Painless swelling of one or more lymph nodes, without a recent infection.
Symptoms stemming from pressure of swollen lymph nodes on nearby organs or structures. They may include a cough, shortness of breath, abdominal pain or swelling, a Horner's syndrome (a neurological problem affecting the face and eyes, due to damage to nerves in the neck), nerve pain, and leg swelling.
Fever, either persistent or alternating with periods of normal temperatures, for 14 consecutive days or longer. These fevers usually occur twice daily, usually in the late afternoon and early evening, and rarely are greater than 102 degrees Farenheit.
Pain in lymph nodes or abdomen after drinking alcohol.
Drenching night sweats and/or chills lasting for 14 consecutive days or longer.
Unintentional weight loss (more than 10% over six months).
Increased susceptibility to infections.
Total body itching.
The symptoms of fever, chills, night sweats, and weight loss, occur in 30% of people with Hodgkin lymphoma, usually older adults. These symptoms are usually associated with a more advanced, and more aggressive, disease, with a poorer prognosis.
In general, the use of combined chemotherapy and low-dose involved-field radiation therapy (LD-IFRT) broadens the spectrum of potential toxicities, while reducing the severity of individual drug-related or radiation-related toxicities. Current approaches use chemotherapy with or without LD-IFRT. The volume of radiation and the intensity/duration of chemotherapy are determined by prognostic factors at presentation, including presence of constitutional symptoms, disease stage, and bulk.