16 c wbc

Question 1

Hodgkin’s Lymphoma: signs and symptoms

Answer 1

Gradual onset
◦ Enlargement of cervical, axillary, or inguinal
lymph nodes
◦ Mediastinal node mass
◦ Cough, dyspnoea, stridor, dysphagia
Advanced cases
◦ Hepatomegaly, splenomegaly, anaemia
◦ Physical signs depend on disease location

Question 2

Non-Hodgkin’s Lymphoma: signs and symptoms

Answer 2

 6
th most common cancer in Australia
 Painless lymph node enlargement
◦ Primary sign and symptom
 Patients with high-grade lymphomas
◦ Lymphadenopathy
◦ B symptoms
◦ Fever
◦ Night sweats
◦ Weight loss
20
h

Question 3

Diagnosis & Staging of Lymphoma

Answer 3

Peripheral blood analysis
Excisional lymph node biopsy
Bone marrow examination
MRI, CT & PET scans
Staging studies
◦ Presence of B symptoms

Question 4

Multidisciplinary Care lymphoma

Answer 4

 Treatment
Chemotherapy
Radiation therapy
 Nursing management similar to
leukaemia
 Psychosocial care
 Fertility issues

Question 5

Multiple Myeloma

Answer 5

 B-cell malignancy of bone marrow, characterised by the uncontrolled
replication of plasma cells
 Rarely occurs before the age of 40. Peak age of incidence is 65 years old.
 Many physiological systems are affected, hence the name “multiple” myeloma.
 Symptoms include bone pain, fatigue, renal failure, neurological problems,
infection, pathological fractures and spinal cord compression
 Diagnosis made by symptoms, radiology, & bone marrow biopsy
 Treatment is chemotherapy, high dose steroids +/- stem cell transplant

Question 6

haematopoietic stem cell transplant

Answer 6

have the ability to divide and multiply and develop into different types of mature blood cells
- treat blood disorders and some cancers

Question 7

autologous transplant process

Answer 7

1. collection
2. processing
3. cryopreservation
4. chemotherapy
5. reinfusion