Work-up & Staging Flashcards
1
Q
What type of workup is necessary?
A
LCH workup: H&P, labs, skeletal survey (lucency in the medullary cavity), and Bx
2
Q
What is the appearance of LCH lesions on plain radiograph?
A
LCH lesions appear lytic or “punched-out” on plain radiograph.
3
Q
What other radiographic studies are useful?
A
PET scan has been found to be the most sensitive test. Bone can be used in conjunction with skeletal survey if PET is not available.
4
Q
What staging system is used for LCH?
A
A staging system was proposed by Greenberg et al. in 1981, but is not universally accepted. The Histiocyte Society guidelines describe a 2-system stratification. Single system: 1 organ or system involved or Multisystem: 2 or more organs/systems involved.
