Lymphoma: Difference between revisions
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*[[Oncologic emergencies]] | |||
== Non-Hodgkin Lymphoma == | == Non-Hodgkin Lymphoma == | ||
Revision as of 19:39, 11 May 2015
Hodgkin Lymphoma
Background
- 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
Non-Hodgkin 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