Lymphoma

Question 1

hodgkins arise from what cells

Answer 1

B-CELLS

Question 2

hodgkins clinical pres

Answer 2

• REED STERNBERG
• giant conn tissue cell containing 1 or 2 large nuclei
• presence determines hodgkins or non-hodg

Question 3

hodgkins staging system

Answer 3

ANN ARBOR

Question 4

waldeyer’s ring (nose/mouth area) is composed of

Answer 4

• cervical
• preauricular
• occipital lymph nodes

Question 5

spleen is the largest?

Answer 5

lymph node

Question 6

hodgkins total nodal irradiation aka

Answer 6

extended field irradiation

Question 7

hodgkins mantle fld blocks what?

Answer 7

• lungs
• humeral heads
• larynx
• cord

Question 8

hodgkins subdiaphragmatic fld includes

Answer 8

• para-aortics

- spleen

Question 9

hodgkins peds periaortic sup field border

Answer 9

T10

Question 10

non-hod xrt sensitivity

Answer 10

sensitive to rad

Question 11

hodgkins xrt dose for cure

Answer 11

40-50 Gy

Question 12

hodgkins most common site

Answer 12

NECK & SLCV

Question 13

hodgkins 1/3 present with ?

Answer 13

“B” symptoms

-enlarged spleen, abd, bony tenderness, pleural effusion

Question 14

“B” symptoms are ?

Answer 14

• enlarged spleen
• abdominal & bony tenderness
• pleural effusion

Question 15

hodgkins xrt fields treated

Answer 15

• ap/pa mantle fld
• ap/pa para-aortic
• tx of pelvis, retroperitoneal, inguinals

Question 16

hodgkins xrt dose

Answer 16

• 35-40Gy w/o chemo

- 20-25 Gy w/chemo

Question 17

hodgkins mantle ant field superior border

Answer 17

inf mandible

Question 18

hodgkins mantle ant field inferior border

Answer 18

insertion diaphragm

Question 19

hodgkins mantle ant field lateral border

Answer 19

axillary nodes

Question 20

hodgkins mantle post field superior border

Answer 20

occipital nodes

Question 21

hodgkins mantle post field inferior border

Answer 21

diaphragm (T9-10)

Question 22

hodgkins mantle post field lateral border

Answer 22

axillary nodes

Question 23

hodgkins mantle field CAX located

Answer 23

suprasternal notch

Question 24

hodgkins subdiaphragmatic field inf border

Answer 24

L4-5 or bifurcation of aorta

Question 25

hodgkins subdiaphragmatic field blocks what

Answer 25

- liver - kidneys - pelvic bone - reproductive organs

Question 26

hodgkins peds xrt dose

Answer 26

- low doses: 36-44 Gy gross disease or 30-36 Gy microscopic - small vol - RAD= TX OF CHOICE

Question 27

hodgkins peds periaortic field inf border

Answer 27

L4/5

Question 28

hodgkins peds periaortic field lat border

Answer 28

9-10 cm wide

Question 29

hodgkins peds pelvis field sup border

Answer 29

L5

Question 30

hodgkins peds pelvis field inf border

Answer 30

2cm below ischial tuberosities

Question 31

hodgkins peds pelvis field lat border

Answer 31

2cm beyond pelvic inlet

Question 32

non-hod xrt prognosis

Answer 32

only small portion obtain cure b/c of high prob of spread

Question 33

non-hod xrt stage I/II low grade dose

Answer 33

35-45 Gy

Question 34

non-hod xrt intermed stage regimen

Answer 34

chop followed by 30-35 Gy

Question 35

non-hod xrt follicular & mantle dose

Answer 35

30-36 Gy boost 36-40 Gy

Question 36

non-hod xrt TBI dose

Answer 36

palliation in advanced nodular lymphcytic lymphoma= 1.5 Gy for 5 wks