Stages of Hodgkin's Lymphoma (Cont.)

Additional Stages of Hodgkin's Lymphoma

Stages of Hodgkin's lymphoma are further divided based on what symptoms of Hodgkin's lymphoma are present in the person and if the cancer has spread. These stages use the letters A, B, E, and S:
 
  • A: The patient has no symptoms of Hodgkin's disease
     
  • B: The patient has symptoms such as fever, weight loss, or night sweats
     
  • E: "E" stands for extranodal and means that the cancer is found in an area or organ other than the lymph nodes, or has spread to tissues beyond, but near, the major lymphatic areas
     
  • S: "S" stands for spleen and means that the cancer is found in the spleen.
 

Staging Hodgkin's Lymphoma for Treatment Purposes

For adults with Hodgkin's lymphoma, another staging criteria may be used for treatment purposes. This includes the following terms:
 
  • Early favorable
  • Early unfavorable
  • Advanced favorable
  • Advanced unfavorable.
 
Early Favorable
Early favorable describes cases of adult Hodgkin's lymphoma that are in stage I or stage II in people without risk factors.
 
Early Unfavorable
Early unfavorable adult Hodgkin's lymphoma refers to cases at stage I or stage II in people with one or more of the following risk factors:
 
  • A tumor in the chest that is larger than one-third of the width of the chest (or at least 10 centimeters long)
  • Cancer in an organ other than the lymph nodes
  • A high sedimentation rate (in a sample of blood, the red blood cells settle to the bottom of the test tube more quickly than normal)
  • Three or more lymph nodes with cancer
  • Symptoms such as fever, weight loss, or night sweats.
(Stages of Hodgkin's Lymphoma Continued: Page 5)
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Written by/reviewed by: Arthur Schoenstadt, MD
Last reviewed by: Arthur Schoenstadt, MD