BI232 Aggressive Lymphomas Flashcards

1
Q

what are the types of biopsies?

A

1) Fine needle aspirate
2) core biopsy
3) excisional biopsy

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2
Q

which type of biopsy is always preferred?

A

exicisional

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3
Q

what is seen under the microscope in hodgkin lymphoma?

A

reed sternberg cells

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4
Q

Describe the Ann-Arbor staging system

A

1) Stage 1 - one enlarged lymph node or one extranodal site
2) Stage 2 - multiple enlarged lymph nodes on the same side of the diaphragm
3) Stage 3 - multiple enlarged lymph nodes on both sides of the diaphragm
4) stage 4 - presence of distant extranodal disease

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5
Q

what are the risk factors associated with hodgkin lymphoma?

A

1) EBV
2) immunosuppression/HIV
3) autoimmune diseases

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6
Q

at what ages is hodgkin lymphoma prevalent?

A

1) 20-30

2) 60-80

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7
Q

what is the most common presentation of hodgkin lymphoma?

A

asymptomatic lympadenopathy

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8
Q

What is the treatment cocktail used to treat hodgkin lymphoma?

A

ABVD

A - doxorubicin (adriamycin)
B - Bleomycin
V - vincristine
D - Dexamethasone

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9
Q

what is the prognosis of hodgkin’s lymphoma?

A

good prognosis with >90% survival in patients with limited stage disease. survival of 70-80% in patients with advanced disease

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10
Q

what type of aggressive lymphoma is most common?

A

Diffuse Large B-cell Lymphoma

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11
Q

which of the aggressive lymphomas are the most aggressive?

A

Burkitt lymphoma

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12
Q

what are some risk factors for developing DLBCL?

A

HIV, UV light, Pesticides, EBV

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13
Q

What is the treatment for DLBCL

A

CHOP + R

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14
Q

what is the prognosis of someone diagnosed with DLBCL?

A

lifespan is within months if not treated

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15
Q

TRUE or FLASE: 60-200 times the incidence of DLBCL in HIV positive patients

A

TRUE

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16
Q

Where is Burkitt Lymphoma Endemic?

A

Common in Africa and is related to EBV infection. Also associated with HIV

17
Q

What is the tumour doubling time of Burkitt Lymphoma?

A

1-2 days

18
Q

what is the treatment for BL?

A

R-CODOC-M and IVAC

19
Q

What are the symptoms of cytopenia?

A

1) anemia
2) bruising and bleeding
3) pallor and fatigue

20
Q

what is the pathology marker associated with Burkitt lymphoma?

A

c-MYC