Tests and next steps for non-Hodgkin lymphoma

Main test for non-Hodgkin lymphoma (biopsy)

If a GP thinks you might have non-Hodgkin lymphoma, they’ll refer you to a specialist at a hospital for tests.

The main test for non-Hodgkin lymphoma is a biopsy, where a sample of the affected glands (lymph nodes) is taken and checked for signs of cancer.

You may have:

• part, or all, of a lymph node removed (excision biopsy)
• a sample of cells taken from a lymph node using a thin needle (needle biopsy)

You will usually have either a local or general anaesthetic so you do not feel any pain during the test.

Getting your results

You should get the results of a lymph node biopsy within 2 weeks.

Try not to worry if your results are taking longer. You can call the hospital or GP if you're worried. They should be able to update you.

A specialist will explain what the results mean and what will happen next. You may want to bring someone with you for support.

If you're told you have non-Hodgkin lymphoma

Being told you have non-Hodgkin lymphoma can feel overwhelming. You may feel anxious about what will happen.

You'll be helped through your diagnosis and treatment by a team of specialists.

This team will usually include a clinical nurse specialist who will be your main point of contact during and after your treatment. You can ask them any questions you may have.

Next steps

If you've been told you have non-Hodgkin lymphoma, you may need more tests which can include:

• blood tests
• scans such PET, CT, MRI or an ultrasound scan
• a biopsy of the spongy cells in your bones (bone marrow)

The results of these tests can show how far the cancer has spread. This is called staging.

You’ll also be told what type of non-Hodgkin lymphoma you have and if it is slow-growing (low grade) or fast-growing (high grade).

The stage, grade and type of non-Hodgkin lymphoma will help your specialist team decide what treatment you need.