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Epidemiology of Hodgkin Lymphoma
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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</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</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</p> Signup and view all the answers

    Which of the following tests is not required for staging?

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

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

    <p>Morphological characteristics</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</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</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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