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Childhood Hodgkin Lymphoma
WHAT YOU NEED TO KNOW:
Hodgkin lymphoma, or Hodgkin disease, is a cancer of the lymphatic system. The lymphatic system contains lymph vessels, lymph nodes, and glands. Lymph vessels carry lymph fluid throughout the body. Lymph fluid contains lymphocytes (white blood cells) that help fight infection and disease. Hodgkin lymphoma causes lymphocytes to grow and divide without control and to form tumors. Hodgkin lymphoma can develop in any lymph tissue in the body. Common places are lymph nodes in the neck, underarm, and chest. Hodgkin cancer cells can travel from lymph node to lymph node and spread through the body.
WHILE YOU ARE HERE:
is a legal document that explains the tests, treatments, or procedures that your child may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your child's medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done to your child. Make sure all of your questions are answered.
Stay with your child for comfort and support as often as possible while he is in the hospital. Ask another family member or someone close to the family to stay with your child when you cannot be there. Bring items from home that will comfort your child, such as a favorite blanket or toy.
is a small tube placed in your child's vein that is used to give him medicine or liquids.
- Antibiotics help treat or prevent an infection caused by bacteria.
- Medicine may be given to relieve nausea.
- Immune globulins are given as a shot or an IV infusion to make your child's immune system stronger. He may need immune globulins to treat or prevent an infection. He may need many weeks of treatment. Each infusion can take from 2 to 5 hours.
- Pain medicine may be given. Do not wait until your child's pain is severe before you ask for more medicine.
- Blood tests may show abnormal white blood cells or signs of anemia (not enough red blood cells). The tests may also be used to measure the amount of inflammation in your child's blood. Blood tests can also be used to check his liver and kidney function, or see if the cancer has spread to bone.
- A biopsy is a procedure to remove a sample of lymph node or bone marrow to be tested. Bone marrow is tissue inside the bone. Your child's healthcare provider may test a bone marrow sample to see if the cancer has spread to bone. He may use a needle to take a sample from a lymph node, or remove a lymph node during surgery. He will also check biopsy samples for Reed-Sternberg cells. These cells help your healthcare provider know your child has Hodgkin lymphoma.
- X-ray, CT, MRI, or PET scan pictures may be taken of your child's chest, abdomen, and pelvis. The pictures may show where the cancer is located. His healthcare provider may use the x-rays to look for tumors, blockages, signs of infection, or other problems. Your child may be given contrast liquid to help the cancer show up better in the pictures. Tell the healthcare provider if your child has ever had an allergic reaction to contrast liquid. Do not let your child enter the MRI room with anything metal. Metal can cause serious injury. Tell the healthcare provider if your child has any metal in or on his body.
- Chemotherapy is medicine used to treat cancer by killing tumor cells. Chemotherapy may also be used to shrink lymph nodes that contain cancer.
- Radiation therapy uses x-rays or gamma rays to treat cancer. Radiation kills cancer cells and may stop the cancer from spreading. It may be given alone or with chemotherapy.
- A bone marrow transplant is a procedure to replace your child's diseased bone marrow with healthy marrow. Bone marrow is usually given from a donor. Your child's own marrow may be used if it is collected when his cancer is in remission (not active). The bone marrow transplant will be given in an IV while your child is in the hospital.
- Surgery may be used for some types of childhood Hodgkin lymphoma. Your child's healthcare provider will remove the tumor during surgery.
Even with treatment, your child's cancer may spread or return. He may also develop other cancers later in life, such as non-Hodgkin lymphoma.
CARE AGREEMENT:You have the right to help plan your child's care. Learn about your child's health condition and how it may be treated. Discuss treatment options with your child's caregivers to decide what care you want for your child.
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.