Diferencia entre revisiones de «Hodgkin's lymphoma»
(Text replacement - "==Treatment==" to "==Management==") |
(Text replacement - "==Diagnosis==" to "==Evaluation==") |
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| Línea 14: | Línea 14: | ||
{{Leuk/lymph DDX}} | {{Leuk/lymph DDX}} | ||
== | ==Evaluation== | ||
*CXR | *CXR | ||
*CT neck/C/A/P | *CT neck/C/A/P | ||
Revisión del 13:43 23 jul 2016
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 patients
Clinical Features
- Painless, firm, lymph node (usually cervical or supraclavicular)
- "B" symptoms: fever, night sweats, wt loss
Differential Diagnosis
Cervical Lymphadenopathy
- Hodgkin's lymphoma
- Non-Hodgkin's lymphoma
- Mononucleosis
- Toxoplasmosis
- Branchial cleft lesions
- Cat scratch disease
- Mycobacterial adenitis
Acute Leukemia/Lymphoma
Evaluation
- CXR
- CT neck/C/A/P
- LN biopsy
Management
- Manage acute complications
- Superior vena cava syndrome
- Upper airway compression
- Do NOT give steroids