performance status). […] Treatment of NHL is based on the type, stage, histopathological features, and symptoms. The most common treatments include chemotherapy, radiotherapy, immunotherapy, stem cell transplant, and, in rare cases, surgery. Chemoimmunotherapy, i.e., rituximab, is most commonly used in combination with chemotherapy. […] In Stage I or II, the R-CHOP regimen is often given for 3 to 6 cycles, with/without radiation therapy to the lymph node that is affected. In stage III or IV, 6 cycles of R-CHOP is the preferred treatment.
- #80 Non-Hodgkin Lymphoma – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK559328/
Non-Hodgkin lymphoma is a group of malignant neoplasms originating from lymphoid tissues, mainly the lymph nodes. […] This activity describes the evaluation and management of non-Hodgkin Lymphoma and explains the interprofessional team’s role in evaluating and treating patients with this condition. […] The treatment of NHL varies greatly, depending on tumor stage, grade, type of lymphoma, and various patient factors (eg, symptoms, age, performance status). […] Treatment of NHL is based on the type, stage, histopathological features, and symptoms. The most common treatments include chemotherapy, radiotherapy, immunotherapy, stem cell transplant, and, in rare cases, surgery. Chemoimmunotherapy, i.e., rituximab, is most commonly used in combination with chemotherapy. […] In Stage I or II, the R-CHOP regimen is often given for 3 to 6 cycles, with/without radiation therapy to the lymph node that is affected. In stage III or IV, 6 cycles of R-CHOP is the preferred treatment.
- #81 Non-Hodgkin Lymphoma Treatment & Pharmacologic Managementhttps://www.cancertherapyadvisor.com/ddi/non-hodgkin-lymphoma-pharmacological-treatment/
High-dose therapy with autologous stem cell rescue (HDT/ASCR) is used as salvage therapy in patients with relapsed or refractory DLBCL. […] Chimeric antigen receptor (CAR) T-cell therapy has emerged as a preferred treatment for patients who do not wish to undergo HDT/ASCR. […] For second-line therapy of patients who do not intend to proceed with HDT/ASCR, the following regimens are listed as preferred by the NCCN. […] Nonchemotherapy options such as ibrutinib or lenalidomide-rituximab may be considered in certain circumstances. […] The US Food and Drug Administration (FDA) recently approved new treatments for patients with relapsed/refractory DLBCL after at least 2 prior lines of therapy, including epcoritamab-bysp (Epkinly) in May 2023 and glofitamab-gxbm (Columvi) in June 2023. […] The preferred first-line treatments for patients with follicular lymphoma include bendamustine+obinutuzumab or rituximab; CHOP+obinutuzumab or rituximab; CVP (cyclophosphamide, vincristine sulfate, prednisone)+obinutuzumab or rituximab; or lenalidomide+rituximab.
- #82 logo–sylvesterhttps://umiamihealth.org/en/sylvester-comprehensive-cancer-center/treatments-and-services/hematologic-(blood)-cancers-/non-hodgkin-lymphoma
Lymphoblastic lymphoma: Lymphoblastic lymphoma is an aggressive but rare form of non-Hodgkin lymphoma. It usually develops from T-lymphocytes but occasionally from B-lymphocytes. Clinically, lymphoblastic lymphoma behaves like acute lymphoblastic leukemia (ALL), so they are treated in similar ways. […] Low-grade or indolent lymphomas include: Follicular lymphoma: It develops when the body makes abnormal B-lymphocytes and builds up in lymph nodes. […] Marginal zone lymphoma: Mucosa-associated lymphoid tissue (MALT) lymphoma is the most common form of marginal zone lymphoma. It occurs outside the lymph nodes and is capable of affecting any organ. Other subtypes include splenic and nodal marginal zone lymphoma. […] The most common types of treatment include: Chemotherapy: Chemotherapy involves taking one or more drugs by oral pill form or intravenously to kill lymphoma cells throughout your body. You may have this treatment along with other types of treatment.
- #83 Non-Hodgkin Lymphoma Treatment – NCIhttps://www.cancer.gov/types/lymphoma/patient/adult-nhl-treatment-pdq
Treatment of indolent stage I and indolent, contiguous stage II non-Hodgkin lymphoma may include the following: Radiation therapy, Monoclonal antibody therapy (rituximab) and/or chemotherapy, Watchful waiting. […] Treatment of aggressive stage I and aggressive, contiguous stage II non-Hodgkin lymphoma may include the following: Monoclonal antibody therapy (rituximab) and combination chemotherapy. […] Treatment of aggressive, noncontiguous stage II, III, or IV non-Hodgkin lymphoma may include the following: Monoclonal antibody therapy (rituximab) with combination chemotherapy, Combination chemotherapy. […] Treatment of recurrent non-Hodgkin lymphoma may include the following: Monoclonal antibody therapy (rituximab or obinutuzumab) with or without chemotherapy, Lenalidomide and rituximab, EZH2 inhibitor therapy (tazemetostat), Radiation therapy as palliative therapy to relieve symptoms and improve quality of life.
- #84 Non-Hodgkin Lymphoma Treatment & Pharmacologic Managementhttps://www.cancertherapyadvisor.com/ddi/non-hodgkin-lymphoma-pharmacological-treatment/
High-dose therapy with autologous stem cell rescue (HDT/ASCR) is used as salvage therapy in patients with relapsed or refractory DLBCL. […] Chimeric antigen receptor (CAR) T-cell therapy has emerged as a preferred treatment for patients who do not wish to undergo HDT/ASCR. […] For second-line therapy of patients who do not intend to proceed with HDT/ASCR, the following regimens are listed as preferred by the NCCN. […] Nonchemotherapy options such as ibrutinib or lenalidomide-rituximab may be considered in certain circumstances. […] The US Food and Drug Administration (FDA) recently approved new treatments for patients with relapsed/refractory DLBCL after at least 2 prior lines of therapy, including epcoritamab-bysp (Epkinly) in May 2023 and glofitamab-gxbm (Columvi) in June 2023. […] The preferred first-line treatments for patients with follicular lymphoma include bendamustine+obinutuzumab or rituximab; CHOP+obinutuzumab or rituximab; CVP (cyclophosphamide, vincristine sulfate, prednisone)+obinutuzumab or rituximab; or lenalidomide+rituximab.
- #85 Non-Hodgkin Lymphoma Treatment – NCIhttps://www.cancer.gov/types/lymphoma/patient/adult-nhl-treatment-pdq
Treatment of indolent stage I and indolent, contiguous stage II non-Hodgkin lymphoma may include the following: Radiation therapy, Monoclonal antibody therapy (rituximab) and/or chemotherapy, Watchful waiting. […] Treatment of aggressive stage I and aggressive, contiguous stage II non-Hodgkin lymphoma may include the following: Monoclonal antibody therapy (rituximab) and combination chemotherapy. […] Treatment of aggressive, noncontiguous stage II, III, or IV non-Hodgkin lymphoma may include the following: Monoclonal antibody therapy (rituximab) with combination chemotherapy, Combination chemotherapy. […] Treatment of recurrent non-Hodgkin lymphoma may include the following: Monoclonal antibody therapy (rituximab or obinutuzumab) with or without chemotherapy, Lenalidomide and rituximab, EZH2 inhibitor therapy (tazemetostat), Radiation therapy as palliative therapy to relieve symptoms and improve quality of life.
- #86 logo–sylvesterhttps://umiamihealth.org/en/sylvester-comprehensive-cancer-center/treatments-and-services/hematologic-(blood)-cancers-/non-hodgkin-lymphoma
The most common lymphoma is non-Hodgkin lymphoma (NHL), which has 35 different subtypes. These variations help us to determine the best treatment for your exact case. There are aggressive (fast-growing) and low-grade or indolent lymphomas. […] Aggressive lymphomas include: Burkitts lymphoma: This form of non-Hodgkin’s lymphoma starts in immune cells called B-cells. Burkitt lymphoma is the fastest growing human tumor. It is associated with impaired immunity and progresses rapidly if left untreated. […] Diffuse large B-cell lymphoma (DLBL): DLBL is a cancer of B cells, a type of white blood cell responsible for producing antibodies. It is the most common type of non-Hodgkin lymphoma among adults. […] Mantle cell lymphoma: Mantle cell lymphoma (MCL) is a B-cell non-Hodgkin lymphoma. It often starts by enlarging lymph nodes. It spreads to other tissues such as the bone marrow, liver, and gastrointestinal tract.
- #87 Non-Hodgkin Lymphoma | Dana-Farber Cancer Institutehttps://www.dana-farber.org/cancer-care/types/non-hodgkin-lymphoma
Expert Care and Treatment for Lymphomas. The Lymphoma Program within the Hematologic Oncology Treatment Center includes specialists who treat patients with non-Hodgkin lymphoma, Hodgkin lymphoma, chronic lymphocytic leukemia (CLL), B-cell neoplasms, and T-cell neoplasms. Your care team will collaborate to develop a comprehensive, personalized treatment plan that offers the most advanced therapies and an array of supportive resources. […] The treatments for indolent and aggressive lymphoma are different. […] Chemotherapy is often very effective in treating this type of lymphoma. […] Some cases of mantle cell lymphoma can be indolent; people do not have signs or symptoms and may not need treatment right away. However, in some cases aggressive treatment is needed. […] Familiarity with each type is critical to determining the appropriate treatment.
- #88 Non-Hodgkin Lymphoma | Dana-Farber Cancer Institutehttps://www.dana-farber.org/cancer-care/types/non-hodgkin-lymphoma
Expert Care and Treatment for Lymphomas. The Lymphoma Program within the Hematologic Oncology Treatment Center includes specialists who treat patients with non-Hodgkin lymphoma, Hodgkin lymphoma, chronic lymphocytic leukemia (CLL), B-cell neoplasms, and T-cell neoplasms. Your care team will collaborate to develop a comprehensive, personalized treatment plan that offers the most advanced therapies and an array of supportive resources. […] The treatments for indolent and aggressive lymphoma are different. […] Chemotherapy is often very effective in treating this type of lymphoma. […] Some cases of mantle cell lymphoma can be indolent; people do not have signs or symptoms and may not need treatment right away. However, in some cases aggressive treatment is needed. […] Familiarity with each type is critical to determining the appropriate treatment.
- #89 Non-Hodgkin Lymphoma – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK559328/
The most effective treatment is a high-dose methotrexate-based chemotherapy regimen. […] Mantle cell lymphoma with multiple areas of involvement is commonly treated with aggressive chemotherapy plus rituximab in eligible patients. […] This type of lymphoma has an indolent nature, and it shows a good response to treatment but is quite difficult to cure. […] This is a very fast-growing lymphoma. Some examples of chemo regimens used for this lymphoma include Hyper-CVAD (cyclophosphamide, vincristine, doxorubicin [Adriamycin], and dexamethasone) alternating with high dose methotrexate and cytarabine (ara-C) + rituximab. […] Patients with HIV tend to have more aggressive forms of lymphoma, such as diffuse large B-cell lymphoma, primary CNS lymphoma, or Burkitt lymphoma. The use of highly active antiretroviral therapy (HAART) to treat HIV in addition to chemotherapyimmunotherapy is usually employed.
- #90 Non-Hodgkin Lymphoma Treatment & Pharmacologic Managementhttps://www.cancertherapyadvisor.com/ddi/non-hodgkin-lymphoma-pharmacological-treatment/
For patients with relapsed or refractory follicular lymphoma, the following treatment regimens are preferred, per the NCCN. […] Depending on whether aggressive induction therapy or less aggressive induction therapy is more appropriate, preferred treatment regimens vary. […] Patients with relapsed or refractory disease may receive second-line treatment with the following preferred regimens. […] When the disease progresses after prior covalent BTK inhibitor therapy, the noncovalent BTK inhibitor pirtobrutinib may be used. Alternatively, CAR T-cell therapy may be an option, including brexucabtagene autoleucel and lisocabtagene maraleucel. […] The NCCN provides treatment guidelines for first-line and second-line therapies for patients with these conditions. […] The following tables detail chemotherapy and combination regimens, small molecule inhibitors, and CAR T-cell therapies used to treat patients with NHL. […] Combination therapies often have better results than monotherapies because different drugs attack and kill cancer cells in different ways. […] The NCCN guidelines specify that an FDA-approved biosimilar is an appropriate substitute for rituximab throughout these treatment regimens.
- #91 Non-Hodgkin Lymphoma Treatment & Pharmacologic Managementhttps://www.cancertherapyadvisor.com/ddi/non-hodgkin-lymphoma-pharmacological-treatment/
For patients with relapsed or refractory follicular lymphoma, the following treatment regimens are preferred, per the NCCN. […] Depending on whether aggressive induction therapy or less aggressive induction therapy is more appropriate, preferred treatment regimens vary. […] Patients with relapsed or refractory disease may receive second-line treatment with the following preferred regimens. […] When the disease progresses after prior covalent BTK inhibitor therapy, the noncovalent BTK inhibitor pirtobrutinib may be used. Alternatively, CAR T-cell therapy may be an option, including brexucabtagene autoleucel and lisocabtagene maraleucel. […] The NCCN provides treatment guidelines for first-line and second-line therapies for patients with these conditions. […] The following tables detail chemotherapy and combination regimens, small molecule inhibitors, and CAR T-cell therapies used to treat patients with NHL. […] Combination therapies often have better results than monotherapies because different drugs attack and kill cancer cells in different ways. […] The NCCN guidelines specify that an FDA-approved biosimilar is an appropriate substitute for rituximab throughout these treatment regimens.
- #92 logo–sylvesterhttps://umiamihealth.org/en/sylvester-comprehensive-cancer-center/treatments-and-services/hematologic-(blood)-cancers-/non-hodgkin-lymphoma
The most common lymphoma is non-Hodgkin lymphoma (NHL), which has 35 different subtypes. These variations help us to determine the best treatment for your exact case. There are aggressive (fast-growing) and low-grade or indolent lymphomas. […] Aggressive lymphomas include: Burkitts lymphoma: This form of non-Hodgkin’s lymphoma starts in immune cells called B-cells. Burkitt lymphoma is the fastest growing human tumor. It is associated with impaired immunity and progresses rapidly if left untreated. […] Diffuse large B-cell lymphoma (DLBL): DLBL is a cancer of B cells, a type of white blood cell responsible for producing antibodies. It is the most common type of non-Hodgkin lymphoma among adults. […] Mantle cell lymphoma: Mantle cell lymphoma (MCL) is a B-cell non-Hodgkin lymphoma. It often starts by enlarging lymph nodes. It spreads to other tissues such as the bone marrow, liver, and gastrointestinal tract.
- #93 Non-Hodgkin Lymphoma Treatment & Pharmacologic Managementhttps://www.cancertherapyadvisor.com/ddi/non-hodgkin-lymphoma-pharmacological-treatment/
The following treatment recommendations established by the National Comprehensive Cancer Network (NCCN) offer guidance on induction therapy, maintenance therapy, and treatment for relapsed or refractory disease for the most common types of B-cell lymphoma. […] Cure is possible for a substantial number of patients with Burkitt lymphoma by using dose-intensive multiagent chemotherapy regimens. However, this type of cancer grows very quickly, so immediate treatment is important. More than half of people with Burkitt lymphoma can be cured with intensive chemotherapy. […] Treatment recommendations from the NCCN involve chemotherapy and central nervous system prophylaxis with intrathecal chemotherapy. […] First-line treatment recommendations for patients with stage I to II DLBCL (excluding stage II with extensive mesenteric disease) include RCHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, prednisone) or pola-R-CHP (polatuzumab vedotin-piiq, rituximab, cyclophosphamide, doxorubicin, prednisone).
- #94 https://www.lls.org/lymphoma/non-hodgkin-lymphoma/nhl-subtypes/treatment-aggressive-nhl-subtypeshttps://www.lls.org/lymphoma/non-hodgkin-lymphoma/nhl-subtypes/treatment-aggressive-nhl-subtypes
Doctors typically use highly aggressive chemotherapy that often require admission to the hospital to treat this subtype of NHL. Commonly used regimens include: CODOX-M/IVAC (cyclophosphamide, vincristine [Oncovin], doxorubicin and high-dose methotrexate) alternating with IVAC (ifosfamide, etoposide and highdose cytarabine). […] Studies report that BL is curable in a significant group of patients when treated with high-dose, multidrug chemotherapy regimens that include central nervous system (CNS) prophylaxis. About 60 to 90 percent of children and young adults with the disease achieve durable remissions if treated timely and appropriately. […] Standard treatment may include chemotherapy that includes intrathecal methotrexate, corticosteroid drugs and/or radiation therapy. Immunotherapy and high-dose chemotherapy with stem cell transplantation are being studied in clinical trials.
- #95 Non-Hodgkin Lymphoma – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK559328/
The most effective treatment is a high-dose methotrexate-based chemotherapy regimen. […] Mantle cell lymphoma with multiple areas of involvement is commonly treated with aggressive chemotherapy plus rituximab in eligible patients. […] This type of lymphoma has an indolent nature, and it shows a good response to treatment but is quite difficult to cure. […] This is a very fast-growing lymphoma. Some examples of chemo regimens used for this lymphoma include Hyper-CVAD (cyclophosphamide, vincristine, doxorubicin [Adriamycin], and dexamethasone) alternating with high dose methotrexate and cytarabine (ara-C) + rituximab. […] Patients with HIV tend to have more aggressive forms of lymphoma, such as diffuse large B-cell lymphoma, primary CNS lymphoma, or Burkitt lymphoma. The use of highly active antiretroviral therapy (HAART) to treat HIV in addition to chemotherapyimmunotherapy is usually employed.
- #96 https://www.lls.org/lymphoma/non-hodgkin-lymphoma/nhl-subtypes/treatment-aggressive-nhl-subtypeshttps://www.lls.org/lymphoma/non-hodgkin-lymphoma/nhl-subtypes/treatment-aggressive-nhl-subtypes
Doctors typically use highly aggressive chemotherapy that often require admission to the hospital to treat this subtype of NHL. Commonly used regimens include: CODOX-M/IVAC (cyclophosphamide, vincristine [Oncovin], doxorubicin and high-dose methotrexate) alternating with IVAC (ifosfamide, etoposide and highdose cytarabine). […] Studies report that BL is curable in a significant group of patients when treated with high-dose, multidrug chemotherapy regimens that include central nervous system (CNS) prophylaxis. About 60 to 90 percent of children and young adults with the disease achieve durable remissions if treated timely and appropriately. […] Standard treatment may include chemotherapy that includes intrathecal methotrexate, corticosteroid drugs and/or radiation therapy. Immunotherapy and high-dose chemotherapy with stem cell transplantation are being studied in clinical trials.
- #97 Side effects of non-Hodgkin lymphoma treatment – Leukaemia Foundationhttps://www.leukaemia.org.au/blood-cancer/types-of-blood-cancer/lymphoma/non-hodgkin-lymphoma/treatment-side-effects/
Side effects of non-Hodgkin lymphoma treatment. All treatments can cause side effects. However, the type and severity will vary between individuals, depending on the type of treatment used and how an individual responds to it. In general, more intensive treatment is associated with more severe side effects. It is important to report any symptoms you are having to your doctor or nurse. In most cases they can be treated and are reversible. […] What are the side effects of non-Hodgkin lymphoma treatment? Radiotherapy can cause similar side effects to those caused by chemotherapy including nausea and vomiting, hair loss and fatigue. In general, the type of side effects seen with radiotherapy depends on the area of the body which has been treated. Skin reactions are common. […] Chemotherapy kills cells that multiply quickly, such as lymphoma cells. It also causes damage to fast-growing normal cells, including hair cells and cells that make up the tissues in your mouth, gut and bone marrow. The side effects of chemotherapy occur as a result of this damage.
- #98 Side effects of non-Hodgkin lymphoma treatment – Leukaemia Foundationhttps://www.leukaemia.org.au/blood-cancer/types-of-blood-cancer/lymphoma/non-hodgkin-lymphoma/treatment-side-effects/
Side effects of non-Hodgkin lymphoma treatment. All treatments can cause side effects. However, the type and severity will vary between individuals, depending on the type of treatment used and how an individual responds to it. In general, more intensive treatment is associated with more severe side effects. It is important to report any symptoms you are having to your doctor or nurse. In most cases they can be treated and are reversible. […] What are the side effects of non-Hodgkin lymphoma treatment? Radiotherapy can cause similar side effects to those caused by chemotherapy including nausea and vomiting, hair loss and fatigue. In general, the type of side effects seen with radiotherapy depends on the area of the body which has been treated. Skin reactions are common. […] Chemotherapy kills cells that multiply quickly, such as lymphoma cells. It also causes damage to fast-growing normal cells, including hair cells and cells that make up the tissues in your mouth, gut and bone marrow. The side effects of chemotherapy occur as a result of this damage.
- #99 Side effects of non-Hodgkin lymphoma treatment – Leukaemia Foundationhttps://www.leukaemia.org.au/blood-cancer/types-of-blood-cancer/lymphoma/non-hodgkin-lymphoma/treatment-side-effects/
Side effects of non-Hodgkin lymphoma treatment. All treatments can cause side effects. However, the type and severity will vary between individuals, depending on the type of treatment used and how an individual responds to it. In general, more intensive treatment is associated with more severe side effects. It is important to report any symptoms you are having to your doctor or nurse. In most cases they can be treated and are reversible. […] What are the side effects of non-Hodgkin lymphoma treatment? Radiotherapy can cause similar side effects to those caused by chemotherapy including nausea and vomiting, hair loss and fatigue. In general, the type of side effects seen with radiotherapy depends on the area of the body which has been treated. Skin reactions are common. […] Chemotherapy kills cells that multiply quickly, such as lymphoma cells. It also causes damage to fast-growing normal cells, including hair cells and cells that make up the tissues in your mouth, gut and bone marrow. The side effects of chemotherapy occur as a result of this damage.
- #100 Side effects of non-Hodgkin lymphoma treatment – Leukaemia Foundationhttps://www.leukaemia.org.au/blood-cancer/types-of-blood-cancer/lymphoma/non-hodgkin-lymphoma/treatment-side-effects/
The side effects of radiotherapy and chemotherapy can include: […] Effects on the bone marrow. Chemotherapy affects the bone marrowâs ability to produce adequate numbers of blood cells. As a result, your blood count (the number of white cells, platelets and red cells circulating in your blood) will generally fall within a week of treatment. The length of time it takes for your bone marrow and blood counts to recover mainly depends on the type of chemotherapy given. […] When your platelet count is very low (thrombocytopenic) you can bruise and bleed more easily. In many cases a transfusion of platelets is given to reduce the risk of bleeding until the platelet count recovers. […] If your red blood cell count and haemoglobin levels drop you will probably become anaemic. When you are anaemic you feel more tired and lethargic than usual. If your haemoglobin level is very low, your doctor may prescribe a blood transfusion.
- #101 Side effects of non-Hodgkin lymphoma treatment – Leukaemia Foundationhttps://www.leukaemia.org.au/blood-cancer/types-of-blood-cancer/lymphoma/non-hodgkin-lymphoma/treatment-side-effects/
Parotitis. Associated with radiotherapy, parotitis is an inflammation of the saliva-producing glands in the mouth, which can occur if these glands are within the treatment field used. These include the parotid or submandibular glands, which are situated at the top of the jaw line, in front of the ears. Parotitis causes dryness of the mouth and jaw pain, which usually settles down within a few days, once the inflammation subsides. […] Risk of infection. The point at which your white blood cell count is at its lowest is called the nadir. This is usually expected 10-14 days after having your chemotherapy. During this time you will be at a higher risk of developing an infection. At this stage you will also be neutropenic, which means that your neutrophil count is low. […] Neutrophils are important white blood cells that help us to fight infection. While your white blood cell count is low you should take sensible precautions to help prevent infection. These include avoiding crowds, avoiding close contact with people with infections who are contagious (for example colds, flu, chicken pox) and only eating food that has been properly prepared and cooked. If you do develop an infection you may experience a fever, which may or may not be accompanied by an episode of shivering where you shake uncontrollably. Infections while you are neutropenic can be quite serious and need to be treated with antibiotics as soon as possible. Sometimes your doctor may decide to use a drug to help the recovery of your neutrophil count. This drug works by stimulating the bone marrow to increase the production of neutrophils and is usually given as an injection under the skin (subcutaneous).
- #102 Side effects of non-Hodgkin lymphoma treatment – Leukaemia Foundationhttps://www.leukaemia.org.au/blood-cancer/types-of-blood-cancer/lymphoma/non-hodgkin-lymphoma/treatment-side-effects/
The side effects of radiotherapy and chemotherapy can include: […] Effects on the bone marrow. Chemotherapy affects the bone marrowâs ability to produce adequate numbers of blood cells. As a result, your blood count (the number of white cells, platelets and red cells circulating in your blood) will generally fall within a week of treatment. The length of time it takes for your bone marrow and blood counts to recover mainly depends on the type of chemotherapy given. […] When your platelet count is very low (thrombocytopenic) you can bruise and bleed more easily. In many cases a transfusion of platelets is given to reduce the risk of bleeding until the platelet count recovers. […] If your red blood cell count and haemoglobin levels drop you will probably become anaemic. When you are anaemic you feel more tired and lethargic than usual. If your haemoglobin level is very low, your doctor may prescribe a blood transfusion.
- #103 Side effects of non-Hodgkin lymphoma treatment – Leukaemia Foundationhttps://www.leukaemia.org.au/blood-cancer/types-of-blood-cancer/lymphoma/non-hodgkin-lymphoma/treatment-side-effects/
The side effects of radiotherapy and chemotherapy can include: […] Effects on the bone marrow. Chemotherapy affects the bone marrowâs ability to produce adequate numbers of blood cells. As a result, your blood count (the number of white cells, platelets and red cells circulating in your blood) will generally fall within a week of treatment. The length of time it takes for your bone marrow and blood counts to recover mainly depends on the type of chemotherapy given. […] When your platelet count is very low (thrombocytopenic) you can bruise and bleed more easily. In many cases a transfusion of platelets is given to reduce the risk of bleeding until the platelet count recovers. […] If your red blood cell count and haemoglobin levels drop you will probably become anaemic. When you are anaemic you feel more tired and lethargic than usual. If your haemoglobin level is very low, your doctor may prescribe a blood transfusion.
- #104 Side effects of non-Hodgkin lymphoma treatment – Leukaemia Foundationhttps://www.leukaemia.org.au/blood-cancer/types-of-blood-cancer/lymphoma/non-hodgkin-lymphoma/treatment-side-effects/
Nausea and vomiting. Nausea and vomiting are often associated with chemotherapy and some forms of radiotherapy. These days however, thanks to significant improvements in anti-sickness (anti-emetic) drugs, nausea and vomiting are generally very well controlled. You will be given anti-sickness drugs before and for a few days after your chemotherapy treatment. Be sure to tell the nurses and doctors if the anti-emetics are not working for you and you still feel sick. Some people find that eating smaller meals more frequently during the day, rather than a few large meals, helps to reduce nausea and vomiting. Many find that eating cool or cold food is more palatable, for example jelly or custard. Drinking ginger ale or soda water and eating dry toast may also help if you are feeling sick. […] Changes in taste and smell. Both chemotherapy and radiation therapy can cause changes to your sense of taste and smell. This is usually temporary but in some cases it lasts up to several months.
- #105 Side effects of non-Hodgkin lymphoma treatment – Leukaemia Foundationhttps://www.leukaemia.org.au/blood-cancer/types-of-blood-cancer/lymphoma/non-hodgkin-lymphoma/treatment-side-effects/
Mucositis. Mucositis, or inflammation of the lining of the mouth, throat or gut is a common and uncomfortable side effect of chemotherapy and some forms of radiotherapy. It usually starts about a week after the treatment has finished and goes away once your blood count recovers, usually a couple of weeks later. During this time your mouth and throat could get quite sore. Soluble pain medication and other topical drugs (ones which can be applied to the sore area) can help. If the pain becomes more severe, stronger pain killers might be needed. It is important to keep your mouth as clean as possible while you are having treatment to help prevent infection. Avoid commercial mouthwashes, as these are often too strong or may contain alcohol, which will hurt your mouth. […] Bowel changes. Chemotherapy can cause some damage to the lining of your bowel wall. This can lead to cramping, wind, abdominal swelling and diarrhoea. Be sure to tell the nurses and doctors if you experience any of these symptoms. If you are constipated or if you are feeling any discomfort or tenderness around your anus when you are trying to move your bowels, you may need a gentle laxative to help soften your bowel motions.
- #106 Side effects of non-Hodgkin lymphoma treatment – Leukaemia Foundationhttps://www.leukaemia.org.au/blood-cancer/types-of-blood-cancer/lymphoma/non-hodgkin-lymphoma/treatment-side-effects/
Mucositis. Mucositis, or inflammation of the lining of the mouth, throat or gut is a common and uncomfortable side effect of chemotherapy and some forms of radiotherapy. It usually starts about a week after the treatment has finished and goes away once your blood count recovers, usually a couple of weeks later. During this time your mouth and throat could get quite sore. Soluble pain medication and other topical drugs (ones which can be applied to the sore area) can help. If the pain becomes more severe, stronger pain killers might be needed. It is important to keep your mouth as clean as possible while you are having treatment to help prevent infection. Avoid commercial mouthwashes, as these are often too strong or may contain alcohol, which will hurt your mouth. […] Bowel changes. Chemotherapy can cause some damage to the lining of your bowel wall. This can lead to cramping, wind, abdominal swelling and diarrhoea. Be sure to tell the nurses and doctors if you experience any of these symptoms. If you are constipated or if you are feeling any discomfort or tenderness around your anus when you are trying to move your bowels, you may need a gentle laxative to help soften your bowel motions.
- #107 Side effects of non-Hodgkin lymphoma treatment – Leukaemia Foundationhttps://www.leukaemia.org.au/blood-cancer/types-of-blood-cancer/lymphoma/non-hodgkin-lymphoma/treatment-side-effects/
Hair loss. Hair loss is unfortunately a very common side effect of chemotherapy and some forms of radiotherapy. It is, however, usually only temporary. The hair can start to fall out within a couple of weeks of treatment and tends to grow back three to six months later. Avoiding using heat or chemicals and only using a soft hairbrush and a mild baby shampoo can help reduce the itchiness and scalp tenderness which can occur while you are losing your hair. You need to avoid direct sunlight on your exposed head (wear a hat) because chemotherapy and radiotherapy makes your skin even more vulnerable to the damaging effects of the sun (like sunburn and skin cancers). Remember that without your hair your head can get quite cold so a beanie might be useful. Hair can also be lost from your eyebrows, eyelashes, arms and legs.
- #108 Side effects of non-Hodgkin lymphoma treatment – Leukaemia Foundationhttps://www.leukaemia.org.au/blood-cancer/types-of-blood-cancer/lymphoma/non-hodgkin-lymphoma/treatment-side-effects/
Fatigue. Most people experience some degree of tiredness in the days and weeks following chemotherapy and radiotherapy. Getting plenty of rest and doing a little light exercise each day may help to make you feel better during this time. It is important to listen to your body and rest when you are tired. […] Fertility. Some types of chemotherapy and radiotherapy may cause a temporary or permanent reduction in your fertility. If possible, before you commence treatment you should discuss any questions or concerns you might have regarding your future fertility with your doctor. In women, some types of chemotherapy and radiotherapy can cause varying degrees of damage to the normal functioning of the ovaries. […] In men, sperm production can be impaired for a while but the production of new sperm may become normal again in the future. There are some options for preserving your fertility, if necessary, while you are having treatment for lymphoma.
- #109 Side effects of non-Hodgkin lymphoma treatment – Leukaemia Foundationhttps://www.leukaemia.org.au/blood-cancer/types-of-blood-cancer/lymphoma/non-hodgkin-lymphoma/treatment-side-effects/
Side effects of non-Hodgkin lymphoma treatment. All treatments can cause side effects. However, the type and severity will vary between individuals, depending on the type of treatment used and how an individual responds to it. In general, more intensive treatment is associated with more severe side effects. It is important to report any symptoms you are having to your doctor or nurse. In most cases they can be treated and are reversible. […] What are the side effects of non-Hodgkin lymphoma treatment? Radiotherapy can cause similar side effects to those caused by chemotherapy including nausea and vomiting, hair loss and fatigue. In general, the type of side effects seen with radiotherapy depends on the area of the body which has been treated. Skin reactions are common. […] Chemotherapy kills cells that multiply quickly, such as lymphoma cells. It also causes damage to fast-growing normal cells, including hair cells and cells that make up the tissues in your mouth, gut and bone marrow. The side effects of chemotherapy occur as a result of this damage.
- #110 Content – Health Encyclopedia – University of Rochester Medical Centerhttps://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=34&contentid=ALymT3
Radiation treatment is a lot like getting an X-ray. It doesn’t hurt, and you don’t see the radiation during the treatment. […] You’ll likely need radiation treatment every day for 5 days in a row (Monday through Friday) for several weeks. […] The side effects of radiation depend on the part of your body being treated, the dose of radiation, and other factors. […] Common side effects include: Skin in the treatment field becomes dry, irritated, and sensitive. A reddened „sunburn” can develop, which may lead to blistering and peeling. […] Radiation to your chest, neck, or mouth area can cause: Dry mouth, which can be permanent (Ask your healthcare provider.) […] Total body radiation can cause: Low blood cell counts. […] Long-term side effects can include: Lung or heart damage, from radiation to your chest. […] An increased risk for another cancer in the treated area many years later.
- #111 Side effects of non-Hodgkin lymphoma treatment – Leukaemia Foundationhttps://www.leukaemia.org.au/blood-cancer/types-of-blood-cancer/lymphoma/non-hodgkin-lymphoma/treatment-side-effects/
Parotitis. Associated with radiotherapy, parotitis is an inflammation of the saliva-producing glands in the mouth, which can occur if these glands are within the treatment field used. These include the parotid or submandibular glands, which are situated at the top of the jaw line, in front of the ears. Parotitis causes dryness of the mouth and jaw pain, which usually settles down within a few days, once the inflammation subsides. […] Risk of infection. The point at which your white blood cell count is at its lowest is called the nadir. This is usually expected 10-14 days after having your chemotherapy. During this time you will be at a higher risk of developing an infection. At this stage you will also be neutropenic, which means that your neutrophil count is low. […] Neutrophils are important white blood cells that help us to fight infection. While your white blood cell count is low you should take sensible precautions to help prevent infection. These include avoiding crowds, avoiding close contact with people with infections who are contagious (for example colds, flu, chicken pox) and only eating food that has been properly prepared and cooked. If you do develop an infection you may experience a fever, which may or may not be accompanied by an episode of shivering where you shake uncontrollably. Infections while you are neutropenic can be quite serious and need to be treated with antibiotics as soon as possible. Sometimes your doctor may decide to use a drug to help the recovery of your neutrophil count. This drug works by stimulating the bone marrow to increase the production of neutrophils and is usually given as an injection under the skin (subcutaneous).
- #112 Content – Health Encyclopedia – University of Rochester Medical Centerhttps://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=34&contentid=ALymT3
Radiation treatment is a lot like getting an X-ray. It doesn’t hurt, and you don’t see the radiation during the treatment. […] You’ll likely need radiation treatment every day for 5 days in a row (Monday through Friday) for several weeks. […] The side effects of radiation depend on the part of your body being treated, the dose of radiation, and other factors. […] Common side effects include: Skin in the treatment field becomes dry, irritated, and sensitive. A reddened „sunburn” can develop, which may lead to blistering and peeling. […] Radiation to your chest, neck, or mouth area can cause: Dry mouth, which can be permanent (Ask your healthcare provider.) […] Total body radiation can cause: Low blood cell counts. […] Long-term side effects can include: Lung or heart damage, from radiation to your chest. […] An increased risk for another cancer in the treated area many years later.
- #113 Content – Health Encyclopedia – University of Rochester Medical Centerhttps://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=34&contentid=ALymT3
Radiation treatment is a lot like getting an X-ray. It doesn’t hurt, and you don’t see the radiation during the treatment. […] You’ll likely need radiation treatment every day for 5 days in a row (Monday through Friday) for several weeks. […] The side effects of radiation depend on the part of your body being treated, the dose of radiation, and other factors. […] Common side effects include: Skin in the treatment field becomes dry, irritated, and sensitive. A reddened „sunburn” can develop, which may lead to blistering and peeling. […] Radiation to your chest, neck, or mouth area can cause: Dry mouth, which can be permanent (Ask your healthcare provider.) […] Total body radiation can cause: Low blood cell counts. […] Long-term side effects can include: Lung or heart damage, from radiation to your chest. […] An increased risk for another cancer in the treated area many years later.
- #114 Long Term Side-Effects of Non-Hodgkinâs Lymphoma Treatmenthttps://www.healthline.com/health/non-hodgkins-lymphoma-treatment-side-effects
R-CHOP is an abbreviation for a combination of chemotherapy medications that are often used to treat NHL. […] Any medication or treatment can have side effects, but chemotherapy, radiation, and stem cell transplantation have a particularly high risk of long-term and late side effects. […] Long-term side effects that appear right after treatment and can last for some time include conditions like fatigue, weakness, anemia, and reproductive changes. […] Late effects are side effects that appear sometime after treatment and may be permanent. Examples of the late effects of NHL treatment include: heart difficulties, infertility, bone density loss, nerve damage or neuropathy, secondary cancers, growth delays, developmental delays. […] Aside from the long-term and late side effects, there are immediate but short-lived side effects that are common with NHL treatment.
- #115 Side effects of non-Hodgkin lymphoma treatment – Leukaemia Foundationhttps://www.leukaemia.org.au/blood-cancer/types-of-blood-cancer/lymphoma/non-hodgkin-lymphoma/treatment-side-effects/
Fatigue. Most people experience some degree of tiredness in the days and weeks following chemotherapy and radiotherapy. Getting plenty of rest and doing a little light exercise each day may help to make you feel better during this time. It is important to listen to your body and rest when you are tired. […] Fertility. Some types of chemotherapy and radiotherapy may cause a temporary or permanent reduction in your fertility. If possible, before you commence treatment you should discuss any questions or concerns you might have regarding your future fertility with your doctor. In women, some types of chemotherapy and radiotherapy can cause varying degrees of damage to the normal functioning of the ovaries. […] In men, sperm production can be impaired for a while but the production of new sperm may become normal again in the future. There are some options for preserving your fertility, if necessary, while you are having treatment for lymphoma.
- #116 Side effects of non-Hodgkin lymphoma treatment – Leukaemia Foundationhttps://www.leukaemia.org.au/blood-cancer/types-of-blood-cancer/lymphoma/non-hodgkin-lymphoma/treatment-side-effects/
Fatigue. Most people experience some degree of tiredness in the days and weeks following chemotherapy and radiotherapy. Getting plenty of rest and doing a little light exercise each day may help to make you feel better during this time. It is important to listen to your body and rest when you are tired. […] Fertility. Some types of chemotherapy and radiotherapy may cause a temporary or permanent reduction in your fertility. If possible, before you commence treatment you should discuss any questions or concerns you might have regarding your future fertility with your doctor. In women, some types of chemotherapy and radiotherapy can cause varying degrees of damage to the normal functioning of the ovaries. […] In men, sperm production can be impaired for a while but the production of new sperm may become normal again in the future. There are some options for preserving your fertility, if necessary, while you are having treatment for lymphoma.
- #117 Side effects of non-Hodgkin lymphoma treatment – Leukaemia Foundationhttps://www.leukaemia.org.au/blood-cancer/types-of-blood-cancer/lymphoma/non-hodgkin-lymphoma/treatment-side-effects/
Fatigue. Most people experience some degree of tiredness in the days and weeks following chemotherapy and radiotherapy. Getting plenty of rest and doing a little light exercise each day may help to make you feel better during this time. It is important to listen to your body and rest when you are tired. […] Fertility. Some types of chemotherapy and radiotherapy may cause a temporary or permanent reduction in your fertility. If possible, before you commence treatment you should discuss any questions or concerns you might have regarding your future fertility with your doctor. In women, some types of chemotherapy and radiotherapy can cause varying degrees of damage to the normal functioning of the ovaries. […] In men, sperm production can be impaired for a while but the production of new sperm may become normal again in the future. There are some options for preserving your fertility, if necessary, while you are having treatment for lymphoma.
- #118 Side effects of non-Hodgkin lymphoma treatment – Leukaemia Foundationhttps://www.leukaemia.org.au/blood-cancer/types-of-blood-cancer/lymphoma/non-hodgkin-lymphoma/treatment-side-effects/
Early menopause. Some cancer treatments can affect the normal functioning of the ovaries. This can sometimes lead to infertility and an earlier than expected onset of menopause, even at a young age. The onset of menopause in these circumstances can be sudden and, understandably, very distressing. Hormone changes can lead to many of the classic symptoms of menopause. Some women experience decreased sexual drive, anxiety and even depressive symptoms during this time. It is important that you discuss any changes to your periods with your doctor or nurse. […] Body image, sexuality and sexual activity. Hair loss, skin changes and fatigue can all interfere with how you feel about yourself as a man or a woman and as a âsexual beingâ. During treatment you may experience a decrease in libido and it may take some time for things to return to ânormalâ. Itâs perfectly reasonable and safe to have sex while you are on treatment or shortly afterwards, but there are some precautions you need to take. It is usually recommended that you or your partner do not become pregnant as some of the treatments given might harm the developing baby. As such, you need to ensure that you or your partner use a suitable form of contraception. Condoms are also necessary in the seven days following a treatment session, to ensure that your partner is not exposed to any residual drugs. Partners are sometimes afraid that sex might in some way harm the patient. This is not likely as long as the partner is free from any infections and the sex is relatively gentle.
- #119 Content – Health Encyclopedia – University of Rochester Medical Centerhttps://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=34&contentid=ALymT3
Radiation treatment is a lot like getting an X-ray. It doesn’t hurt, and you don’t see the radiation during the treatment. […] You’ll likely need radiation treatment every day for 5 days in a row (Monday through Friday) for several weeks. […] The side effects of radiation depend on the part of your body being treated, the dose of radiation, and other factors. […] Common side effects include: Skin in the treatment field becomes dry, irritated, and sensitive. A reddened „sunburn” can develop, which may lead to blistering and peeling. […] Radiation to your chest, neck, or mouth area can cause: Dry mouth, which can be permanent (Ask your healthcare provider.) […] Total body radiation can cause: Low blood cell counts. […] Long-term side effects can include: Lung or heart damage, from radiation to your chest. […] An increased risk for another cancer in the treated area many years later.
- #120 Long Term Side-Effects of Non-Hodgkinâs Lymphoma Treatmenthttps://www.healthline.com/health/non-hodgkins-lymphoma-treatment-side-effects
R-CHOP is an abbreviation for a combination of chemotherapy medications that are often used to treat NHL. […] Any medication or treatment can have side effects, but chemotherapy, radiation, and stem cell transplantation have a particularly high risk of long-term and late side effects. […] Long-term side effects that appear right after treatment and can last for some time include conditions like fatigue, weakness, anemia, and reproductive changes. […] Late effects are side effects that appear sometime after treatment and may be permanent. Examples of the late effects of NHL treatment include: heart difficulties, infertility, bone density loss, nerve damage or neuropathy, secondary cancers, growth delays, developmental delays. […] Aside from the long-term and late side effects, there are immediate but short-lived side effects that are common with NHL treatment.
- #121 Long Term Side-Effects of Non-Hodgkinâs Lymphoma Treatmenthttps://www.healthline.com/health/non-hodgkins-lymphoma-treatment-side-effects
R-CHOP is an abbreviation for a combination of chemotherapy medications that are often used to treat NHL. […] Any medication or treatment can have side effects, but chemotherapy, radiation, and stem cell transplantation have a particularly high risk of long-term and late side effects. […] Long-term side effects that appear right after treatment and can last for some time include conditions like fatigue, weakness, anemia, and reproductive changes. […] Late effects are side effects that appear sometime after treatment and may be permanent. Examples of the late effects of NHL treatment include: heart difficulties, infertility, bone density loss, nerve damage or neuropathy, secondary cancers, growth delays, developmental delays. […] Aside from the long-term and late side effects, there are immediate but short-lived side effects that are common with NHL treatment.
- #122 Whatâs New in Lymphoma Treatments?https://www.oregoncancer.com/blog/whats-new-in-lymphoma-treatments
Lymphoma treatment is quickly evolving for both non-Hodgkin lymphoma and Hodgkin lymphoma. The most recent lymphoma treatments focus on improving drug precision. Treatments like targeted therapies and immunotherapy make it possible to directly focus on specific types of cells and even specific abnormalities within the cells to stop the growth of cancer. […] Depending on the specific subtype of lymphoma, various treatments are available. Previously the primary option was chemotherapy. But cancer researchers, including our own oncologists in the Willamette Valley, have tested new treatment options for lymphomas through clinical trials including: […] Targeted therapy drugs identify and kill specific cancer cells. Because they precisely target a specific type of protein or genetic mutation, there’s less damage to healthy cells than chemotherapy or radiation therapy. The category of targeted therapy is rapidly expanding as researchers learn more about the various proteins and genetic changes in cancer cells that can be treated using this type of drug.
- #123 Treatment Options for Lymphoma | Lymphoma Research Foundationhttps://lymphoma.org/understanding-lymphoma/treatment-planning-and-options/treatments/
Clinical trials are appropriate for patients at all stages of disease. […] The term immunotherapy (also called immune-oncology) refers to treatments that interact with the immune system. […] Radiation therapy (also called radiotherapy) uses high-energy x-rays to kill cancer cells and shrink tumors. […] The ability to transplant stem cells allows physicians to use higher doses of chemotherapy to treat the cancer than the body would normally tolerate, increasing the probability of killing cancer cells. […] Most types of targeted therapy help treat lymphoma by interfering with specific proteins that help tumors grow and spread throughout the body.
- #124 Treatment Options for Lymphoma | Lymphoma Research Foundationhttps://www.lymphoma.org/understanding-lymphoma/treatment-planning-and-options/treatments/
Although indolent or slow-growing forms of non-Hodgkin lymphoma are not currently curable, the prognosis is still very good. Patients may live for 20 years or more following an initial diagnosis. In certain patients with an indolent form of the disease, treatment may not be necessary until there are signs of progression. Response to treatment can also change over time. Treatment that worked initially may be ineffective the next time, making it necessary to always keep abreast of the latest information on new or experimental treatment options. […] Clinical trials are appropriate for patients at all stages of disease. The purpose of a clinical trial is to safely monitor the effects of a drug on patients over time and to identify more effective therapies for specific diseases. By participating in a clinical trial, patients may or may not get access to the newest therapies but will receive quality care in a very carefully controlled and supportive environment.
- #125 Non-Hodgkin Lymphoma | Fred Hutchinson Cancer Centerhttps://www.fredhutch.org/en/diseases/non-hodgkin-lymphoma.html
Physicians and scientists from Fred Hutch and UW Medicine are testing new treatments for non-Hodgkin lymphoma (NHL) and discovering new ways to use current NHL treatments. […] We have clinical trials for all stages of NHL, from early to advanced. These trials test dozens of medicines for different NHL subtypes. Some of the therapies we are studying are: Chemotherapy regimens, Antibody therapies and other targeted therapies, Immunotherapies, including cellular immunotherapies and checkpoint inhibitors. […] When your care team designs your treatment plan, they will give you the choice to join clinical trials that match your situation. If you decide to join one, you will see the same physicians and nurses as you would for standard therapy.
- #126 Whatâs New in Lymphoma Treatments?https://www.oregoncancer.com/blog/whats-new-in-lymphoma-treatments
Immunotherapy, also called biologic therapy, uses the immune system to more effectively fight cancer. The body and lab-made substances help strengthen and guide the body’s natural defenses against cancer. […] The FDA has recently approved mosunetuzumab-axgb (Lunsumio), a new category of immunotherapy for advanced follicular lymphoma. This bispecific antibody is the first of its kind to treat follicular lymphoma, a type of non-Hodgkin lymphoma. This subtype of non-Hodgkin lymphoma has had limited treatment options, especially when patients do not respond to other treatment methods or the lymphoma has returned. Lunsumio works by engaging B and T cells to destroy cancer cells.
- #127 Non-Hodgkin Lymphoma | Fred Hutchinson Cancer Centerhttps://www.fredhutch.org/en/diseases/non-hodgkin-lymphoma.html
Physicians and scientists from Fred Hutch and UW Medicine are testing new treatments for non-Hodgkin lymphoma (NHL) and discovering new ways to use current NHL treatments. […] We have clinical trials for all stages of NHL, from early to advanced. These trials test dozens of medicines for different NHL subtypes. Some of the therapies we are studying are: Chemotherapy regimens, Antibody therapies and other targeted therapies, Immunotherapies, including cellular immunotherapies and checkpoint inhibitors. […] When your care team designs your treatment plan, they will give you the choice to join clinical trials that match your situation. If you decide to join one, you will see the same physicians and nurses as you would for standard therapy.
- #128 Non-Hodgkin’s Lymphoma Treatment: Combination Therapyhttps://www.webmd.com/cancer/lymphoma/non-hodgkins-multiple-treatments
Immunotherapy uses your own immune system to help treat cancer. While your doctor might prescribe this kind of treatment on its own, it can also be combined with other treatments like chemotherapy and radiation. […] Many people do better when chemo and immunotherapy are used together, but taking more than one medicine can cause more side effects. Combination therapies cost more, too. […] Right now, scientists are testing more than a thousand different combinations. It’s too soon to know if these are safe or work better than treatments we have now, but some doctors think immunotherapy is the future of cancer care. […] One of the most common treatments for non-Hodgkin’s lymphoma is a type of chemo called R-CHOP. […] Rituximab is sometimes added to other chemo treatments, too. Most use a combination of medications because each one attacks cancer in a different way.
- #129 Non-Hodgkin Lymphoma | Fred Hutchinson Cancer Centerhttps://www.fredhutch.org/en/diseases/non-hodgkin-lymphoma.html
Physicians and scientists from Fred Hutch and UW Medicine are testing new treatments for non-Hodgkin lymphoma (NHL) and discovering new ways to use current NHL treatments. […] We have clinical trials for all stages of NHL, from early to advanced. These trials test dozens of medicines for different NHL subtypes. Some of the therapies we are studying are: Chemotherapy regimens, Antibody therapies and other targeted therapies, Immunotherapies, including cellular immunotherapies and checkpoint inhibitors. […] When your care team designs your treatment plan, they will give you the choice to join clinical trials that match your situation. If you decide to join one, you will see the same physicians and nurses as you would for standard therapy.
- #130 Lymphoma: Symptoms, Causes and Treatmenthttps://my.clevelandclinic.org/health/diseases/22225-lymphoma
Lymphoma is a term for a group of blood cancers in your lymphatic system. Healthcare providers can successfully treat and often cure it. […] Often, treatment can put lymphoma into remission or cure it. […] Common lymphoma treatments include: Chemotherapy. Radiation therapy. Targeted therapy. Immunotherapy. CAR T-cell therapy. Stem cell (bone marrow) transplantation. […] Your provider may recommend palliative care as part of your treatment plan. Palliative care focuses on helping you manage symptoms and treatment side effects. It also offers support. […] That said, treatment often puts lymphoma into remission or cures the condition. Remission means you dont have lymphoma symptoms and tests dont find signs of lymphoma. […] Overall, survival rate data show 89% of people with Hodgkin lymphoma and 74% of people with non-Hodgkin lymphoma were alive five years after diagnosis. […] Lymphoma is a serious illness. Fortunately, lymphoma treatments continue to improve, helping people live longer. Each year, survival rates improve.
- #131https://www.nhs.uk/conditions/non-hodgkin-lymphoma/treatment/
Non-Hodgkin lymphoma is usually treated with chemotherapy or radiotherapy, although some people may not need treatment straight away. […] The recommended treatment plan will depend on your general health and age, as many of the treatments can put a strain on the body. […] Discussions about your treatment plan will usually take place with several doctors and other health professionals who specialise in different aspects of treating lymphoma. […] Your MDT will recommend the best treatment options for you. […] If non-Hodgkin lymphoma is low grade (slow developing) and you’re well, a period of „watch and wait” is often recommended. […] Chemotherapy is a widely used treatment for non-Hodgkin lymphoma that involves using medicine to kill cancer cells. […] It may be used on its own, combined with biological therapy, or combined with radiotherapy.
- #132 Non-Hodgkin lymphoma – Wikipediahttps://en.wikipedia.org/wiki/Non-Hodgkin_lymphoma
Treatment depends on whether the lymphoma is slow or fast growing and if it is in one area or many areas. Treatments may include chemotherapy, radiation, immunotherapy, targeted therapy, stem-cell transplantation, surgery, or watchful waiting. […] The traditional treatment of NHL includes chemotherapy, radiotherapy, and stem-cell transplants. There have also been developments in immunotherapy used in the treatment of NHL. […] The most common chemotherapy used for B-cell non-Hodgkin lymphoma is R-CHOP, which is a regimen of four drugs (cyclophosphamide, doxorubicin, vincristine, and prednisone) plus rituximab. […] R-CHP with polatuzumab vedotin, an antibody-drug conjugate, was included as a category 1 preferred regimen for first-line DLBCL by the National Comprehensive Cancer Network in 2023. […] If participants receive stem-cell transplants, they can develop a graft-versus-host disease. […] Platelet transfusions may be necessary for those who receive chemotherapy or undergo a stem cell transplantation due to the higher risk for bleeding.
- #133 Whatâs New in Lymphoma Treatments?https://www.oregoncancer.com/blog/whats-new-in-lymphoma-treatments
Lymphoma treatment is quickly evolving for both non-Hodgkin lymphoma and Hodgkin lymphoma. The most recent lymphoma treatments focus on improving drug precision. Treatments like targeted therapies and immunotherapy make it possible to directly focus on specific types of cells and even specific abnormalities within the cells to stop the growth of cancer. […] Depending on the specific subtype of lymphoma, various treatments are available. Previously the primary option was chemotherapy. But cancer researchers, including our own oncologists in the Willamette Valley, have tested new treatment options for lymphomas through clinical trials including: […] Targeted therapy drugs identify and kill specific cancer cells. Because they precisely target a specific type of protein or genetic mutation, there’s less damage to healthy cells than chemotherapy or radiation therapy. The category of targeted therapy is rapidly expanding as researchers learn more about the various proteins and genetic changes in cancer cells that can be treated using this type of drug.
- #134 Lymphoma: Symptoms, Causes and Treatmenthttps://my.clevelandclinic.org/health/diseases/22225-lymphoma
Lymphoma is a term for a group of blood cancers in your lymphatic system. Healthcare providers can successfully treat and often cure it. […] Often, treatment can put lymphoma into remission or cure it. […] Common lymphoma treatments include: Chemotherapy. Radiation therapy. Targeted therapy. Immunotherapy. CAR T-cell therapy. Stem cell (bone marrow) transplantation. […] Your provider may recommend palliative care as part of your treatment plan. Palliative care focuses on helping you manage symptoms and treatment side effects. It also offers support. […] That said, treatment often puts lymphoma into remission or cures the condition. Remission means you dont have lymphoma symptoms and tests dont find signs of lymphoma. […] Overall, survival rate data show 89% of people with Hodgkin lymphoma and 74% of people with non-Hodgkin lymphoma were alive five years after diagnosis. […] Lymphoma is a serious illness. Fortunately, lymphoma treatments continue to improve, helping people live longer. Each year, survival rates improve.
- #135 Lymphoma: Symptoms, Causes and Treatmenthttps://my.clevelandclinic.org/health/diseases/22225-lymphoma
Lymphoma is a term for a group of blood cancers in your lymphatic system. Healthcare providers can successfully treat and often cure it. […] Often, treatment can put lymphoma into remission or cure it. […] Common lymphoma treatments include: Chemotherapy. Radiation therapy. Targeted therapy. Immunotherapy. CAR T-cell therapy. Stem cell (bone marrow) transplantation. […] Your provider may recommend palliative care as part of your treatment plan. Palliative care focuses on helping you manage symptoms and treatment side effects. It also offers support. […] That said, treatment often puts lymphoma into remission or cures the condition. Remission means you dont have lymphoma symptoms and tests dont find signs of lymphoma. […] Overall, survival rate data show 89% of people with Hodgkin lymphoma and 74% of people with non-Hodgkin lymphoma were alive five years after diagnosis. […] Lymphoma is a serious illness. Fortunately, lymphoma treatments continue to improve, helping people live longer. Each year, survival rates improve.