Lymphoma Staging and Causative Organisms
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Questions and Answers

What is the description of Stage 3 in the Ann-Arbor staging of lymphomas?

  • Diffuse extralymphatic involvement
  • Two or more node regions, same side of diaphragm
  • Node regions both sides of diaphragm (correct)
  • Single lymph node region
  • Burkitt's lymphoma is classified under B cell type Non-Hodgkin's lymphoma.

    True

    What does EBV stand for?

    Epstein-Barr Virus

    Stage 4 lymphoma indicates ________ extralymphatic involvement.

    <p>diffuse</p> Signup and view all the answers

    Match the following lymphoma types with their corresponding causative organism:

    <p>Hodgkin's disease = EBV Primary CNS lymphoma = HIV Extranodal NK/T-lymphoma = HTLV Waldenstrom's macroglobulinemia = HCV</p> Signup and view all the answers

    Study Notes

    Ann-Arbor Staging of Lymphomas

    • Stage 1: Involvement of a single lymph node region.
    • Stage 2: Presence of two or more lymph node regions on the same side of the diaphragm.
    • Stage 3: Involvement of lymph node regions on both sides of the diaphragm.
    • Stage 4: Diffuse extralymphatic involvement, indicating widespread disease beyond lymph nodes.

    Non-Hodgkin's Lymphoma and Causative Organisms

    • Hodgkin's disease: Associated with a 100/10/40/20 rule regarding Epstein-Barr Virus (EBV) involvement.
    • EBV is linked with various lymphomas, showing differing prevalence in different lymphoma types.

    EBV Cases in Non-Hodgkin's Lymphoma (NHL)

    • B-cell type associations:
      • Burkitt's lymphoma: 100% association.
      • Post organ transplant lymphoma: 70% association.
      • Primary CNS lymphoma: 40% association.
    • T-cell type associations:
      • Extranodal NK/T-lymphoma: prevalence associated with EBV.
      • Diffuse Large B-cell Lymphoma (DLBCL): 20% association.

    Other Lymphomas and Disorders

    • Burkitt's lymphoma: Highly aggressive B-cell lymphoma linked to EBV.
    • Waldenstrom's macroglobulinemia: A type of indolent lymphoma characterized by an overproduction of IgM.
    • Splenic Marginal Zone Lymphoma (MZL): Typically affects the spleen.
    • MALToma (Mucosa-associated Lymphoid Tissue lymphoma): Associated with mucosal sites.
    • Primary effusion lymphoma: Often occurs in patients with HIV.
    • Castleman's disease: A rare disease involving an overgrowth of lymphoid tissue.
    • Adult T-cell leukemia/lymphoma: Associated with Human T-Lymphotropic Virus (HTLV).

    Key Terminology

    • EBV: Epstein-Barr Virus, a virus implicated in several lymphoid malignancies.
    • NHL: Non-Hodgkin's Lymphoma, a diverse group of blood cancers.
    • DLBCL: Diffuse Large B-cell Lymphoma, the most common type of NHL.
    • NK: Natural Killer cells, a type of lymphocyte involved in the immune response.
    • CNS: Central Nervous System, areas of study in primary CNS lymphomas.
    • MZL: Marginal Zone Lymphoma, a category of B-cell lymphomas.
    • MALToma: Specific type of marginal zone lymphoma found in mucosal tissues.
    • HTLV: Human T-Lymphotropic Virus, linked to certain leukemias and lymphomas.
    • HCV: Hepatitis C Virus, connected with lymphoproliferative disorders.
    • HIV: Human Immunodeficiency Virus, increases the risk for certain lymphomas.

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    Description

    Explore the stages of lymphoma classification and the role of various causative organisms, particularly in Non-Hodgkin's lymphoma. This quiz covers the Ann-Arbor staging system and highlights the impact of EBV in lymphoma cases. Test your knowledge on this critical aspect of oncology.

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