Lymphadenopathy and Lymphoma Flashcards
Give some differentials for lymphadenopathy
Infection
Metastatic cancer
Connective tissue disease
Lymphoma
Give some general symptoms of lymphoma
Drenching night sweats
Weight loss
Itch without rash
Alcohol-induced pain (in lump)
Describe the appearance of a lump caused by lymphoma
Non-tender
Smooth
Soft
What first-line investigation should be done for lymphoma?
Biopsy (core biopsy/FNA insufficient)
What is involved in immunohistochemistry?
Pattern of proteins on surface of lymphoma cells analysed
What is involved in cytogenetic analysis?
Specific pattern of of chromosome abnormalities are looked for in lymphomas
What is involved in molecular analysis?
Patterns of gene expression are analysed
What are the three main categories of lymphoma?
Hodgkin’s
T cell non-Hodgkins
B cell non-Hodgkins