Lymphoma
Brad L. Pohlman
POINTS TO REMEMBER:
The diagnosis of lymphoma requires a tissue biopsy.
Fine-needle aspiration is an inadequate biopsy technique to diagnose lymphoma; excisional lymph node biopsy is preferred, although in certain instances a core needle biopsy can be adequate.
Hodgkin Lymphoma
Two major types of Hodgkin lymphoma are recognized: classical (which includes the nodular sclerosis, mixed cellularity, lymphocyte-rich, and lymphocyte-depleted subtypes) and nodular lymphocyte predominant.
Patients with a history of mononucleosis, autoimmune disease, or immunodeficiency, including HIV infection, have an increased incidence of Hodgkin lymphoma.
Only one-third of patients with Hodgkin lymphoma present with B symptoms.
Hodgkin lymphoma is highly curable.
Hodgkin lymphoma survivors are at increased risk for certain infections, hypothyroidism, benign or malignant thyroid tumors, and development of other solid tumors (in 10% to 20% of cases).
Non-Hodgkin Lymphoma
Patients with inherited and acquired immunodeficiencies have a significantly increased risk of developing non-Hodgkin lymphoma (NHL).
Because NHL may involve any lymphatic or extralymphatic tissue, virtually any presenting symptom is possible; most patients complain of painless enlargement of one or more superficial lymph nodes.
NHL can be divided into two broad categories: indolent and aggressive.Stay updated, free articles. Join our Telegram channel
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