Epidemiology of Hodgkin Lymphoma
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Questions and Answers

What is the annual incidence of the disease in the UK?

  • 4.7 / 100,000
  • 1.7 / 100,000
  • 2.7 / 100,000 (correct)
  • 3.7 / 100,000

What is the primary purpose of PET-CT in the initial work-up of the disease?

  • Detecting bone involvement
  • Determining disease staging (correct)
  • Assessing liver function
  • Identifying histological subtypes

What is required for a favourable prognosis according to GHSG?

  • Elevated ESR
  • Liver dysfunction
  • No large mediastinal mass (correct)
  • Presence of a large mediastinal mass

What is the primary reason for considering fertility preservation prior to treatment?

<p>To preserve fertility (D)</p> Signup and view all the answers

What is the purpose of performing a biopsy in the initial work-up of the disease?

<p>To identify histological subtypes (A)</p> Signup and view all the answers

Which of the following age groups does not have a peak incidence of the disease?

<p>35-39 (C)</p> Signup and view all the answers

Which of the following tests is not required for staging?

<p>BM biopsy (A)</p> Signup and view all the answers

What is the primary difference between the 4 histological subtypes of the disease?

<p>Morphological characteristics (A)</p> Signup and view all the answers

What is the primary reason for performing an HIV test in the initial work-up?

<p>To rule out opportunistic infections (D)</p> Signup and view all the answers

Which of the following laboratory results is not required for the initial work-up?

<p>C-reactive protein (D)</p> Signup and view all the answers

Study Notes

Epidemiology of Hodgkin Lymphoma

  • Annual incidence of Hodgkin Lymphoma in the UK is 2.7 per 100,000 people
  • Two incidence peaks occur at ages 20-34 and over 70

Initial Work-Up

  • Blood tests: FBC, ESR, U&E, LFT, Bone profile, HIV, Hep B, Hep C
  • Biopsy is necessary to determine histological subtype
  • 4 histological subtypes of Hodgkin Lymphoma: Nodular sclerosis, Mixed cellularity, Lymphocyte-rich, Lymphocyte-depleted
  • No difference in outcomes among histological subtypes

Imaging and Staging

  • PET-CT is used for staging and detects bone involvement
  • BM biopsy is not required
  • Fertility preservation should be considered prior to treatment

Staging

  • Early stages: Stage I and II
  • Favourable prognosis (GHSG) requires:
    • No large mediastinal mass
    • Normal ESR

Epidemiology of Hodgkin Lymphoma

  • Annual incidence of Hodgkin Lymphoma in the UK is 2.7 per 100,000 people
  • Two incidence peaks occur at ages 20-34 and over 70

Initial Work-Up

  • Blood tests: FBC, ESR, U&E, LFT, Bone profile, HIV, Hep B, Hep C
  • Biopsy is necessary to determine histological subtype
  • 4 histological subtypes of Hodgkin Lymphoma: Nodular sclerosis, Mixed cellularity, Lymphocyte-rich, Lymphocyte-depleted
  • No difference in outcomes among histological subtypes

Imaging and Staging

  • PET-CT is used for staging and detects bone involvement
  • BM biopsy is not required
  • Fertility preservation should be considered prior to treatment

Staging

  • Early stages: Stage I and II
  • Favourable prognosis (GHSG) requires:
    • No large mediastinal mass
    • Normal ESR

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Description

This quiz covers the epidemiology of Hodgkin lymphoma, including incidence rates, initial work-up, biopsy, staging, and treatment considerations.

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