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This question was answered on Fri 20, Jan 2012 01:42am by bobby s, md

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Asked by 20yearsin (Female; 50; Cerebral Palsy, asthma, irritable bowel syndrome, carpal tunnel deppression, Hodgkins lymphoma (in remission) hypertension, levothyroxine obesity, new diag of secondary lymphadema ; Relevant drugs:Hyomax, lisonopril, clonidine, lomotil, lamictal, levothyroxine ) on Thu 19, Jan 2012 04:19pm
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I am 20years into remission from stage 3b Hodgkin's lymphoma. I have cerebral palsy. I am obese and wheelchair bound, just got back from rehab with a diagnosis of secondary lymphedema in both calves. I have a nurse doing wrapping of the ankles and exersise every day, careful of bathing and washing and lotioning the legs. I do have to take a diuretic for blood pressure. In addition to risk of congestive heart failure. (heart's in good shape now), are the odds of a recurrence of the cancer higher? Is my life expectancy shortened even without a reccurence?
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Answer by bobby s, md  on Fri 20, Jan 2012 01:42am:

Hello,
I am sorry to hear about your chronic health issues, and the recent development of lymphedema.
Regarding your specific query, there is some evidence to link obesity with risk of developing certain types of new cancers. See reference below for an overview on this topic. However, lymphomas are not among the cancers that are classically associated with obesity. Please note that the reference below is to development of new cancers, and not specifically the effect of obesity on risk of recurrence. In general, there is some data to suggest that cancer patients with normal body weight may have slightly better clinical outcomes compared to their overweight and obese counterparts (but no such data exists for lymphoma patients).
Given the lack of strong data linking weight to risk of lymphoma recurrence, you should not worry about a higher risk of relapse. However, as a general health advise, it would be good to discuss actively with the endocrinologist to optimize the thyroid treatment and attempt to lower weight.
All the very best, and God Bless.
Reference: http://www.cancer.gov/cancertopics/factsheet/Risk/obesity

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