Teaching Cases - American Society of Hematology


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Teaching Cases

Lymphadenopathy – Jorge E. Romaguera, MD
M.D. Anderson Cancer Center, University of Texas, Houston, TX

I. History	II. Physical Exam	III. Laboratory Data	IV. Differential Diagnosis
V. Pathophysiology	VI. Prognosis/Clinical Course	VII. Teaching Points	VIII. Bibliography

VI. PROGNOSIS/CLINICAL COURSE

Below is a description of the Ann Arbor lymphoma stage classifications. This is the staging system in common use for Non-Hodgkin’s lymphoma. Using this system, what is the patient’s current stage?

Stage	Description
I	One lymph node area involved
II	Two lymph node areas involved on one side of the diaphragm
III	Involvement of lymph nodes (or spleen) on both sides of the diaphragm
IV	Disseminated extranodal involvement
A	No “B” symptoms
B	Presence of fevers, drenching night sweats, or unintentional loss of 10% of body weight in the preceding six months

	IA
	IIA
	IIIA
	IVA
	IB
	IIB
	IIIB
	IVB

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