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Lymphedema

 

Introduction

Lymphedema is swelling due to failure of the lymphatic system to function properly, specifically from blockage of the normal drainage of lymph back into the blood. These are cells in the body usually found in lymph nodes, which are small lima-bean sized structures located principally in the neck, arm pits, and groin. The function of these lymph nodes is to protect the body from infections and to help the immune cells recognize invaders. For reasons we do not understand, occasionally a lymph cell will turn malignant or cancerous, and begin to produce more and more cells. While a signal to grow is part of the cause of lymphoma, in many lymphomas the cells do not die off as they normally would.

Causes

The cause of most lymphoma is unknown. Some occur in individuals taking drugs to suppress their immune system.

Symptoms

The most common symptom of  lymphomas is a painless swelling in the lymph nodes of the neck, underarm, or groin. Other symptoms may include fevers, night sweats, tiredness, weight loss, itching, and reddened patches on the skin. Sometimes there is nausea, vomiting, or abdominal pain.
As lymphomas progress, the body is less able to fight infection. These symptoms are not sure signs of cancer, however. They also may be caused by many common illnesses, such as the flu or other infections.

Treatment

Since there are many forms of lymphoma, it is difficult to make general statements about treatment. However, this disease is almost never cured by surgery. Rather, chemotherapy and radiation are the main treatments used. Sometimes no therapy is recommended because the disease progresses very slowly and does not bother the patient. At times the treatment can be more damaging to the patient than the disease. For some patients with some kinds of lymphomas, high dose chemotherapy with stemcell transplant is recommended.

 
 

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