Hodgkin's lymphoma

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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

Differential Diagnosis

Cervical lymphadenopathy

  1. Non-Hodgkin lymphoma
  2. Mononucleosis
  3. Toxoplasmosis
  4. Branchial cleft lesions
  5. Cat scratch disease
  6. Mycobacterial adenitis

Treatment

  • Manage acute complications
    • Superior vena cava syndrome
    • Upper airway compression
      • Do NOT give steroids

See Also

Obtenido de «https://www.wikem.org/w/index.php?title=Hodgkin%27s_lymphoma&oldid=37214»