#1 Ranked Children’s Hospital by U.S. News & World Report
MyPatients provides referring primary care providers with secure access to their patients’ information.
Boston Children's has launched the world's 1st program dedicated to offering hand transplants to children who qualify.
Innovation insider is a semi-monthly e-newsletter analyzes innovations at Boston Children’s, other academic medical centers and from industry.
Read the latest blog by a Boston Children's doctor, clinician or staff member.
There are many ways you can help children and their families get the care they need.
We provide innovative family centered care to support your family’s physical and psychosocial needs. We understand that you may have a lot of questions when your child is diagnosed with non-Hodgkin lymphoma, including:
We’ve provided some answers to these questions here, and when you meet with our experts, we can talk with you more about your child’s diagnosis and treatment.
What is the lymphatic system?
The lymphatic system is part of the immune system and functions to fight disease and infections from bacteria, viruses and fungi. Learn more about the different parts of the lymphatic system.
Will it spread to other organs of my child’s body?
There are many different parts of the body that are part of the lymph system, thus non-Hodgkin lymphoma can start and spread anywhere in the body including the bones, bone marrow, spinal fluid, the liver, kidneys and lungs. Usually the success of treatment is the same whether or not the cancer has spread beyond the lymph system.
What is the difference between non-Hodgkin lymphoma in children and adults?
The common kinds of non-Hodgkin lymphoma differ greatly between children and adults. Many lymphomas in adults are low or intermediate grade. Most lymphomas in children are high grade which is associated with a favorable response to chemotherapy.
Major types of childhood non-Hodgkin lymphoma
There are several types of non-Hodgkin lymphomas, classified based on the size and shape of the lymphoma cells under a microscope, and how the cells grow within the lymph nodes and beyond.
What is Burkitt’s lymphoma?
Types of large cell lymphoma
The main subtypes of large cell lymphomas are:
Diffuse large B-cell lymphoma. anaplastic large cell lymphoma (ALCL) Large cell lymphoma accounts for about 30 percent of non-Hodgkin lymphomas in children. Diffuse large B-cell lymphoma can arise in many parts of the body and is often treated the same way as Burkitt’s lymphoma. Anaplastic large cell lymphoma (ALCL) usually arises from T-cells. Although low stage ALCL may be treated the same as other low stage NHL’s, high stage ALCL usually has a unique treatment strategy.
Is it life-threatening?
Non-Hodgkin lymphoma can be life threatening if it goes untreated. But after treatment, it’s cured more than 80 percent of the time: It never comes back again and the patient fully recovers.
What causes non-Hodgkin lymphoma?
Doctor’s aren’t sure what causes non-Hodgkin lymphoma. There has been no evidence to suggest that it is caused by anything that can be prevented, and there is nothing that you or your child did or did not do that caused the cancer.
There are some risk factors that might increase a child’s likeliness of developing non-Hodgkin lymphoma. These affect only a tiny percentage of those affected, and include:
There has been much investigation into the association of non-Hodgkin lymphoma with:
What is the relationship between chromosomes and non-Hodgkin lymphoma?
The majority of Burkitt's lymphoma cases have a chromosome rearrangement between chromosome #8 and #14, which causes genes to change positions and function differently, promoting uncontrolled cell growth. This DNA change occurs within the lymphoma cells but not in the normal healthy cells in the patient’s body.
Other chromosome rearrangements occur in non-Hodgkin lymphoma (all types) are also thought to promote excessive cell growth. Children and adults with other hereditary abnormalities have an increased risk of developing non-Hodgkin lymphoma, including patients with:
Who has the highest risk for developing non-Hodgkin lymphoma?
What are the symptoms of non-Hodgkin lymphoma?
Symptoms of non-Hodgkin lymphoma vary depending where the lymphoma starts. The disease can progress quickly—from a few days to a few weeks. Other kinds of non-Hodgkin lymphoma can have minimal symptoms for many months.
Some children with non-Hodgkin lymphoma have symptoms of an abdominal mass and complain of abdominal pain, fever, constipation and decreased appetite. Other children complain of respiratory problems, dyspnea (pain with deep breaths), cough and wheezing.
When respiratory symptoms are present, they can quickly worsen, causing a life-threatening emergency.
While each child may experience symptoms differently, some of the most common include:
We understand that you are an expert on your child, and can play a critical role in the care of your child. Our team of professionals use your knowledge about your own child to help your child through treatment and on through recovery. By asking questions of your child’s doctor, you can help facilitate a conversation between you and your child’s care team. Sometimes, it’s helpful to write your questions down, so you can remember them for the appointment. There are several questions you can ask your child’s doctor, such as:
At age 11, Ronald (R.J.) Agostinelli was diagnosed with acute lymphoblastic leukemia, a cancer of the white blood cells. He missed seven months of elementary school while having chemotherapy. R.J. talks about what it was like returning to his class after a long absence.
We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”