Staging of Non-Hodgkin's Lymphoma
Dear OncoLink "Ask the Experts,"
My girlfriend was recently diagnosed with Adult non-Hodgkin's Lymphoma. She had a bone marrow biopsy done and her doctor says she has lymphoma in her bones. Now the nurse said that she is in stage IV. Does the bone marrow having lymphoma mean stage 4? Exactly how much worse is stage IV than the other stages? What are the averages on remission and time it lasts?
I THANK YOU Very Much!
Li Liu, MD, Editorial Assistant for OncoLink, responds:
Thank you for your interest and question.
Patients with non-Hodgkin's Lymphoma (NHL) are staged with the Ann Arbor system. Stage IV is defined as either of the following:
In addition to the Ann Arbor system, there are a variety of pretreatment clinical factors which have been found to be associated with the prognosis of patients with NHLs:
The optimal treatments for patients with Stage IV indolent NHL remain controversial. The reasons for controversy relate to the fact that the vast majority of patients with advanced stages of low-grade lymphoma are not cured with current therapeutic options. The treatments are quite divergent, which include:
Your girlfriend should discuss these treatment options with her medical oncologist.
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