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How the lymphatic system works – and why it matters in lymphoma

February 16, 2026

You may not think about your lymphatic system very often, but it’s working for you every second of the day. It’s one of the body’s unsung heroes – a quiet, sprawling network that helps protect you from infection, clears away waste, and keeps your immune system running smoothly.

How the lymphatic system works

The lymphatic system is made up of thin tubes (lymph vessels), small filters (lymph nodes), and organs like the spleen, thymus, tonsils and bone marrow. Together, they act like a support crew for your immune system.

  • Lymph fluid flows through tiny lymph vessels, picking up extra fluid, nutrients and waste products from around your tissues.

  • As this fluid moves along, it passes through lymph nodes – small, bean‑shaped structures that filter out bacteria, viruses and damaged cells.

  • Organs such as the spleen, thymus, tonsils and bone marrow help make and “train” immune cells so they can recognise and fight germs.

You can think of the lymphatic system as a combination drainage, recycling and security network: it clears away what you don’t need, keeps track of potential threats, and helps send healthy immune cells where they’re needed most.

What this has to do with lymphoma

Lymphoma is a type of cancer that starts in the lymphatic system, specifically in certain white blood cells called lymphocytes. Normally, lymphocytes help you fight infections and keep you well. In lymphoma, some of these cells become abnormal and start growing out of control.

These abnormal lymphocytes can:

  • Multiply quickly.

  • Build up in lymph nodes or other parts of the lymphatic system.

  • Form lumps or tumours that you might notice as swollen glands.

Because lymphatic tissue is spread throughout the body, lymphoma can begin in many places, such as the lymph nodes in your neck, underarms, chest, abdomen (belly) or groin. And since the lymphatic system is designed to transport immune cells from place to place, lymphoma cells can travel through it too, spreading to other lymph nodes or organs like the liver or lungs.

Hodgkin and non‑Hodgkin lymphoma

Lymphoma isn’t just one disease – it’s an umbrella term for many related cancers.

There are two broad groups:

  • Hodgkin lymphoma: This type is defined by the presence of a distinctive abnormal cell called a Reed–Sternberg cell when the tissue is looked at under a microscope.

  • Non‑Hodgkin lymphoma: This is a larger, more varied group of lymphomas that develop from B cells or T cells (two main types of lymphocytes) and can behave in many different ways, from very slow‑growing to very fast‑growing.

Both Hodgkin and non‑Hodgkin lymphomas are considered blood cancers (also called haematological cancers) because they begin in lymphocytes, which are white blood cells that circulate and work within your immune system.

A system built for protection

In a healthy body, lymph nodes act like security checkpoints. They:

  • Filter out harmful substances.

  • Help coordinate immune cells to fight off infections.

In lymphoma, those same checkpoints become places where cancer takes hold. Instead of trapping abnormal cells and clearing them away, the cancerous lymphocytes continue to grow and pile up inside the nodes. The very system designed to defend you becomes the place where the problem starts.

Why understanding the lymphatic system matters

Knowing how the lymphatic system works can help you make sense of lymphoma:

  • Symptoms like painless swollen lymph nodes often appear where lymphoma cells are collecting.

  • Lymphoma can affect many parts of the body because lymphatic tissue is widespread and connected.

  • Doctors use information about where lymphoma is found in the lymphatic system – and whether it has spread – to diagnose, stage and choose the most appropriate treatment.

The lymphatic system sits at the heart of your immune health. When lymphoma affects it, getting clear information, good support and the right medical care can make a real difference to how you feel and how you navigate treatment.

Gentle exercises to help you recover after breast cancer surgery →

Pop culture stop

Source

Source

Like everyone else, I know how this movie ends.

And it's just really gross. But kind of cool too.

It's based on a guy called Aron Ralston, a young adrenalin junkie who goes canyoning in the wilds of Utah, solo - without telling a soul. 

Spoiler alert: early on in the film Aron, played by James Franco, dislodges a boulder, plunges down a crevice, and gets pinned by the same rock.

And that rock ain't going nowhere, no-how.

Directed by Danny Boyle of Shallow Grave, Trainspotting and Slumdog Millionaire fame, the film is based on Ralston's book Between a Rock and a Hard Place.

A title that sums up his gory tale, and the movie's story arc.

Boyle is awesome at branding his films with powerful imagery geared towards a hyperactive media-crazed instant gratification audience.

From the kick-off the movie goes full-throttle as Aron recklessly sets off on his adventure: hurtling down the highway in a beat up car while his headphones blast pulsing beats.

“Boyle has a real knack for branding his films with powerful imagery geared towards a hyperactive media-crazed instant gratification audience.”

Within the same heartbeat he's on his mountain bike as the stunningly bleak mars-like Utah landscape flashes by.

He meets some babes. Shows them an subterranean lake only accessible by slipping down a groin-tinglingly narrow rift. Then he's off, pumped on nature, fresh air and the rush of living life to its fullest...

Then Aron slips. He's now trapped.

Frozen in time and space by nature: the drug that has always pushed him to dizzying heights.

Camera zooms on Aron's stunned face and the Movie title appears for the first time: 127 Hours.

Brake is applied heavily now for momentum-loving viewers - or is it?

Sometimes this film was hard to watch (and for a few nerve-snapping moments - unbearable).

Franco does great credit to Aron's gritty determination, and Boyle doesn't rely on sentimentality or melodrama.

It's like a companion piece to Sean Penn's Into the Wild, but thankfully here the hero survives.

Like Into the Wild's care-free hero, for Aron it's the people in his life, and the premonition of his future son, which gives him the courage and down-right ballsy-ness to, literally, disarm himself to break free.

So yeah - he gruesomely and noisily hacks off his own limb. But as he's scrambles out of the crevasse, one arm down, he looks back at the rock and says 'Thank you'.

Then he snaps a selfie of his dismembered hand with his membered hand.

Through the entire film Aron stays level-headed and never loses his great love of nature and even the very rock that so nearly entombed him.

This is a powerful film, and a tribute to the importance of human love and the brutal and unforgiving beauty of the wild.

“Through the entire film Aron stays level-headed and never loses his great love of nature and even the very rock that so nearly entombed him. ”