What are lymphomas?
Malignant neoplasms involving lymphocyte proliferation in the lymph nodes.
What is the atypical marker for diagnosing H. lymphoma?
Reed-Sternberg cell; giant cell present in lymph nodes carrying multiple nuclei.
Where does H. lymphoma typically originate?
Upper body lymph nodes, but can start anywhere.
How does H. lymphoma spread to the visceral organs?
Through the lymphatic system.
Describe the four stages of H. lymphoma.
Stage 1: affects only one lymph node.
Stage 2: affects two or more nodes on the same side of the diaphragm.
Stage 3: affects nodes on both sides of the diaphragm and spleen.
Stage 4: represents diffuse extra-lymphatic involvement such as bone, lung, or liver.
Name some signs and symptoms of H. lymphoma?
First indicator: enlarged lymph node, usually cervical.
Later: splenomegaly, weight loss, anemia, fatigue, pruritus, recurrent infection.
How is H. lymphoma treated?
- radiation
- chemotherapy
- surgery
- drugs
What is the difference between H. and Non-H. lymphoma when it comes to their progress (metastases)?
H. lymphoma - progresses orderly, jumps one lymph node to another.
Non-H. lymphoma - scattered and non-organized.
What is lymphedema?
Where the tissues in the extremities swell due to an obstruction of the lymphatic vessels and lymph fluid accumulates. Common in women of 15-25.
How can lymphedema be treated?
- diuretics
- strict bed rest
- massage
- elevation of the affected extremity
What is elephantiasis?
Lymphedema caused by an infestation and blockage of lymph vessels of the extremities by parasitic worms (filaria).
What are the signs and symptoms of elephantiasis?
- extreme swelling of legs, breasts, genitalia
- thickening of subcutaneous tissue
- frequent infections
- fever
- skin ulcers
What is Castleman disease?
Involves the overgrowth of lymphoid tissue. NOT a cancer.
What are some signs and symptoms of Castleman disease?
Unicentric:
- difficulty breathing or eating
- large lump in neck, armpit or groin
- persistent cough
Multicentric:
- fever
- nausea and vomiting
- weakness and fatigue
- enlarged spleen, liver
- numbness in hands and feet from nerve damage
What are the two types of Castleman disease?
Unicentric: affects only one lymph node
Multicentric: affects multiple lymph nodes and tissue.
What type of lymphocyte are defective in Hodgkin's Disease?
T lymphocytes
Reed Sternberg cells are made from what?
Mature B cells that have become malignant.
What type of lymphocytes are involved in Non-Hodgkin Lymphoma
B lymphocytes and doesn't have RS cells present.
The signs, staging and treatment of Non-Hodgin Lymphoma is the same as H. Lymphoma. True or false?
True.
Intestinal nodes and organs often involved in early stages in Non-Hodgkin lymphoma. True or false?
True.