Lymphomas

Question 1

Symptoms of non hodgkins lymphoma clincially

Answer 1

may present with dull, achey localized pain (+ night pain, sweats, fever etc)

(can also be asymptomatic doe)

Question 2

Non hogkins lymphoma- age, loc, border/matrix/rxn

Answer 2

age- 20-60

loc- solitary lesion in diaphysis of long bone, vert body in spine

imaging- lytic (moth eaten to permiative) w/ lucent to sclerotic matrix
-laminated or solid periosteal rxn

Question 3

How will non hogdkins lymphoma present as in spine

Answer 3

scalloping of ant vert body

ant destruction of wall

Question 4

Hodgkins lymphoma- age, pain, location, border/matrix

Answer 4

age- 20+ + >55

Loc- vert body of T/L region (starts in mediastinum)

Imaging- poorly definied lytic (75%) or sclerotic (15% ivory vert), moth eaten/permiative

Question 5

What is ivory vert

Answer 5

when entire vert body appears sclerotic, unable to differetniate bw cortical + medullary bone

Question 6

what is an synovial sarcoma

Answer 6

Rare

- Only tumor in direct relation to jt surface, can also occur along tendon sheath (suprapatellar ex)

Question 7

Chordroma- age, loc, matrix/border

Answer 7

Rare
age- 40-70
loc- top and bottom end of spine

Imaging- slow growing but agressive lytic lesion with associated soft tissue mass