Presentation
weight loss , night sweats
Patient Data
Age: 30
Gender: Male
From the case:
Hodgkin lymphoma
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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