lymphoma Flashcards

1
Q

what should you ask people with neck lumps

A
odynophagia
otalgia
hoarsness
dysphagia
neck lumps
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2
Q

what investigation must you do on a neck lump

A

FNA

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3
Q

what could a cancerous node be

A

mucosal squamous carcinoma
thyroid cancer
salivary gland cancer
skin cancer

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4
Q

what are the risk factor for neck lump

A

HPV
cannabis
smoking
alcohol

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5
Q

what do salivary gland lumps that are tender with meals suggest

A

stones

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6
Q

thyroid cancer

A

rare
usually curable
most nodules are benign

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7
Q

what cells are found in hodgkins disease

A

reid sternberg cells

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8
Q

what cells are found in non hodgkins

A

diffuse abnormal lymphocytes

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9
Q

what is an indolent non hodgkins disease

A

slow growing tumours
may not need treatment for a long time
rarely cured but respond well to treatment

e.g. follicular lymphomas

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10
Q

what are the features of high grade non hodgkins

A

grow quickly
symptomatic
can be completely cured

eg. large cell b lymphomas and burkitt lymphomas

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11
Q

how can you stage lymphomas

A

Stage 1 : One group of lymph nodes is affected.
Stage 2: Two or more groups of nodes are affected, but the lymphoma is restricted to one side of the diaphragm only
Stage 3: Lymphadenopathy is evident on both sides (above and below) of the diaphragm.
Stage 4: The lymphoma has spread beyond the lymph nodes to other organs such as the spleen, bone marrow, liver or lungs.

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12
Q

what does myeloid refer to

A

neutrophils

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13
Q

what does the term lyphocytic mean

A

lymphocytes

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14
Q

what is an echymose

A

large purpura

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15
Q

what could a pupuric rash with gum bleeding indicate

A

TTP
HUS
menigitis
leukaemia

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16
Q

what are B symptosm

A

fever
night sweats
weight loss

17
Q

what is multiple myeloma

A

plasma cell malgnancy

often old person with anaemia, hypercalcaemia and back pain

bence jones proteins the in the urine

18
Q

what is the most common haematological malignancy

A

non hodgkins

19
Q

what heart problems can anthracyclines cause

A

arrhythmias

heart failure