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Is Lymphoma Curable?

17 Jun, 2025

This article is medically reviewed by Dr. Joydeep Chakrabartty, Head of the Department and Senior Consultant - Hemato Oncology & BMT, HCG Cancer Centre, Kolkata.

Table of Contents

What is Lymphoma?

Lymphoma is a type of cancer that develops in the lymphatic system and involves immune cells. These infection-fighting cells, called lymphocytes, can be found in various parts of the body, including lymph nodes, the thymus, the spleen, and bone marrow.

Cancer occurs when these cells grow out of control and undergo genetic changes.

What are the Different Types of Lymphoma?

Lymphomas are categorized into two broad groups: Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL). NHL is further classified into 60 subtypes.

Based on his observations of lymph node enlargement and other symptoms in lymphoma patients, a pathologist by the name of Dr. Thomas Hodgkin made the discovery of Hodgkin lymphoma in the 1800s.

Those with Hodgkin lymphoma have large, abnormal white blood cells called Reed-Sternberg (RS) cells. People with NHL don’t have these cells.

1. Non-Hodgkin Lymphoma

Non-Hodgkin lymphoma (NHL) affects more than 70,000 adults and children each year.

NHL comprises a varied group of 60 types of lymphomas, with two major subgroups: B-cell lymphoma and T-cell lymphoma. B-cell NHL is more common, accounting for about 80 percent of all cases.

Each type of NHL is treated differently based on the type of cancer cell and its rate of growth. In some cases, surgery is recommended for diagnostic purposes. Treatment may include chemotherapy, radiation therapy, and/or immunotherapy.

2. Hodgkin Lymphoma

Hodgkin lymphoma, also known as Hodgkin’s lymphoma or HL, is a type of cancer that originates from the lymphatic system. It is charact erized by the presence of Reed-Sternberg cells.

Reed-Sternberg cells, also called Hodgkin cells, are large, atypical lymphocytes (a type of white blood cell) found within the lymph nodes. These cells may contain multiple nuclei and are found in people with Hodgkin lymphoma. The presence of Reed-Sternberg cells helps distinguish Hodgkin lymphoma from other types of lymphoma.

What are the Key Factors That Influence Lymphoma Prognosis?

The key factors that influence lymphoma prognosis are:

  • Type: Hodgkin lymphoma generally has a better prognosis than non-Hodgkin lymphoma (NHL).
  • Stage: Early-stage lymphoma typically has a better outcome.
  • Age: Younger patients often have better survival rates.
  • Treatment Response: Patients who show a positive treatment response have a better disease prognosis.
  • NHL Subtype: Some NHL subtypes are more aggressive, affecting prognosis.
  • Overall Health: General health plays a role in treatment success and survival

Additional Reading: Lymphoma - The Most Common Type of Blood Cancer

What are the Lymphoma Cancer Survival Rates By Type?

The lymphoma cancer treatment success rate depends on factors like the stage of cancer, the patient’s age and overall health, and the response to treatment.

Non-Hodgkin Lymphoma Survival Rate

Survival varies significantly based on subtype and stage. Here's a general breakdown:

  • Diffuse Large B-Cell Lymphoma (DLBCL): The five-year survival rate for this lymphoma type is between 60% and 70%. It’s aggressive but often responds well to treatment.
  • Follicular Lymphoma: An indolent (slow-growing) type of lymphoma, with the 5-year survival rate ranging between 80 and 90%.
  • Mantle Cell Lymphoma: More aggressive, with a lower 5-year survival of around 50–60%.
  • Burkitt Lymphoma: Very aggressive but highly responsive to intensive treatment. The 5-year survival rate ranges from 60–90%, better in children and younger adults.
  • Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma (CLL/SLL): Usually slow-growing, with a 5-year survival rate standing at 87%.
  • Marginal Zone Lymphoma: Typically indolent and has a good 5-year survival rate ranging from 85 to 90%.
  • Primary Mediastinal B-cell Lymphoma: It is often seen in young adults; the 5-year survival rate for this lymphoma type stands at 80%.

Hodgkin Lymphoma Survival Rate

Hodgkin lymphoma generally has an excellent prognosis, especially when diagnosed early.

  • The overall 5-year survival rate for Hodgkin lymphoma stands at 89%.
  • Early-stage (localized) HL has a survival rate of 92–95%.
  • Advanced-stage HL is still highly treatable, with survival rates ranging between 80% and 85%.
  • Nodular lymphocyte-predominant HL often has a survival rate exceeding 90%.

What are the Signs and Symptoms of Lymphoma?

Signs and symptoms of lymphoma include:

  • Fever
  • Night sweats
  • Fatigue
  • Itchy skin
  • Painless swelling of lymph nodes in the belly, neck, armpits, or groin
  • Pain in the chest, abdomen, or bones
  • Losing weight without trying

How is Lymphoma Diagnosed and Treated?

The diagnosis and treatment of lymphoma are often multimodal.

Lymphoma diagnosis often begins with an exam that checks for swollen lymph nodes in the neck, underarm, and groin.

Other tests include imaging tests and removing some cells for testing. The type of tests used for diagnosis may depend on the lymphoma's location and your symptoms.

  • Physical Exam: A physical exam is the first step in diagnosing lymphoma. In this, your body will be examined to check for swollen lymph nodes in areas such as the neck, underarms, and groin.
  • Biopsy: A biopsy is the key procedure for the diagnosis of lymphoma. It involves removing a small tissue sample, usually from a lymph node, to test for cancer cells. The tissue sample is sent to a lab for analysis, and additional tests may be done to understand the characteristics of the lymphoma better.
  • Imaging Tests: To determine if lymphoma has spread to other parts of the body, imaging tests such as CT scans, MRIs, or PET scans may be performed.

Common lymphoma cancer treatments include:

  • Chemotherapy: One of the common lymphoma treatments, chemotherapy involves the use of powerful drugs to destroy cancer cells throughout the body.
  • Radiation Therapy: A high dose of radiation is used to damage lymphoma cells and control their growth.
  • Targeted Therapy: Certain drugs, such as Velcade (bortezomib), target the growth of lymphoma cells.
  • Immunotherapy: Uses the body’s immune system to recognize and attack lymphoma cells.
  • CAR T-cell Therapy: This is a type of immunotherapy. During this procedure, the patient’s T-cells are genetically modified to attack lymphoma cells.
  • Stem Cell (Bone Marrow) Transplantation: Replaces damaged bone marrow with healthy stem cells after high-dose chemotherapy.

Can Lymphoma Be Completely Cured?

Lymphomas are usually considered treatable, and in many cases, patients can achieve long-term remission, too.

Lymphoma treatment success rates depend on several factors, including the type of lymphoma, the stage of the disease at the time it’s diagnosed, and the patient’s age and overall health.

How Can I Reduce the Risk of Lymphoma?

Although lymphoma can occur in anyone, certain preventive measures may help one reduce their lymphoma risk:

  • Maintain a healthy weight
  • Follow a nutrient-rich diet
  • Avoid exposure to harmful chemicals
  • Practice safe sun exposure
  • Strengthen your immune system
  • Avoid tobacco and limit alcohol consumption
  • Be aware of family history
  • Stay informed and get regular checkups

Conclusion

Lymphoma is a complex group of blood cancers that develop in the lymphatic system and impact the immune system’s lymphocytes. It is mainly classified into Hodgkin lymphoma and non-Hodgkin lymphoma, each with various subtypes that differ in progression, treatment options, and prognosis.

“Is lymphoma completely curable?” is a commonly asked question. The answer depends on the type and stage. In many cases, lymphoma patients complete their treatment and enter long-term remission. However, in some cases, the disease may not respond to the treatment or relapse sometime after treatment completion.

When considering which type of lymphoma is more curable, Hodgkin lymphoma often has better outcomes, especially in early stages. Ultimately, whether lymphoma cancer is curable or not depends on factors like lymphoma type, stage at diagnosis, patient age, and response to treatment.

Frequently Asked Questions

Yes, Hodgkin lymphoma has excellent survival outcomes, especially when detected early.

Life expectancy with lymphoma varies, but many types are treatable, and some are curable, allowing survival for many years.

The 5-year survival rate for stage 3 lymphoma stands within the range of 70 to 80%.

Yes, stage 4 lymphoma is curable, and many people live for many years after getting this diagnosis.

Yes, in some cases, lymphoma may come back after a time of remission (relapse) or be refractory to treatment, meaning it does not respond to the treatment.

References

Author Bio

Dr. Joydeep Chakrabartty
Head of the Department and Senior Consultant - Hemato Oncology & BMT
MBBS, MRCP (UK), FRC PATH (UK), FRCP (Glasgow), CCT

Dr. Joydeep is an experienced hemato oncologist and BMT physician with over 20 years of experience in the diagnosis, treatment, and overall management of hematological disorders, such as leukemia, myeloma, lymphoma, and other blood disorders. He can be consulted at HCG Cancer Centre, a well-known cancer hospital in Kolkata. Dr. Joydeep’s primary interest lies in the areas of bone marrow transplantation (BMT), especially mismatched high-end transplants for all conditions, especially acute leukemias. He is very competent in the laboratory diagnostic part of hematological diseases. He is exceptionally skilled in critical care medicine, too.

Appointment Link: Book an Appointment with Dr. Joydeep Chakrabartty.

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