Hodgkin's Lymphoma Evaluation
- Lymph node swelling:
- Swollen glands in the neck
- Swollen glands in the groin
- Swollen glands under the arm
- The lymph glands are characteristically rubbery and nontender.
- A lymph node that is 2 cm or larger suggests the diagnosis of lymphoma.
- Liver enlargement
- Spleen enlargement
Testing is necessary to confirm the diagnosis of Hodgkin's disease.
Tests that may be used to evaluate Hodgkin's disease include:
- Coagulation profile
- Lactate dehydrogenase level
- Erythrocyte sedimentation rate
- Complete blood count
- Peripheral blood smear
- Liver profile
- Kidney profile
Additional tests that may be used to evaluate Hodgkin's disease include:
Additional imaging tests that may be used to evaluate Hodgkin's disease include:
- CT scan of the abdomen
- CT scan of the chest
- CT scan of the head
- MRI scan of the abdomen
- MRI scan of the chest
For more information:
Hodgkin's Lymphoma Staging
- The type of cells that are multiplying in the lymph nodes
- Whether the lymphoma has spread to other lymph nodes or other organs
Most people with lymphoma are staged using the Ann Arbor system. This includes stages 1-4 (I-IV), along with certain letters that represent other factors.
The letter system includes:
- A: no symptoms
- B: symptoms of fever, night sweats or weight loss
- E:spread to one site nearby, but outside of affected lymph nodes
- X: bulky disease larger than 10 cm
In stage 1 (I), the lymphoma is present only in a single site, such as a lymph node.
In stage 2 (II), the lymphoma is present in 2 or more lymph nodes on the same side of the diaphragm, or in a single organ outside of the lymph nodes.
In stage 3 (III), the lymphoma is present on both sides of the diaphragm, with or without involvement of the spleen or other organs.
In stage 4 (IV), the lymphoma is present in multiple organs.
Hodgkin's Lymphoma Stage 1
In stage 1 Hodgkin's disease, the lymphoma is present only in a single site, such as a lymph node.
Hodgkin's Lymphoma Stage 2
In stage 2 Hodgkin's disease, the lymphoma is present:
- In 2 or more lymph nodes on the same side of the diaphragm, or
- In a single organ outside of the lymphatic system
Hodgkin's Lymphoma Stage 3
In stage 3 Hodgkin's disease, the lymphoma is present on both sides of the diaphragm.
Hodgkin's Lymphoma Stage 4
In stage 4 Hodgkin's disease, the lymphoma is present in multiple areas of the body.
Continue to Hodgkin's Lymphoma Treatment
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