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Q&A with Australian Health Practitioners
How is non-Hodgkin lymphoma diagnosed?
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Dr Praveen Gounder
Haematologist (Blood Disorders Specialist), Pathologist (Haematologist)
Dr Praveen Gounder is a specialist haematologist committed to providing compassionate, patient-centred care, and the latest, evidence-based treatments. Having trained in Sydney and the prestigious … View Profile
Non-Hodgkin lymphoma is a very broad group of blood cancers. Some are highly aggressive and others are "indolent", and may take months or years to progress. People with lymphoma may have symptoms such as swollen lymph nodes, sweats and fevers. Others may have no symptoms, and be picked up incidentally when they have a scan to investigate a separate problem. In most cases the lymphoma is found within the lymph nodes, but can be found in other locations such as the bone marrow, spleen, gut or other tissues. When non-Hodgkin lymphoma is suspected, a Haematologist may also refer the patient for a CT or PET scan to find the best location for the biopsy and to determine if the lymphoma has spread. The diagnosis for almost all types of non-Hodgkin lymphoma requires a biopsy of the tumour. For a lymph node this might be obtained with an ultrasound scan and a slender needle which can collect a small piece of tissue for testing. Occasionally a surgeon may be required to collect the tissue with an operation or with endoscopy.
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