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Cancer Health Center

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


For pregnant women with Hodgkin lymphoma, staging tests that protect the fetus from the harms of radiation are used. These include:

  • MRI (magnetic resonance imaging): A procedure that uses a magnet, radio waves, and a computer to make a series of detailed pictures of areas inside the body. This procedure is also called nuclear magnetic resonance imaging (NMRI).
  • Ultrasound exam: A procedure in which high-energy sound waves (ultrasound) are bounced off internal tissues or organs and make echoes. The echoes form a picture of body tissues called a sonogram.

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.

Stages of adult Hodgkin lymphoma may include A, B, E, and S.

Adult Hodgkin lymphoma may be described as follows:

  • A: The patient does not have B symptoms (fever, weight loss, or night sweats).
  • B: The patient has B symptoms.
  • E: Cancer is found in an organ or tissue that is not part of the lymph system but which may be next to an involved area of the lymph system.
  • S: Cancer is found in the spleen.

The following stages are used for adult Hodgkin lymphoma:

Stage I

Stage I adult Hodgkin lymphoma. Cancer is found in one or more lymph nodes in one lymph node group. In stage IE (not shown), cancer is found outside the lymph nodes in one organ or area.

Stage I is divided into stage I and stage IE.

  • Stage I: Cancer is found in one of the following places in the lymph system:
    • One or more lymph nodes in one lymph node group.
    • Waldeyer's ring.
    • Thymus.
    • Spleen.
  • Stage IE: Cancer is found outside the lymph system in one organ or area.
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