Key Takeaways
- In 2023, an estimated 80,550 new cases of non-Hodgkin lymphoma (NHL) will be diagnosed in the US, with 20,140 deaths expected.
- The age-adjusted incidence rate for NHL in the US from 2016-2020 was 18.6 cases per 100,000 people per year.
- Globally, NHL incidence rates vary widely, with the highest age-standardized rates in Australia/New Zealand at 13.0 per 100,000 in men.
- Immunosuppression increases NHL risk 50-100 fold in transplant patients.
- HIV infection raises NHL risk by 50-200 times compared to general population.
- EBV is associated with 40-50% of HL cases in developing countries.
- Painless cervical lymphadenopathy is the most common presenting symptom in 70% of HL patients.
- B symptoms (fever, night sweats, weight loss >10%) occur in 40% of advanced HL and 20-30% early stage.
- 60-80% of NHL patients present with peripheral lymphadenopathy.
- PET-CT detects disease in 90-95% of HL staging.
- Excisional biopsy preferred for diagnosis, yielding 95% accuracy vs 70% core biopsy.
- Flow cytometry identifies B-cell clonality in 85-90% B-NHL.
- CHOP-R regimen: cyclophosphamide 750mg/m2, doxorubicin 50mg/m2, vincristine 1.4mg/m2 max 2mg, prednisone 100mg x5 days.
- ABVD for HL: doxorubicin 25mg/m2, bleomycin 10u/m2, vinblastine 6mg/m2, dacarbazine 375mg/m2, days 1+15 q28.
- Rituximab 375mg/m2 weekly x4-8 with chemo improves DLBCL survival by 10-15%.
Lymphoma affects thousands yearly, but survival rates have significantly improved with modern treatments.
Clinical Presentation
Clinical Presentation Interpretation
Diagnosis
Diagnosis Interpretation
Epidemiology
Epidemiology Interpretation
Prognosis
Prognosis Interpretation
Risk Factors
Risk Factors Interpretation
Treatment
Treatment Interpretation
Sources & References
- Reference 1CANCERcancer.orgVisit source
- Reference 2SEERseer.cancer.govVisit source
- Reference 3GCOgco.iarc.who.intVisit source
- Reference 4NCBIncbi.nlm.nih.govVisit source
- Reference 5PUBMEDpubmed.ncbi.nlm.nih.govVisit source
- Reference 6THELANCETthelancet.comVisit source
- Reference 7CANCERRESEARCHUKcancerresearchuk.orgVisit source
- Reference 8CANCERcancer.govVisit source
- Reference 9ECISecis.jrc.ec.europa.euVisit source
- Reference 10CANCERcancer.caVisit source
- Reference 11FDAfda.govVisit source
- Reference 12MAYOCLINICmayoclinic.orgVisit source
- Reference 13UPTODATEuptodate.comVisit source
- Reference 14NEJMnejm.orgVisit source






