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Thank you for your trust in the past. Ray Schilling, MD
**Closure of my websites askdrray.com and nethealthbook.com**

These websites will be taken down on **April 30, 2025** and no further updates will be provided.
I hope you enjoyed the content of these websites. You can continue to read Dr. Schilling’s blogs which I publish daily on Quora

My home page there is: ** https://www.quora.com/profile/Ray-Schilling**

Click on this: Under my image there is a heading “Profile”. Right underneath this you find a search box entitled “search content”. Type in any term you are interested in. You will get several answers I have written (I have written more than 15,000 answers).

On Quora you can also write comments that I will answer.

Thank you for your trust in the past. Ray Schilling, MD
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Child Non-Hodgkin’s Lymphoma (NHL)

Introduction

Child Non-Hodgkin’s Lymphoma (NHL) is a form of leukemia, which is  different from the adult counter part. The child non-Hodgkin’s lymphoma is more diffuse, in other words not confined to lymph nodes. It is a T cell lymphoma in children while in adults it is a B cell lymphoma. Normally T cells  would kill a virus and any cancer cell.

Non-Hodgkin’s lymphoma

This is not the only childhood lymphoma, there are others more rare types. They are derived from cells that in the normal person would be natural killer cells.

These natural killer cells (also called “killer T cells”) are the ones that normally kill viruses and cancer cells. T cell lymphoma is much more difficult to treat than the adult forms, which is usually a B cell lymphoma (derived from antibody producing lymph cells or B cells).

Peak incidence is between 7 and 11 years of age. The onset is very similar to the picture described for ALL. However, non-Hodgkin’s lymphoma seems to occur more frequently in the gastrointestinal tract and vomiting blood or abdominal pain due to abdominal involvement may be the first symptom. On the other hand lymph gland swelling in the neck area may be the first symptom. The work-up with blood tests will then reveal the real underlying disease. Treatment of non-Hodgkin’s lymphoma requires a specially trained hematologist usually in the setting of a children’s hospital. Details would be too technical here. Your family doctor would be the one to translate the medical terms and the chemotherapy treatment protocol for you.

Last modified: August 28, 2014

Disclaimer
This outline is only a teaching aid to patients and should stimulate you to ask the right questions when seeing your doctor. However, the responsibility of treatment stays in the hands of your doctor and you.

References


  1. Cancer: Principles &Practice of Oncology. 4th edition. Edited by Vincent T. DeVita, Jr. et al. Lippincott, Philadelphia,PA, 1993. Chapter on Acute Leukemia.
  2. Cancer: Principles&Practice of Oncology. 5th edition, volume 2. Edited by Vincent T. DeVita, Jr. et al. Lippincott-Raven Publ., Philadelphia,PA, 1997. Chapter on Acute Leukemia.
  3. Conn's Current Therapy 2004, 56th ed., Copyright © 2004 Elsevier
  4. Ferri: Ferri's Clinical Advisor: Instant Diagnosis and Treatment, 2004 ed., Copyright © 2004 Mosby, Inc