Current therapy for Hodgkin lymphoma cures over 75% of patients. Standards of treatment are radiation therapy and combination chemotherapy.
Treatment for non-Hodgkin lymphoma depends on the cell type and stage at diagnosis. Treatment for both Hodgkin lymphoma and non-Hodgkin lymphoma is usually radiation therapy (for early stage disease, Stage I and II) and/or chemotherapy (for stage III and IV cases), but this may vary by cell type. For example, low grade, low stage non-Hodgkin lymphoma may be treated with radiation only, whereas intermediate grade, low stage NHL should receive radiation and chemotherapy, and high-grade, low stage NHL would probably receive chemotherapy only.
Lymphomas, particularly NHL can convert to a more aggressive form after initial treatment.
Low grade non-Hodgkin lymphomas respond to chemotherapy and irradiation, but continue to relapse for a long period of time.
X = complete
* = partial
o = optional
|Types of Sugery||Lymph Chain||Splenectomy||Other Organs|
|Excision of tumor mass||*|
|Lymph node dissection, single chain||X|
|Lymph node dissection, single chain plus splenectomy||X||X|
|Lymph node dissection, two or more chains, and/or adjacent organs||X||*|
|Lymph node dissection, not otherwise specified||X|
|Lymph node dissection, NOS plus splenectomy||X||X|
|Surgery of regional and/or distant sites/nodes||X|
Surgery for extranodal lymphomas should be described according to the surgical codes for that site.
Staging laparotomy—Go to Diagnostic Studies—Pathology for detailed information. Do not code as cancer-directed therapy even if the specimen is diagnosed as positive.