predominant, T-cell predominant or a lymphoma of the NK-cell type. And each of these three types of NHL will have various degrees of progression and diversity. The doctors in our practice are all well-versed in using tests and techniques to differentiate among the different varieties. And this is essential since there are different treatments depending on the unique biologic characteristics of each of the NHL subtypes.

As with many other tumors, we must first determine the current status of the tumor. This is called staging and is a very important part of the process because it will help us determine how to treat it. When you are initially diagnosed with this disease, your doctors will need to establish whether your tumor is invasive or not and whether it has spread from its original site and, if so, to what extent. This is done with various lab tests and imaging studies. The imaging tests may include chest x-ray, computerized tomography (CT scan) or a combined PET/CT scan using a radioactive tracer to identify the scope of disease. The lymph node biopsy is very important in developing a treatment plan, as are the blood tests and the bone marrow tests. In addition, it is important for our doctors to take a full history to find out whether any symptoms of the disease exist, and what they are, as well as to order appropriate testing to sub-classify each illness.

The outlook for these diseases has improved dramatically over the last 10 to 20 years. If you would like to read more about lymphoma , we have provided several links at the right to authoritative sources about the disease, its treatments and support. We want you to know that the doctors in this office and our excellent Oncology staff will be available to you at all times, supportive in all aspects of your care and we encourage your questions and input.

© Lynn Herbert Ratner MD

Non Hodgkin's Lymphoma Basics disclaimer

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A diagnosis of any cancer provokes a whole range of emotions, fears and questions. You may be feeling angry or afraid. You may be worried about your future and the impact on your family. Right now, the best thing you can do is first stop and take a deep breath. You are not alone. And we are here to help you get through it, both emotionally and medically.

Non-Hodgkin's lymphoma (NHL) patients have seen tremendous advances in the management of their disease, depending on the biologic characteristics of the tumor. We have patients in this practice who have been treated for NHL for almost 40 years and others who have been termed ‘cures’. The mainstay of treatment has been chemotherapy, but in many instances it can be supplemented by newer, targeted therapies. We will work with your primary care physician, the radiologist, the radiation therapist, and other members of the multi disciplinary team to come up with the most personalized approach to the management of your specific type of NHL.

There are two main types of Lymphoma: Hodgkins Lymphoma and Non-Hodgkin's Lymphoma (NHL). The differences are significant but very subtle and are seen mostly under a microscope. While the types of cells involved in the two types are different, both forms can be curable or provide very long-term remission. This page is devoted to Non- Hodgkin's Lymphoma (NHL). If you would rather read about Hodgkin's Lymphoma you can click here.

All lymphomas are diseases of the blood and bone marrow which also affect the lymph nodes. Lymph nodes are small masses of cells in the body that drain and cleanse fluid from the body. These nodes occur all over the body and are especially easy to detect in the armpit, groin and neck when they are enlarged. Often the disease is discovered because a patient notices these swellings or enlarged lymph nodes.

Non Hodgkin's Lymphoma (NHL) is actually a group of diseases each of which is associated with cancer cells of a specific cell type in the lymph system. The names for all these cells can be intimidating because they deal with the genetic makeup of the cell but it is important for your doctor to clearly indentify the cell type because that will guide treatment decisions.

We will try to explain some of the differences here so you have a better idea what we will be looking for. First we will try to determine if your disease is one of three types: B-cell

Valuable Lymphoma Resources

The National Cancer Institute information for patients about non- Hodgkin's Lymphoma

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The American Cancer Society information for patients about non- Hodgkin's lymphoma

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Leukemia and Lymphoma Society paitient information about lymphomas

Lynn H Ratner MD
Dialecti Voudouris MD
Paul A C Greenberg MD

112 East 83rd Street
New York City NY 10028
tel: 1-212-396-0400 fax: 1-212-396-9800

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