Lymphadenopathy

Jorge E. Romaguera, MD

M.D. Anderson Cancer Center, University of Texas, Houston, TX

Copyright of the American Society of Hematology, 2006. ISSN: 1931-6860.

This case was reviewed and updated in January 2011 by Dr. Peter Marks and members of the Teaching Cases Subcommittee.

VI. PROGNOSIS/CLINICAL COURSE

Below is a description of the Ann Arbor lymphoma stage classification system. This is the staging system in common use for non-Hodgkin lymphoma. Using this system, what is the patient’s current stage?

StageDescription
IOne lymph node area involved
IITwo lymph node areas involved on one side of the diaphragm
IIIInvolvement of lymph nodes (or spleen) on both sides of the diaphragm
IVDisseminated extranodal involvement
ANo “B” symptoms
BPresence of fevers, drenching night sweats, or unintentional loss of 10% of body weight in the preceding six months

IA
IIA
IIIA
IVA
IB
IIB
IIIB
IVB

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