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Treatments for Lymphoma
Treatments of Lymphoma: Online Medical Books
16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the treatments of Lymphoma.
Lymphadenopathy:
Treatment
(In a Page: Signs and Symptoms)
- Viral infections require supportive therapy in most cases
- Bacterial, parasitic, and fungal infections are usually treated with appropriate antibiotics, antiparasitics or antifungals, respectively
- Offending medication should be removed when possible
- Malignancies must be identified, staged, and treated as appropriate with chemotherapy, radiation, and/or resection as per the established oncology protocol
Lymphadenopathy:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Mild adenopathy with associated viral/URI symptoms
–Observation and recheck in 1–2 weeks
–Malignancy-associated adenopathy can sometimes wax and wane (especially Hodgkin disease) and appear to improve with antibiotics
–TB nodes may be firm, matted, fixed, and nontender -
Erythematous, warm, tender nodes
–Trial of oral antibiotics for staph/strep - Inflamed/fluctuant lesions: Referral for I&D
-
Refer to pediatric hematologist/oncologist
–Nodes that fail to resolve over 6 weeks
–Nodes that increase in size over 2 weeks
–Firm, matted nodes
–Supraclavicular nodes
–Nodes that generalize to two or more noncontiguous groups or more than two contiguous groups - CBC with differential, CXR before biopsy
Non-Hodgkin's lymphoma:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Radiation therapy is used mainly in the early localized stage of the disease. Total nodal irradiation is generally effective for both nodular and diffuse histologies.
Chemotherapy is most effective with multiple combinations of antineoplastic agents. For example, cyclophosphamide, vincristine, Adriamycin, and prednisone can induce a complete remission in 70% to 80% of patients with nodular histology and in 20% to 55% of patients with diffuse histology. Other combinations — such as methotrexate, bleomycin, Adriamycin, Cytoxan, Oncovin, and prednisone (M-BACOP) — induce prolonged remission and sometimes cure the diffuse form.
In recent years, the development of monoclonal antibodies, specifically rituximab, has provided additional options for the treatment of non-Hodgkin's lymphomas either alone or in combination with traditional chemotherapy regimens. Additionally, radioimmunotherapy for the treatment of these lymphomas has shown promise. Monoclonal antibodies are labeled with beta-emitting isotopes. Currently, ibritumomab tiuxetan is being used alone and in combination with rituximab.
Malignant spinal neoplasms:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment of spinal cord tumors generally includes decompression or radiation. Laminectomy is indicated for primary tumors that produce spinal cord or cauda equina compression; it isn't usually indicated for metastatic tumors. If the tumor is slowly progressive or if it's treated before the cord degenerates from compression, symptoms are likely to disappear, and complete restoration of function is possible. In a patient with metastatic carcinoma or lymphoma who suddenly experiences complete transverse myelitis with spinal shock, functional improvement is unlikely, even with treatment, and his outlook is ominous. If the patient has incomplete paraplegia of rapid onset, emergency surgical decompression may save cord function. Steroid therapy with dexamethasone minimizes cord edema and temporarily relieves symptoms until surgery can be performed. Partial removal of intramedullary gliomas, followed by radiation, may alleviate symptoms for a short time. Metastatic extradural tumors can be controlled with radiation, analgesics and, in the case of hormone-mediated tumors (breast and prostate), appropriate hormone therapy. Transcutaneous electrical nerve stimulation (TENS) may control radicular pain from spinal cord tumors and is a useful alternative to opioid analgesics. In TENS, an electrical charge is applied to the skin to stimulate large-diameter nerve fibers and thereby inhibit transmission of pain impulses through small-diameter nerve fibers. Chemotherapy generally hasn't proven effective against most spinal tumors, but may be recommended in some cases.
Lymphomas, malignant:
Treatment
(Handbook of Diseases)
Radiation therapy is used mainly in the early localized stage of the disease. Total nodal irradiation is usually effective for nodular and diffuse histologies.
Chemotherapy is most effective with multiple combinations of antineoplastics; remissions and cures may be induced in this manner. Some cases have required intrathecal chemotherapy. Bone marrow and stem cell transplants have also proved helpful.
Lymphadenopathy:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Explain the importance of avoiding crowds and washing hands properly to prevent infection. Teach the patient the signs and symptoms of infection he needs to report to the health care provider. If isolation is required, explain its purpose and associated interventions to the patient and his family. Encourage the patient to eat a healthy diet and get plenty of rest.
Lymphadenopathy:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ If the patient is uncomfortable, provide an antipyretic, tepid sponge bath, or a hypothermia blanket.
▪ Expect to obtain blood for routine blood work, platelet and white blood cell counts, liver and renal function studies, erythrocyte sedimentation rate, and blood cultures.
▪ Prepare the patient for other diagnostic tests, such as chest X-ray, computed tomography, liver and spleen scan, lymph node biopsy, or lymphography, to visualize the lymphatic system.
▪ If tests reveal infection, check your facility's policy regarding infection control and isolation precautions.
Patient teaching
▪ Explain to the patient all diagnostic tests or procedures.
▪ Teach the patient ways to prevent infection.
▪ Explain the signs and symptoms of infection the patient should report.
▪ Explain the reasons for any isolation precautions.
▪ Stress the importance of a healthy diet and rest.
Medications used to treat Lymphoma:
Note:You must always seek professional medical advice about any treatment or change in treatment plans.
Some of the different medications used in the treatment of Lymphoma include:
- Dexamethasone
- Aeroseb-Dex
- Ak-Dex
- Ak-Trol
- Baldex
- Dalalone
- Dalalone DP
- Dalalone LA
- Decaderm
- Decadron
- Decadron Nasal Spray
- Decadron-LA
- Decadron Phosphate Ophthalmic
- Decadron Phosphate Respihaler
- Decadron Phosphate Turbinaire
- Decadron w/Xylocaine
- Decadron dose pack
- Decaject
- Decaject LA
- Decaspray
- Deenar
- Deone-LA
- Deronil
- Dex-4
- Dexacen-4
- Dexacen LA-8
- Dexacidin
- Dexacort
- Dexameth
- Dexasone
- Dexasone-LA
- Dexo-LA
- Dexon
- Dexone-E
- Dexone-4
- Dexone-LA
- Dexsone
- Dexsone-E
- Dexsone-LA
- Dezone
- Duo-dezone
- Gammacorten
- Hexadrol
- Maxidex
- Mymethasone
- Neodecadron Eye-Ear
- Neodexair
- Neomycin-Dex
- Ocu-Trol
- Oradexon
- PMS-Dexamethasone
- SKDexamethasone
- Sofracort
- Solurex
- Solurex-LA
- Spersadex
- Tobradex
- Turbinaire
- Prednisolone - used as part of a combination therapy
- A&D w/Prednisolone - used as part of a combination therapy
- Cortalone - used as part of a combination therapy
- Delta-Cortef - used as part of a combination therapy
- Duapred - used as part of a combination therapy
- Fernisonone-P - used as part of a combination therapy
- Hydelta-TBA - used as part of a combination therapy
- Hydeltrasol - used as part of a combination therapy
- Inflamase - used as part of a combination therapy
- Inflamase Forte - used as part of a combination therapy
- Key-Pred - used as part of a combination therapy
- Meticortelone - used as part of a combination therapy
- Meti-Derm - used as part of a combination therapy
- Metreton - used as part of a combination therapy
- Minims Prednisolone - used as part of a combination therapy
- Mydrapred - used as part of a combination therapy
- Niscort - used as part of a combination therapy
- Nor-Pred - used as part of a combination therapy
- Nova-Pred - used as part of a combination therapy
- Novoprednisolone - used as part of a combination therapy
- Optimyd - used as part of a combination therapy
- Otobione - used as part of a combination therapy
- Peidaject - used as part of a combination therapy
- Pediapred - used as part of a combination therapy
- Polypred - used as part of a combination therapy
- Predcor - used as part of a combination therapy
- Pred Forte - used as part of a combination therapy
- Pred-G - used as part of a combination therapy
- Pred Mild - used as part of a combination therapy
- Prelone - used as part of a combination therapy
- PSP-IV - used as part of a combination therapy
- Savacort - used as part of a combination therapy
- Sterane - used as part of a combination therapy
- TBA Pred - used as part of a combination therapy
- Prednisone - used as part of a combination therapy
- Apo-Prednisone - used as part of a combination therapy
- Aspred-C - used as part of a combination therapy
- Deltasone - used as part of a combination therapy
- Liquid Pred - used as part of a combination therapy
- Meticorten - used as part of a combination therapy
- Novoprednisone - used as part of a combination therapy
- Orasone - used as part of a combination therapy
- Panasol-S - used as part of a combination therapy
- Paracort - used as part of a combination therapy
- Prednicen-M - used as part of a combination therapy
- Prednisone Intensol - used as part of a combination therapy
- SK-Prednisone - used as part of a combination therapy
- Sterapred - used as part of a combination therapy
- Sterapred-DS - used as part of a combination therapy
- Winpred - used as part of a combination therapy
- Asparaginase
- Elspar
- Kidrolase
- Leunase
- Cytarbine
- Cytosar-U
- Laracit
- Doxorubicin
- Adriamycin PFS
- Adriamycin RDF
- Rubex
- Adriamycin
- Adriblastina
- Adriblastina RD
- Caelyx
- Doxolem
- Doxotec
- Etoposide
- Toposar
- VePesid
- Etopos
- Lastet
- Vp-Tec
- Methotrexate
- Rheumatrex
- Trexal
- Apo-Methotrexate
- Ratio-Methotrexate
- Ledertrexate
- Texate
- Trixilem
- Mitoxantrone
- Novantrone
- Mitroxone
- Thiotepa
Medical news summaries about treatments for Lymphoma:
The following medical news items are relevant to treatment of Lymphoma:
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