Diferencia entre revisiones de «Hodgkin's lymphoma»
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| Línea 1: | Línea 1: | ||
==Background == | ==Background== | ||
*Spreads from source lymph node to adjacent nodes | *Spreads from source lymph node to adjacent nodes | ||
*Bimodal distribution: young adulthood and older aged | *Bimodal distribution: young adulthood and older aged | ||
| Línea 9: | Línea 9: | ||
*"B" symptoms: fever, night sweats, wt loss | *"B" symptoms: fever, night sweats, wt loss | ||
==Differential Diagnosis == | ==Differential Diagnosis== | ||
{{Cervical lymphadenopathy DDX}} | {{Cervical lymphadenopathy DDX}} | ||
| Línea 19: | Línea 19: | ||
*LN biopsy | *LN biopsy | ||
==Treatment == | ==Treatment== | ||
*Manage acute complications | *Manage acute complications | ||
**Superior vena cava syndrome | **Superior vena cava syndrome | ||
Revisión del 11:38 5 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
Diagnosis
- CXR
- CT neck/C/A/P
- LN biopsy
Treatment
- Manage acute complications
- Superior vena cava syndrome
- Upper airway compression
- Do NOT give steroids