Hodgkin lymphoma

Case contributed by Dr Amro Omar

Presentation

weight loss , night sweats

Patient Data

Age: 30
Gender: Male
CT

CECT shows Diffuse nodal enlargement , on both sides of the diaphragm with splenic involvement , which is important in staging purpose

Case Discussion

Hodgkin lymphoma (HL) is characterized pathologically by presence of Reed-Sternberg cells

Ann Arbor staging system for lymphomas:

  • Stage I: Single nodal region; IE single extralymphatic organ or site
  • Stage II: ≥ 2 node regions; IIE extralymphatic site plus node region on same side of diaphragm
  • Stage III: Nodes on both sides of diaphragm; IIIE plus extralymphatic site; IIIS plus spleen; IIIE(+)S both involved
  • Stage IV: Disseminated ≥ 1 extralymphatic tissues ± nodes, or isolated extralymphatic organ with distant nodes
  • Category A and B
    • Category A: No systemic symptoms
    • Category B: Fever, 10% weight loss or night sweats
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Case information

rID: 34100
Case created: 4th Feb 2015
Last edited: 1st Oct 2015
Systems: Haematology, Chest
Inclusion in quiz mode: Included

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