Mind-maps Lymphoma Flashcards
2 types
Hodgkins
Non-Hodgkins
Hodgkins lymphoma - 4 most common histological subtypes
Lymphocyte-predominant
Modular sclerosing
Mixed cellularity
Lymphocyte-depleted
Cause of Hodgkins lymphoma
Exact cause unknown Risk factors: Male sex Infection with Epstein-Barr virus (EBV) Immunosuppression e.g. HIV patients Exotoxin exposure
Signs and symptoms of Hodgkins lymphoma
Painlesss lymphadenopathy Unintentional weight loss Fever (constitutional 'B signs': fever >38 degrees, night sweats, weight loss) Dyspnoea Splenomegaly Hepatomegaly
Investigations of Hodgkins lymphoma
Bloods
Histology
Radiology (X-ray, CT scan, PET scan)
Other - lymph node biopsy (Ann Arbor classification)
Blood investigations of Hodgkins lymphoma
FBC, WCC, U and Es, CRP, ESR, Lactate dehydrogenase, Creatinine, Alkaline phosphatase, Serum cytokine levels
Conservative treatment of Hodgkins lymphoma
Patient education and referral to Macmillan nurses
Medical treatment of Hodgkins lymphoma
Depends on Ann Arbor claasification
AVBD regimen or BEACOPP regimen (acronyms for loads of drugs)
Complications of Hodgkins lymphoma
Increased risk of infection Recurrence and metastasis Increased risk of cardiovascular disease Complications of chemotherapy Neurological complications
What is Non-Hodgkins lymphoma
Group of malignancies that are either B cell or T cell in origin
Example of B-cell Non-Hodgkins lymphomas
Burkitts lymphoma
Diffuse large B cell lymphoma
Mantle cell lymphoma
Follicular lymphoma
Translocations of following B-cell Non-Hodgkins lymphomas:
Burkitts lymphoma
Mantle cell lymphoma
Follicular lymphoma
Burkitts lymphoma t[8;14]
Mantle cell lymphoma t[11;14]
Follicular lymphoma t[14;18]
Example of T-cell Non-Hodgkins lymphomas
Adult T cell lymphoma
Caused by human T-lymphotrophic virus-1 (HTLV-1)
Sezary syndrome
Cause of Non-Hodgkins lymphomas
Exact cause unknown
Risk factors:
Male sex, Infection (Helicobacter pylori, HHV-8, Hep C), Immunosuppression (HIV)
Signs and symptoms of Non-Hodgkins lymphomas
Painless lymphadenopathy Unintentional weight loss Fever Dyspnoea Splenomegaly Hepatomegaly