Anatomy
3 lymphatic organs are
What are the Thymus, spleen, tonsils
The staging system used for Lymphomas is
What is Ann Arbor Staging?
4 txt options for Lymphoma are
What are:
Chemotherapy
Radiation
Stem Cell Transplant
Immunotherapy
This determines if a lymphoma is HL or NHL
What is the presence of Reed Sternberg cells
This virus is a risk factor for lymphoma
What is Epstein Barr?
Peyer's patch is found
What is in the Small Intestines?
(extra lymphatic tissue located within the mucosal layer in the distal ileum)
In staging of lymphomas, “X” indicate
What is bulky disease?
The most common chemo used for HL is
What is ABVD?
Adriamycin (doxyrubicin)
Bleomycin
Vincristine
Dacarbazine
The most common type of Lymphoma is
What is NHL?
The most common sites of metastasis for lymphoma are
What are the liver, bone marrow, or lungs?
The right lymphatic duct drains
What are the right arm, right side of the head, right thorax
"B" Symptoms are
"B" Symptoms indicate?
What are fever, night sweats, and unexplained weight loss of more than 10% of body weight over 6 months
What is a worse prognosis
The 2 (or 3) txt fields used to treat a TLI are
What is the Mantle and Inverted Y (or mantle, PAN, and Pelvis fields)
The four subtypes of Classic HL are
What are:
Nodular sclerosis Hodgkin lymphoma
Lymphocyte-rich Hodgkin lymphoma
Lymphocyte-depleted Hodgkin lymphoma
Mixed cellularity Hodgkin lymphoma
We want to treat lymphomas with with combined modalities because
What is Less toxicities from both modalities
The thoracic duct drains
What are the left arm, left thorax, left side of the head and neck, lower extremities, pelvis and abdomen?
A pt with 2 nodal areas , 1 in the right neck and 1 in the left chest by the carina with with no fevers, weight loss, or night sweats would be stage
What is stage II A
The type of RT fields are now routinely used for Lymphomas are
These fields are used
What are involved fields?
What is to not induce secondary cancers?
The most common subtype of Classic HL is
The most common type of NHL is
What is nodular sclerosis Hodgkin lymphoma?
What is diffuse large B-cell lymphomas (DLBCL)?
The common age range(s) for HL is
What is late teens to thirties and again over 60 (Bi-modal)?
The parts of Waldeyer's ring are
What are the palatine, lingual, and pharyngeal (adenoid) tonsils
5 tests and procedures are used to diagnose lymphomas are
What are:
Physical exam
Lymph node biopsy
Blood tests
Bone marrow biopsy
Imaging tests
What dose do we take lymphomas to?
Why these doses?
20-30 GY
Because they are very radiosensitive
The most common presenting symptom of lymphoma is
3 other presenting symptom of lymphoma are
What is painless swelling of lymph nodes in your neck, armpits or groin?
What are: Persistent fatigue
Fever
Night sweats
Shortness of breath
Unexplained weight loss
Itchy skin
Lymphomas arise in these cells
Lymphocytes- B and T cells