Chapter 26 - Washington (Leukemias & Lymphomas)
True (Hodgkins)
Hodgkin lymphoma has an unpredictable, contiguous pattern of spread that mimics the route of lymphatic system.
Mouth
In what general anatomical location is Waldeyer ring located?
Stage III
What stage is a Hodgkin lymphoma affecting the hilar nodes and the periaortic nodes?
Stage IV
What stage is a Hodgkin lymphoma with extralymphatic extension?
Axillary
Which lymph node chain is more likely to be the original site of Hodgkin lymphoma?
Burkitt Lymphoma
Which lymphoma is most common in young African males?
CHOP
Which of the following chemotherapy regimens is not used to treat HD? I. CHOP II. MOPP III. ABVD
Diarrhea
Which of the following is not a B symptom?
Spleen
Which of the following organs is most closely associated with the lymphatic system?
Lymphocyte depleted
Which pathologic type of Hodgkin lymphoma is the least common in the United States?
Stage II
Which stage is a Hodgkin lymphoma affecting two lymph node groups on the same side of the diaphragm?
Mantle
Which treatment field for HD includes the axillary lymph node chain?
Mantle
Which treatment field for HD includes the cervical lymph node chain?
Inverted Y (Pelvic)
Which treatment field for HD includes the iliac lymph node chain?
Inverted Y (Pelvic)
Which treatment field for HD includes the inguinal lymph node chain?
Mantle
Which treatment field for HD includes the mediastinal lymph node chain?
Inverted Y (Abdominal)
Which treatment field for HD includes the para-aortic lymph node chain?
Inverted Y (Abdominal)
Which treatment field for HD includes the retroperitoneal lymph node chain?
High Grade
Aggressive NHL are referred to as what?
Hodgkin's disease
A mantle field is used to treat which type of cancer?
Stage I
What stage is a Hodgkin lymphoma affecting only the right cervical lymph nodes?
True (B symptoms)
B symptoms include unexplained weight loss of more than 10% of body weight in 6 months before diagnosis, night sweats, and unexplained fevers higher than 100.4F.
Spleen
The abdominal para-aortic treatment portal includes what organ(s)?
ALL
The most common leukemia found in children
B - Cell
The most common type of NHL is what?
Chemotherapy
The primary treatment modality for early stage Hodgkin lymphoma is what?
BCR - abl
The specific gene used to identify CML disease is known as what?
Red Blood cells
The spleen is commonly associated with which of the following blood cell types?
T cell lymphocytes
The thymus is commonly associated with which of the following blood cell types?
30 Gy
Today, the standard treatment for early stage Hodgkin lymphoma is combination chemotherapy and irradiation of the involved field to a dose of ____ Gy
True (Inverted Y)
Treatment of the pelvic and paraaortic fields together is referred to as what?
Superior - lower mandible & mastoid tips Inferior - T9 - T10 intervertebral space Lateral - Flash beyond axillary nodes
Typical borders for a mantle field.
Secondary Malignancy
What is the most common long-term side effect of total lymphoid irradiation?
Painless mass
What is the most common presenting symptom of HD?
3,000-4,500 cGy
What is the standard dose delivered for the treatment of NHL?
L4-L5
What landmark is typically used to determine the lower border of the abdominal portion of the inverted-Y field?
T-10
What landmark is typically used to determine the lower border of the mantle field?
