Non-Hodgkin lymphoma

Non-Hodgkin lymphoma is a cancer of the lymphatic system, which is part of the immune system.

About 800* people are diagnosed with non-Hodgkin lymphoma each year in Ireland. Lymphoma can occur at any age but it is more common in older people.

Detecting cancer early

Signs and symptoms

Learn about the signs and symptoms of non-Hodgkin lymphoma. You are more likely to survive cancer if you find it at an earlier stage. 

Treatments

Treatments

There are a number of different treatments available for non-Hodgkin lymphoma. Your medical team will explain the best treatment options for you. 

What is non-Hodgkin lymphoma?

Lymphoma is a cancer of the lymphatic system, which is part of the immune system that helps protect us from infection and disease.  

Lymphoma is a type of blood cancer. In lymphoma, the cells that are affected are white blood cells called lymphocytes. They can be B-cell or T-cell lymphocytes. These lymphocytes become abnormal and cancerous. They grow out of control and do not die off as a normal cell would. They collect in the lymphatic system, particularly in your lymph nodes. This causes the lymph nodes to become swollen.

Lymphoma most commonly affects the lymph nodes, but it can start in almost any part of the body, including the spleen, stomach, small bowel, skin, tonsils, thyroid or testicles. 

Lymphoma cells can also be found in the bone marrow. Bone marrow is the spongy material in the middle of bones. It makes all the different types of white blood cells, including lymphocytes, red blood cells, which carry oxygen from your lungs to other cells in your body and platelets, which help blood to clot and prevent bleeding and bruising.

There are 2 types of lymphoma. One is called Hodgkin and the other is non-Hodgkin lymphoma. The difference between the two types depends on the appearance of the lymphoma cells under a microscope. Most lymphomas are non-Hodgkin lymphomas. 

Lymphoma that grows outside the lymph nodes is called extra-nodal lymphoma. If you have extra-nodal lymphoma, your specialist doctor and nurse can explain this in more detail and what this may mean for your treatment.

What are the types of non-Hodgkin lymphoma?

Lymphomas develop from white blood cells called lymphocytes. T-cell and B-cell lymphomas describes which type of lymphocyte cells are affected. 

Non-Hodgkin lymphoma can also be described as low grade or high grade, based on how quickly the lymphoma is growing.

Read more about the types of non-Hodgkin lymphoma.

What is the lymphatic system and what does it do?

The lymphatic system is part of the body’s immune system, which helps to protect us from infection and disease.

Lymphatic system
  • Lymph nodes (or lymph glands): Contain infection-fighting white blood cells called lymphocytes. There are two types of lymphocytes, B-cells and T-cells. Lymph nodes often swell when they are fighting infection, which is a normal, healthy response. Lymph nodes are found mainly in the neck, armpit, groin and tummy. Lymph nodes often swell when they are fighting infection, which is a normal, healthy response. You may only become aware of your lymph nodes if they become swollen or enlarged.
  • Lymph vessels: A network of thin tubes that connect lymph nodes and transport excess fluid and waste from body tissues and filter bacteria and viruses. 
  • The spleen: Helps to filter out damaged cells from the blood stream and also to fight infection. 
  • Other body organs: Your tonsils, adenoids, thymus and bone marrow.

Sometimes cancer cells spread into lymph nodes or cancer can start in the lymph nodes themselves. 

Medical content updated from our 'Understanding low-grade non-Hodgkin lymphoma' booklet (2022) and 'Understanding high-grade non-Hodgkin lymphoma' booklet (2022), reviewed by Eoghan Molloy, Consultant Haematologist, Fidelma Hackett, Advanced Nurse Practitioner Haematology and Noreen Twohill, Daffodil Centre Nurse.


Continue reading about non-Hodgkin lymphoma

Read next Non-Hodgkin lymphoma signs and symptoms

Publications about non-Hodgkin lymphoma

High-grade non-Hodgkin lymphoma
High-grade non-Hodgkin lymphoma
Booklet 63 pages 7.63 MB
Information for high-grade non-Hodgkin lymphoma patients, including tests, staging, treatment and side-effects, and how to cope.
Low-grade non-Hodgkin lymphoma
Low-grade non-Hodgkin lymphoma
Booklet 65 pages 9.17 MB
Information for low-grade non-Hodgkin lymphoma patients, including tests, staging, treatment and side-effects, and how to cope.

Talk to a Cancer Nurse

Support Line

Support Line

Our Cancer Nurses offer confidential advice, support and information for anyone affected by cancer. Call or email supportline@irishcancer.ie. Video calls available. Mon-Fri: 9am-5pm
Support Line
Our Daffodil Centres

Our Daffodil Centres

Our Daffodil Centres in 13 hospitals nationwide are staffed by Cancer Nurses and trained volunteers who provide face-to-face advice, support and information for anyone affected by cancer.
Our Daffodil Centres

*The Irish Cancer Society uses the most up-to-date cancer statistics from the National Cancer Registry Ireland, available on www.ncri.ie