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    Childhood Non-Hodgkin Lymphoma Treatment (PDQ®): Treatment - Patient Information [NCI] - Stages of Childhood Non-Hodgkin Lymphoma

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    There are three ways that cancer spreads in the body.

    Cancer can spread through tissue, the lymph system, and the blood:

    • Tissue. The cancer spreads from where it began by growing into nearby areas.
    • Lymph system. The cancer spreads from where it began by getting into the lymph system. The cancer travels through the lymph vessels to other parts of the body.
    • Blood. The cancer spreads from where it began by getting into the blood. The cancer travels through the blood vessels to other parts of the body.

    The following stages are used for childhood non-Hodgkin lymphoma:

    Stage I

    cdr0000614610.jpg
    Stage I childhood non-Hodgkin lymphoma. Cancer is found in one group of lymph nodes or one area outside the lymph nodes, but no cancer is found in the abdomen or mediastinum (area between the lungs).

    In stage I childhood non-Hodgkin lymphoma, cancer is found:

    • in one group of lymph nodes; or
    • in one area outside the lymph nodes.

    No cancer is found in the abdomen or mediastinum (area between the lungs).

    Stage II

    cdr0000633800.jpg
    Stage II childhood non-Hodgkin lymphoma. Cancer is found in one area outside the lymph nodes and in nearby lymph nodes (a); or in two or more areas above (b) or below (c) the diaphragm; or cancer started in the stomach, appendix, or intestines (d) and can be removed by surgery.

    In stage II childhood non-Hodgkin lymphoma, cancer is found:

    • in one area outside the lymph nodes and in nearby lymph nodes; or
    • in two or more areas above or below the diaphragm, and may or may not have spread to nearby lymph nodes; or
    • to have started in the stomach or intestines and can be completely removed by surgery. Cancer may or may not have spread to certain nearby lymph nodes.

    Stage III

    cdr0000633819.jpg
    Stage III childhood non-Hodgkin lymphoma. Cancer is found in at least one area above and below the diaphragm (a); or cancer started in the chest (b); or cancer started in the abdomen and spread throughout the abdomen (c); or in the area around the spine (not shown).

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