Case Study 4
Jennie Roberts is a 27 year old white female who presents with an enlarged axillary node. She denies having any pain or unusual symptoms. She indicated she has lost some weight in the last few months without being on a diet. A routine chest x-ray noted mediastinal adenopathy. A biopsy revealed Hodgkin’s Disease.
1. What other questions would the physician need answered before starting a treatment plan. Provide rationale.
2. How would the pathologist know this was Hodgkin’s Disease and not non Hodgkin’s Lymphoma?
3. Given the information provided, what stage would be given?
4. What would the treatment of choice be for Jennie?
5. How would pregnancy effect the treatment? You may need to break down the pregnancy into 3 trimesters.
6. What would be the most common histology for this young lady?
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