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Medicine

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Hematology

Question
11 out of 21
 

A patient presents to the hospital for persistent fever and significant weight loss for the post two months. On examination he is observed to have cervical and axillary lymphadenopathy. Other examination and investigations are unremarkable. Biopsy from the cervical nodes is performed and returns positive for Hodgkin's Lymphoma. The patient can be staged as having:



A Stage II A
B Stage II B

C Stage II A
D Stage II B

Ans. B

Stage II B

The modified Ann Arbor classification

Stage

Characteristics

I

Involvement of a single lymph node region or a single extralymphatic site

II

Involvement of two or more lymph node regions on the same side of `the diaphragm

III

Involvement of two or more lymph node regions on both sides of the diaphragm

III1

Involvement limited to the lymphatic structures in the upper abdomen (i.e.,) spleen or splenic, celiac, or hepatic portal nodes)

III2

Involvement of lower abdominal nodes (i.e., para-aortic, iliac, or mesenteric nodes); possible involvement of the splenic, celiac,or hepatic portal nodes as well

IV

Diffuse or disseminated involvement in extralymphatic organs

Sub classifications

A Asymptomatic

B Unexplained loss of 10% of body weight; unexplained fever of greater Than 38°C; night sweats

Hematology Flashcard List

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