Hodgkin's lymphoma: Difference between revisions
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*Survival >90% in low-risk pts | *Survival >90% in low-risk pts | ||
== | ==Clinical Features== | ||
*Painless, firm, lymph node (usually cervical or supraclavicular) | *Painless, firm, lymph node (usually cervical or supraclavicular) | ||
*"B" symptoms: fever, night sweats, wt loss | *"B" symptoms: fever, night sweats, wt loss | ||
== Differential Diagnosis == | == Differential Diagnosis == | ||
Cervical lymphadenopathy | Cervical lymphadenopathy | ||
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#Cat scratch disease | #Cat scratch disease | ||
#Mycobacterial adenitis | #Mycobacterial adenitis | ||
==Diagnosis== | |||
*CXR | |||
*CT neck/C/A/P | |||
*LN biopsy | |||
== Treatment == | == Treatment == | ||
Revision as of 19:41, 11 May 2015
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
Clinical Features
- Painless, firm, lymph node (usually cervical or supraclavicular)
- "B" symptoms: fever, night sweats, wt loss
Differential Diagnosis
Cervical lymphadenopathy
- Non-Hodgkin lymphoma
- Mononucleosis
- Toxoplasmosis
- Branchial cleft lesions
- Cat scratch disease
- Mycobacterial adenitis
Diagnosis
- CXR
- CT neck/C/A/P
- LN biopsy
Treatment
- Manage acute complications
- Superior vena cava syndrome
- Upper airway compression
- Do NOT give steroids