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Pregnancy and Childbirth: The answers

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Hodgkin's disease in Pregnancy

 

Hodgkin’s disease, also known as Hodgkin’s lymphoma is named after Thomas Hodgkin, a British physician who was the first to describe it in the 19th century.  It is a type of cancer relatively common in young people. The peak incidence of this disease is in the early to mid-thirties. Pregnancy itself has no effect on the disease.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Detecting Hodgkin's disease

Enlargement of lymph glands (lymph nodes), especially in the neck area, is the most common presentation. Other symptoms may include fatigue, weight loss and night sweats. Even though non-specific, such symptoms should be immediately reported to the doctor.

 

If an enlarged lymph node is found, a biopsy will be taken for analysis. This should establish the diagnosis. The whole process takes only a few days.

 

After diagnosis of Hodgkin's disease in pregnancy

In relative terms, this is a type of cancer with a good prognosis because it responds well to treatment. However, most treatment forms for Hodgkin’s are incompatible with pregnancy.

 

The form of treatment adopted will depend on the stage at which the diagnosis is made. The obstetrician, together with the oncologist (cancer specialist), will explain everything exhaustively for the expectant mother to make an informed choice.

 

In summary, in the early stages, Hodgkin’s is best treated with radiotherapy. Termination of pregnancy is necessary, in most cases. However, if the disease is confined to the upper part of the body, a form of shielding of the uterus and its contents is possible and is often effective.

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delta Goodrem; Hodgkin's lymphoma survivor

Delta Goodrem, an Australian pop singer and actress was diagnosed and successfully treated for Hodgkin’s Lymphoma  in 2003. She was 18.