Patients are referred to the St. James’s Hospital Lymphoma Service from local GP practices and from other haematology/oncology services throughout Ireland for the following reasons:
- The service’s ability to diagnose complex lymphoma types based on a specialist haematopathology and lymphoma radiology service.
- Its capacity (unique in Ireland) to provide the full range of treatments that may be needed in lymphoma management, including chemotherapy, radiation therapy, bone marrow transplantation and access to clinical trials.
All patients referred to the lymphoma service are assessed at a Multi-Disciplinary Meeting, with video links to the Midlands Regional Hospital Tullamore, University Hospital Limerick and University Hospital Waterford, ensuring diagnostic accuracy and a clear management plan, which is then discussed with the patient.
The treatment of lymphoma typically takes place in the Haematology-Oncology Day Ward. The chemotherapy is given by a specialist team of nurses. The phlebotomist on duty will take your bloods, and when the results are available you will be reviewed by the doctor and clinical nurse specialist, at which point the decision to proceed to treatment is made.
Complex inpatient therapy is given in one of three haematology-oncology wards:
- Denis Burkitt Ward (also the National Adult Bone Marrow Transplant, or BMT, Unit).
- Walter Stevenson Ward.
- Donal Hollywood Ward.
Clinical trials patients are managed in the Haematology-Oncology Day Ward by a specialist team of clinical trial nurses working with the patient’s primary consultant. A dedicated clinical nurse specialist acts as a liaison and advice point for all patients undergoing active treatment for lymphomas in the hospital.
Radiotherapy involves the very careful delivery of radiation to the part of the body where the lymphoma is located, and it is used to treat many types of lymphoma. If required, it is generally delivered at either the centre at St. James’ Hospital or in St. Luke’s Hospital. The radiotherapy treatment of lymphoma is usually delivered using external beam linear accelerators, and patients are required to lie still (usually on their back) for five to ten minutes each day during treatment. This is painless and very much like having a normal X-ray. Radiotherapy for lymphoma generally involves daily treatment (Monday to Friday) for two to four weeks. Occasionally, just two to five treatments may be necessary. This decision will be made following consultation with your radiation oncologist.
Further information is available by following this link: stlukesnetwork.ie/patients/patient-guides/information-booklets/