Lymphoma: Difference between revisions

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== [[Hodgkin's lymphoma]] ==
*[[Hodgkin's lymphoma]]


=== Background ===
== [[Non-Hodgkin's lymphoma]] ==
 
*Spreads from source lymph node to adjacent nodes
*Bimodal distribution: young adulthood and older aged
*Most common malignancy between ages of 15-19 yo
*Survival >90% in low-risk pts
 
=== Diagnosis ===
 
*Painless, firm, lymph node (usually cervical or supraclavicular)
*"B" symptoms: fever, night sweats, wt loss
 
=== Work-Up ===
 
*CXR
*CT neck/C/A/P
*LN biopsy
 
=== DDx ===
 
Cervical lymphadenopathy
 
#Non-Hodgkin lymphoma  
#Mononucleosis
#Toxoplasmosis
#Branchial cleft lesions
#Cat scratch disease
#Mycobacterial adenitis
 
=== Treatment ===
 
*Manage acute complications
**Superior vena cava syndrome
**Upper airway compression
***Do NOT give steroids
 
 
===See Also===
*[[Oncologic emergencies]]
 
== Non-Hodgkin Lymphoma ==


=== Background ===
=== Background ===

Revision as of 19:44, 11 May 2015

Non-Hodgkin's lymphoma

Background

  • May originate in lymphatic system or any organ in the body
  • Occurs in children >5yr old
  • Risk factors
    • Immunosuppression (HIV, Crohn, chemo recipients)

Diagnosis

  • Lymphadenopathy
  • Hepatosplenomegaly
  • "B" symptoms
  • GI
    • Bleeding, intussusception, N/V

Work-Up

  • CBC
  • Chemistry
  • Uric acid
  • LFT
  • CXR

Complications

  • Superior vena cava syndrome
  • Pleural/pericardial effusions
  • Spinal cord compression

Source

Tintinalli

See Also

Acute Leukemia