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Lymphoma
General Information
² Lymphatic malignancy
² Cells arise from the bone marrow
² Behave as a solid tumor
§ Usually noted to be a slow growing mass
§ Lymph nodes become enlarged
§ Can be small or large
§ Don’t metastasize by may spread to other organs
§ The spleen can be and is frequently involved
² Categorized as HD or NHL
§ NHL incidence has increased over the past 20 years probably related to HIV
Risks
² Radiation exposure
² Pesticide exposure
² EBV
² HIV NHL
² Hereditary
² Transplant drug use
² Alkylating agent exposure NHL
Comparative Characteristics
Staged
² I-IV
² A = asymptomatic
² B = symptomatic
² NHL
§ Low grade
· chemo sensitivity fair but used and or radiation
· may convert to high grade
§ Intermediate grade
· chemo sensitive
· radiation
· 87% remission 73% survival
§ Patient with poor prognostic factors
· > 65 years of age
· very high LDH
· Burkitt’s
· Marrow, GIT, CNS involved
· 40% remission 26% survival
² HD
§ Without advanced stage and without poor prognostic factors
§ 70% cure
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