Radiation Procedures - Lymphoma

Question 1

Lymph node primary functions: (2)

Answer 1

Filter organs
Produce immune cells (i.e. lymphocytes)

Question 2

2 types of lymphocytes:

Answer 2

B cells & T cells

Question 3

B Cell function:

Answer 3

create antibodies

Question 4

T Cell function:

Answer 4

Destroy pathogens

Question 5

Hodgkin lymphoma typically starts: (general area of body)

Answer 5

Upper body

Question 6

Ann Arbor staging used for:

Answer 6

Hodgkins & Non-Hodgkins

Question 7

Stages 1 & 2 for Hodgkins are located only in areas ___.

Answer 7

Above the diaphragm

Question 8

Stages 3 & 4 for Hodgkins indicates that ___.

Answer 8

It has spread below diaphragm

Question 9

Subtypes of Classical Hodgkins: (4)

Answer 9

Nodular sclerosing
Mixed cellularity
Lymphocyte-rich
Lymphocyte-depleted

Question 10

Hodgkins Stage A indicates:

Answer 10

No symptoms (Asymptomatic)

Question 11

Hodgkins Stage B indicates:
- Symptoms?

Answer 11

Any of the following symptoms:
fever
night sweats
10% weight loss w/in 6 months

Question 12

What virus increases risk for Hodgkins?

Answer 12

EBV

Question 13

Does Hodgkins A or B have a worse prognosis?

Answer 13

B

Question 14

Gold standard care for chemo for Hodgkins is a combo of:

Answer 14

ABVD:
Adriamyocin
Bleomyocin
Vinblastin
Decarbazine

Question 15

Original chemo combo for Hodgkins:

Answer 15

MOPP:
Nitrogen mustard - M
Vincristine Sulfate (Oncoven) - O
Procarbazine - P
Prednisone - P

Question 16

What cell differentiates Hodgkins from Non-Hodgkins Lymphoma?

Answer 16

Reed-Sternberg Cell

Question 17

Most common type of Hodgkins Lymphoma:

Answer 17

Classic

Question 18

Hodgkins mets to: (4)

Answer 18

Liver
Lung
Bone
Bone Marrow

Question 19

Fields for Hodgkins: (2)

Answer 19

Mantle
Inverted Y

Question 20

What is total nodal irradiation?

Answer 20

Both Mantle and Inverted Y

Question 21

Which Hodgkins field treats nodes in neck, chest and axilla?

Answer 21

Mantle

Question 22

Which Hodgkins field treats nodes in abdomen, pelvis, and spleen?

Answer 22

Inverted Y

Question 23

3 common locations for Non-Hodgkins:

Answer 23

Lymph Nodes
Waldyer’s Ring
GI Tract/Peyer’s Patches

Question 24

Chemo combo for Non-Hodgkins:

Answer 24

CHOP
Cyclophosphamide
Vincristine
Doxyrubicin
Prednisone

Question 25

Most common Non-Hodgkins Lymphoma (B-Cell or T-Cell)?

Answer 25

B-Cell

Question 26

Non-Hodgkins Lymphoma staging system:
- based on what?

Answer 26

Lugano Classification
- Ann Arbor

Question 27

Non-Hodgkins mets to: (4)

Answer 27

Liver
Lungs
Bone (Nappi said Brain in video - double check)
Bone Marrow