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Glossary

A
Abdomen

Area of the body below the chest and above the groin, containing the stomach, intestines, liver, gallbladder, kidneys, spleen and other organs

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Chest
Diaphragm

Acute

A condition or symptom that begins and worsens quickly

 

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Chronic

Aggressive

One of the two main grades of non-Hodgkin's lymphoma (also known as high-grade or fast-growing)

 

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Indolent

Allogeneic transplant

When healthy cells or tissues are taken from a donor and used to replace a patient's diseased tissues. The donor may be a relative, usually a brother or sister. Another unrelated, but matched, person may also donate tissue

 

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Autologous transplant

Alopecia

The loss of hair, most obviously from the head. Can be caused by cancer treatments such as some forms of chemotherapy and radiotherapy

Alternative therapy

Therapies based on a theory of medicine that differs from the classical medical science that is taught in Western medical schools; examples include homoeopathy, acupuncture, the use of herbal medicines, and chiropractic techniques (also called complementary therapy)

Anaemia

A condition that is caused by a lack of sufficient red blood cells, resulting in tiredness, shortness of breath, dizziness, headaches and irritability

Analgesics

Also known as painkillers, analgesics include drugs such as aspirin, paracetamol and ibuprofen

Ann Arbor

A staging system for Hodgkin's lymphoma that was designed at the University of Michigan, at Ann Arbor, and, after refinement, was adopted worldwide for non-Hodgkin's lymphoma

 

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Stage

External links
An explanation of the Ann Arbor system

Antibody

A protein produced by the body to help fight infections. Antibodies are created by cells in the body and are designed to recognise and attach directly to ‘foreign' structures within the body. These foreign structures are, usually, not from the body itself or are not normally made by the body. For example, some antibodies can recognise foreign structures that form part of tumour cells.

 

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Antibody therapy

Antigen

Antibody therapy

Treatment of a disease using antibodies designed to target disease-causing cells. In cancer treatment, antibody therapy aims to either kill tumour cells without harming other cells or to help the body's own immune system attack a tumour. In NHL, antibody therapies have been designed to seek out and attach to the CD20 antigen, which is most commonly found on lymphoma cells. This then causes the targeted cell to be killed.

 

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Antibody

Antigen

Anti-emetic

A medication that aims to reduce sickness (nausea and vomiting)

Antigen

Structures that are recognised by the immune system, e.g. proteins on the surface of bacteria, viruses or other infectious organisms, as well as on tumour cells or foreign cells such as those from transplanted organs. Antigens can also be chemicals not naturally found in the body.

 

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Antibody

Autologous transplant

A procedure in which a patient's healthy cells are taken from them prior to treatment e.g. high-dose chemotherapy for treatment of lymphoma. These cells are then given back to the patient after their treatment in orde to re-grow their bone marrow.

 

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Bone marrow

Stem cells

B
Bacteria

A large group of organisms that consist of just one cell. Bacteria can be seen only under a microscope. Many bacteria are capable of causing disease in humans

B cell

A type of white blood cell involved in fighting disease. One of the two main types of lymphocytes, B cells (or B lymphocytes) are involved in producing antibodies in response to antigens. Most non-Hodgkin's lymphomas involve the B cells

 

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T cell
 

Biopsy

A test that involves removing a small amount of tissue or a few cells for examination under a microscope

Biopsy specimen

A sample of cells that has been removed from the body during a biopsy to see if disease is present

Blood cell

Any one of the three main cell types found in the blood - white blood cells, red blood cells and platelets.

Blood count

Routine test used to determine the number of white blood cells, red blood cells and platelets in a person's blood. The blood count can help doctors to work out whether a patient can safely have treatment or monitor response to treatment.

Bone marrow

The soft tissue found in the middle of bones, where blood cells are made and where they mature before entering the bloodstream.

Bone marrow

The soft tissue found in the middle of bones, where blood cells are made and where they mature before entering the bloodstream.

Bone marrow aspiration or biopsy

The removal of a sample of bone marrow, usually from the hip bone, using a needle.

Bone marrow transplant (BMT)

Procedure in which healthy cells are taken from the bone marrow and transplanted into the patient after high-dose chemotherapy or radiotherapy has been used to destroy the patient's bone marrow. The cells restore the destroyed marrow.

 

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Peripheral blood stem cell transplantation (PBST, PBSCT)
 

B symptoms

Three symptoms of non-Hodgkin's lymphoma that are used to work out the stage of the disease. B symptoms include fevers, night sweats and unexplained weight loss. There are no A symptoms or C symptoms.

Burkitt's lymphoma

A highly aggressive type of non-Hodgkin's lymphoma that most often occurs in young people.

C
Catheter

A thin, flexible tube that is inserted into the body to allow fluids to be put into, or removed, from the body.

Cell

The building blocks of all organs and tissues, including the heart, lungs, blood and skin. Cells contain the genetic code (DNA), which codes for all the different proteins in the body

Central, or 'Hickman', line

A special form of catheter that is inserted into a large vein, such as in the top of the chest, and remains there for days or a few weeks to allow doctors to give treatments and take samples without having to keep injecting patients

Chemotherapy

Chemotherapy literally means 'treatment with drugs', but is used mainly to mean treatment with anti-cancer or 'cytotoxic' drugs. The aim of chemotherapy in non-Hodgkin's lymphoma is to damage and kill the growing lymphoma cells throughout the body

Chest

Area of the body above the diaphragm and below the neck, containing the lungs, heart and other organs


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Abdomen

Chronic

A disease or condition that lasts for, or progresses over, a long period of time


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Acute
 

Clinical

To do with the examination and treatment of patients

Clinical nurse specialist

A nurse who has specialised in one particular area of medicine. In a lymphoma clinic, the clinical nurse specialist is likely to be one of the main points of contact for patients

Clinical trial

A research study that assesses new ways of preventing, diagnosing or, most often, treating a disease. Within a clinical trial (study) patients' safety and health are the highest priority. Clinical trials for non-Hodgkin's lymphoma often compare a new treatment with a standard therapy.

Combination chemotherapy

The use of more than one chemotherapy drug at the same time during a course of treatment to improve the chances of success

Complete response

When all signs of the non-Hodgkin's lymphoma have disappeared and a patient may enter remission or be cured.

Computed axial tomography, or CAT, scan See Computed tomography scan

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Computed tomography, or CT, scan
 

Computed tomography, or CT, scan

A type of X-ray scan that produces a number of images taken at different 'layers' of the body to build up a three-dimensional picture

Cure

In the treatment of diseases such as non-Hodgkin's lymphoma, a cure means there is no sign of the disease in the body and enough time has passed to suggest that the chances of recurrence are extremely small.

Cytotoxic

A word used to describe chemicals that kill cells, e.g. chemotherapy is cytotoxic.

D
Diaphragm

In the treatment of diseases such as non-Hodgkin's lymphoma, a cure means there is no sign of the disease in the body and enough time has passed to suggest that the chances of recurrence are extremely small.

 

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Abdomen

Chest

Diffuse large B-cell lymphoma

A type of lymphoma where the lymph nodes have an abnormal arrangement of cells when viewed under the microscope. Diffuse lymphomas are likely to be aggressive.

Disease progression

When a cancer continues to grow or spread.

DNA

Found in the nucleus of cells, DNA stands for deoxyribonucleic acid. DNA consists of long chains of genetic code that is the blueprint for all proteins and, hence, life

 

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Genes
 

E
Efficacy

The effectiveness or ability of a treatment to produce the desired beneficial effect

F
Fine needle aspiration (FNA) biopsy

A type of biopsy in which cells are removed from a tissue, such as a swollen lymph node, through a thin needle so that they can be examined under a microscope

Follicular lymphoma

A type of indolent lymphoma where abnormal follicles are seen under the microscope. Follicular lymphomas are likely to be slow growing.

 

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Indolent

Follicular Lymphoma International Prognostic Index (FLIPI)

A five-factor analysis that helps doctors to work out how well patients with indolent Diffuse large B-cell lymphoma will respond to treatment and the likelihood of relapse.

 

External links

International Prognostic Index

G
Genes

Stretches of DNA that contain the 'code' for the proteins made by the body. When damaged, genes can cause disease by producing either dysfunctional proteins or proteins in too high or too low quantities

Grade

One of the main ways of characterising a non-Hodgkin's lymphoma, it allows doctors to classify non-Hodgkin's lymphoma as indolent or aggressive

 

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Aggressive

Indolent
 

Groin

Area of the body below the abdomen and above the legs. It includes the sexual organs and the hips

 

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Abdomen
 

H
Haematologist

A doctor who specialises in the study and treatment of diseases of the blood and bone marrow.

High-dose therapy (HDT)

Chemotherapy and/or radiotherapy given in higher doses than normal that is frequently followed by a bone-marrow or peripheral stem cell transplantation.

 

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Bone marrow transplant

Peripheral blood stem cell transplantation (PBST, PBSCT)

Hodgkin's lymphoma

A malignant disease of the lymph nodes that is characterised by painless enlargement of lymphatic tissues and the spleen. Most commonly occurring in people aged between 15 and 35 years, the symptoms include fever, weight loss, anaemia and night sweats. Also known as Hodgkin's disease

 

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Anaemia

Lymph node

Night sweats

Non-Hodgkin's lymphoma

Spleen
 

I
Immune response

The level of activity of the immune system against a disease or foreign object

Immune system

The system of the body that provides a defence against infection and some other types of disease, including cancer. It consists of cells that react in a general way to foreign substances or organisms that enter the body and of cells that can produce a more specific response to a foreign organism or damaged cell

Immunosuppression

When the immune system is weakened and unable to fully react to foreign objects and diseases. This can be caused, for example, by organisms that attack the immune system, such as HIV, or drugs like those used after organ transplant or in chemotherapy

Immunotherapy

The prevention or treatment of disease using agents that may modify the immune system, e.g. monoclonal antibodies.

Incidence

The number of new cases of a disease reported in a population over a period of time, usually in 1 year. Data on the incidence of cancer are kept by regional and national cancer registries

Indolent

One of the two main grades of non-Hodgkin's lymphoma (also known as low-grade or slow-growing)

 

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Aggressive
 

Informed consent

An ethical and legal requirement that a patient agrees to a medical procedure only after all of the potential risks and benefits have been explained

Infusion

Putting a fluid, usually containing a drug, into a vein via a catheter, either by using a pump or by using the force of gravity.

International Prognostic Index (IPI)

Five factors that help doctors to work out how well a patient with non-Hodgkin's lymphoma will respond to treatment and the likelihood of a relapse.

 

External links

nternational Prognostic Index
 

Intravenous injection

Using a syringe or catheter to put a fluid, usually containing a drug, into the veins.

J
K
L
LDH blood test

A simple test to measure the amount of an enzyme called lactate dehydrogenase in the blood. In non-Hodgkin's lymphoma, the test can give doctors an idea how (LDH) active the disease is and how far it has spread in the body.

Leukaemia

Cancer of cells in the blood. This includes leucocytes, or white blood cells, and the bone marrow in which they grow and develop

Liver function tests

An array of relatively simple blood tests that measures various substances in the blood and gives an idea of how well the liver is functioning

Lumbar puncture

A simple procedure for removing a small amount of the fluid that surrounds the spinal cord, usually carried out by inserting a small needle into the lower back

Lymph

The fluid that flows through the lymphatic vessels, containing lymphocytes, fat and other substances

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Lymphocyte
 

Lymphatic system

Part of the body's immune system. The system includes the lymphatic vessels (through which lymph flows), the lymph nodes, and some other organs of the body, such as the spleen and thymus.

Lymphatic vessels

The vessels though which a fluid called lymph flows

Lymph node

A small, bean-shaped collection of lymphocytes that lies along the course of a lymphatic vessel. Lymph nodes act like a filter, trapping waste products and infectious organisms. They are also incorrectly called lymph glands.

Lymphocyte

A type of white blood cell involved in fighting infection and disease. There are two types of lymphocytes - B cells and T cells - and both are involved in the body's immune system

Lymphoma

Cancer of the cells of the lymphatic system that includes Hodgkin's lymphoma and non-Hodgkin's lymphoma.

 

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Hodgkin's lymphoma

Lymphatic system

Non-Hodgkin's lymphoma
 

M
Magnetic resonance imaging (MRI) scan

A way of taking very clear images of tissues in the body using strong magnetic fields. MRI can show a cross-sectional slice of the body (like a CT scan) and lengthwise slices as well. It can show the brain, spinal cord, joints and abdomen clearly. MRI scans usually take around 40 minutes. Some people find them claustrophobic but patients are always in voice contact with the radiographer.

Maintenance therapy

Therapy for patients who are in remission, in which medicine is given over a relatively long period of time, to try and extend the remission for as long as possible.

Malignant tumour

A growth that is cancer, e.g. a malignant tumour (malignant tumours may spread to other parts of the body).

MALT (mucosa associated lymphoma tissue) non-Hodgkin's lymphoma

A type of non-Hodgkin's lymphoma that affects certain organs, predominantly the stomach, but the salivary glands, thyroid and lungs can also be affected.

Mantle cell lymphoma

A relatively rare but aggressive type of non-Hodgkin's lymphoma that involves B cells

Median survival

The average length of time after either diagnosis or treatment at which half of the patients with a particular disease are still alive

Mediastinum

An area in the chest that contains the heart, the windpipe, many large blood and lymph vessels and other structures. The mediastinum is located between the lungs and between the breastbone and spine.

Minimal residual disease

When very few cancer cells remain behind in the body after attempts have been made to remove or treat the disease. They are difficult to detect with standard diagnostic equipment

Monoclonal antibody

A single pure type of antibody. They can be used in the treatment of non-Hodgkin's lymphoma. In this case, the monoclonal antibody is designed to recognise a specific target on the surface of the cancer cells. It then 'locks' onto this protein on the cell surface, causing the cell to be destroyed

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Antibody
 

Morbidity

The number of patients affected by a particular disease, usually calculated per 100,000 people

Mortality

The number of deaths among people diagnosed with a disease over a period of time

N
Nausea

Feeing sick or wanting to vomit. Patients with non-Hodgkin's lymphoma can have nausea when treated with chemotherapy or radiotherapy, which can be relieved using anti-emetics

Night sweats

Excessive sweating during the night. Although they can be caused by other conditions, night sweats are one of the 'B symptoms' in non-Hodgkin's lymphoma

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B symptoms
 

Non-Hodgkin's lymphoma

A cancer of lymphocytes, a type of white blood cell. Non-Hodgkin's lymphoma is one of the two main groups of lymphoma (the other being Hodgkin's lymphoma). There are many forms of non-Hodgkin's lymphoma, the majority of which involve B cells. It is also sometimes referred to as non-hodgkins lymphoma and non-Hodgkin lymphoma, and abbreviated as NHL

Nutritional supplements

Vitamins and minerals that can help the normal functioning of the body. They are usually unnecessary if the patient stays on a well-balanced diet

O
Oncologist

A doctor who specialises in the study and treatment of cancer

P
Palliative

Treatment that aims to reduce a patient's symptoms, rather than to cure the disease they are suffering from

Partial remission

The shrinking, but not complete disappearance, of swollen lymph nodes in response to therapy. Also called partial response

 

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Lymph node

Remission
 

Pathologist

A person who analyses tissue samples in the laboratory.

Peripheral blood stem cell transplantation (PBST, PBSCT)

A form of transplantation in which the stem cells are collected from the blood after 'mobilisation' from the bone marrow, followed by high-dose chemotherapy and reinfusion of the stored stem cells (also known as the transplant). This procedure has largely replaced bone marrow transplant. PBSCT can be allogeneic or autologous

 

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Allogeneic transplant

Autologous transplant

Bone marrow transplant

High dose therapy

Infusion
 

Placebo

A pill or treatment that does not contain any active ingredient. This is given to some patients in clinical trials to allow comparison with other patients taking the study drug, to see if the study drug is effective. Clinical trials in cancer usually do not use a placebo.

Plasma

The clear, yellowish liquid part of the blood that allows blood cells to move around the body. It contains a large number of proteins, sugar and nutrients.

Platelet

A type of blood cell that plays a central role in clotting of blood (also called a thrombocyte)

Positron emission tomography (PET) scan

A scan where a small amount of harmless radioactive glucose is injected into your arm. The PET machine can detect the radioactivity as it travels in the blood and lymph around your body. Lymphoma cells absorb large amounts of the glucose, so the PET scan shows where the lymphoma cells are located.

Prevalence

The number of cases of a disease existing in a population at any one time. As with the incidence, data on the prevalence of cancer are kept by regional and national cancer registries

Prognosis

The likely outcome of a disease, based on, among other factors, the symptoms a patient has, how long they have been suffering from a disease and their age

Protein

A huge family of molecules that form an important building block of the human body. Antibodies are a form of protein.

 

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Antibody

DNA

Genes
 

Pruritus

Also known as itching, it can be a symptom of non-Hodgkin's lymphoma, as well as caused by a variety of other conditions, including allergic reaction to chemotherapy or immunotherapy

Q
Quality of life

The overall enjoyment of life experienced by a patient. Separate from the symptoms that a patient has, it is measured in some clinical trials to assess the impact of the disease, and its treatment, on daily living

S
Side effect

An unwanted effect of a drug or medication that occurs in addition to the wanted effect of treating a disease. Examples in non-Hodgkin's lymphoma include hair loss and nausea as a result of chemotherapy

Sign

Any evidence of the presence of a disorder or disease detected by a medical professional but not necessarily obvious to a patient. For example, an abnormality seen on an X-ray or clinical examination

Spleen

An organ that sits in the upper abdomen, on the left-hand side, behind the stomach. It forms part of the immune system

Splenectomy

Surgery to remove the spleen. This is occasionally carried out if, for example, non-Hodgkin's lymphoma has spread to the spleen from the lymph nodes

Stable disease

Non-Hodgkin's lymphoma that is neither decreasing nor increasing in severity

Stage

One of the main ways of characterising a non-Hodgkin's lymphoma. It is a way of describing how many groups of lymph nodes are affected, whether the lymphoma is only in the lymph nodes or whether it is in other organs as well, and whether the lymphoma has crossed the diaphragm. Staging can also be used to describe the presence of certain symptoms, such as B symptoms

 

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B symptoms

Diaphragm
 

Stem cells

Immature cells most often found in the bone marrow, but also in the blood. Stem cells have the potential to become one of several types of cells, and so can help to regenerate the immune system after disease or chemotherapy.

Steroid

Drugs that are used to treat severe inflammation. Steroids may often be used with chemotherapy to help treat non-Hodgkin's lymphoma. Steroids may also help prevent nausea or allergic reactions to some drugs.

Support group

A group of people who meet on a regular basis to share their experiences of a disease, such as non-Hodgkin's lymphoma. Often organised by hospitals or survivors, they help people to come to terms with the impact of a disease on their lives

Other useful pages on Lymphoma Life

List of support groups
 

Survival at 1 year

The percentage of patients who survive for 1 year after having been given a particular treatment for a disease

Symptom

A sensation or change that is experienced by a patient and is associated with a disease

Systemic

A systemic disease is one that can affect the whole body. Lymphoma is a systemic disease because white blood cells circulate the body in the lymphatic system, so it is not just the lymph glands that can be affected.

T
T cell

A type of white blood cell involved in fighting infection and disease. T cells are one of the two main types of lymphocyte. Unlike B cells, they directly kill tumour cells and cells infected with a virus

 

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B cell
 

Terminal

A stage of disease or condition that results in the patient having a short life expectancy

Thymus

An organ in the upper part of the chest that forms part of the immune system

Time to progression

The length of time it takes a particular disease to increase in severity, usually after a patient has been treated

Toxicity

Level of harm caused by, in the case of non-Hodgkin's lymphoma, a treatment through its side effects

Treatment cycle

One complete sequence of a particular therapy, often repeated. For example, a complete course of radiotherapy may involve six cycles

Tumour

A lump of body tissue that is caused by cells that have reproduced themselves more quickly than they should.

U
Ultrasound scan

An imaging technique that uses sound waves to detect structures within the body. The findings of the sound waves are translated into a picture. The sound waves are too high for the human ear to hear.

V
Vaccine

A compound that is designed to cause a specific response by the immune system to a disease or tumourA compound that is designed to cause a specific response by the immune system to a disease or tumour

W
Watch-and-wait

An approach to disease management in which no active treatment is given but patients are seen regularly in the outpatients' clinic for monitoring.

White blood cell

A type of blood cell also involved in the immune system. Lymphocytes are one form of white blood cell

 

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Lymphocyte
 

White blood cell count

A test that is used to measure the number of white blood cells a patient has in their blood

X
X-ray

A test that uses radiation passed through the body to create a picture of the organs and bones inside. Can be used to detect tumours within the body

Y
Z

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