IM
Dr. WAQAR
Introduction
Lymphomas are malignancies arising in the lymphoid tissues, mainly the lymph nodes. There are two important types:
Rapid Fire Questions
- Which virus is thought to cause Hodgkin’s lymphoma? EBV
- Which age groups are affected? Bimodal
- What is the commonest presentation? Node enlargements
- Are the nodes painful? no
- What are the three B symptoms? weight loss, fever, nightsweats
- Does every patient have B symptoms? no
- What happens after alcohol intake? sometimes increase
- Which fever pattern is sometimes seen? Pal epstien fever
- What is the pattern of this fever? cyclic pattern
- What is the kidney pathology seen in Hodgkin’s lymphoma? minimal change nephrotic syndrome
- What is the confirmatory diagnostic test & what does it show? Reed sternberg cells
- Name the four types of classic Hodgkin’s lymphoma. …
- Which investigation is done for staging? PET, CT, MRI
- How many stages of Hodgkin’s lymphoma are there?
- Describe stages 1, 2, 3, and 4. …
- Patient has enlarged lymph nodes in the neck and axilla, fever, and weight loss. What stage? S2 2B
- Enlarged nodes in the axilla and groin. No fever or weight loss. What stage? 3A
- What is the differential diagnosis of enlarged lymph nodes? lymphadititis
- What are the two main treatment modalities? chemo, Radio
- Which chemo regimen is most commonly used? AVBG
- Name some drugs in this regimen. ABVG, MOPP, Standford V
- Name some other regimens.
- What are the two patterns of radiotherapy?
- Is Hodgkin’s lymphoma a curable cancer?
- Name three poor prognostic factors.