Case 57 – update 1

Our patient has been referred to the haematology team.

He presented with a left sided inguinal node which he noticed around 4 weeks ago, this had been enlarging and was around 2x3cm when he initially presented.

He has been feeling generally tired for the last few months, and has had drenching night sweats for 2 weeks and generalised itching for 3 weeks. Weight has been stable.

He drinks very occasional alcohol and smokes around 20/day.

Bloods have shown 

Fbc – normal

U&E – normal

LFT -normal

HIV – negative

ESR 55

EBV IgG positive, IgM negative

A ct scan has shown enlarged nodes in the left inguinal and left iliac area with a maximum diameter of 6cm.

The surgical team have performed an excisional biopsy of one of the left inguinal nodes.

The report has come through showing a classical Hodgkin’s lymphoma.

What other investigations would you do?

How would you stage the disease?

What things do we need to consider for this patient?

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2 Responses to Case 57 – update 1

  1. manalbrssa says:

    To complete stagin esp he has B symptoms to do bone marrow biopsy
    PET scan proved to be effective in staging for early stage hodgkin disease
    Echo heart and pulmonary function test esp DLCO

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