11/11/2025
๐งฌ ๐๐ผ๐ฑ๐ด๐ธ๐ถ๐ป ๐๐๐บ๐ฝ๐ต๐ผ๐บ๐ฎ โ ๐๐ถ๐ด๐ต-๐ฌ๐ถ๐ฒ๐น๐ฑ ๐ฆ๐๐บ๐บ๐ฎ๐ฟ๐
๐ ๐ข๐๐ฒ๐ฟ๐๐ถ๐ฒ๐
๐งซ Hodgkin Lymphoma (HL) = B-cell malignancy with classic ReedโSternberg cells (bilobed โowl-eyeโ nuclei)
๐งฉ Starts in one lymph node group โ spreads contiguously (orderly)
๐ฉโ๏ธ Bimodal age โ young adults & >55 yrs
๐ง ๐ฃ๐ฎ๐๐ต๐ผ๐ฝ๐ต๐๐๐ถ๐ผ๐น๐ผ๐ด๐
๐งฌ ReedโSternberg cells release cytokines โ attract eosinophils, plasma cells, lymphocytes
๐ก๏ธ Cause B symptoms โ fever, night sweats, weight loss
๐ฌ ๐ฆ๐๐ฏ๐๐๐ฝ๐ฒ๐
๐ธ Nodular Sclerosis โ most common, young females, collagen bands + lacunar cells
๐ฆ Mixed Cellularity โ linked with EBV
๐ Lymphocyte-Rich โ best prognosis
โ ๏ธ Lymphocyte-Depleted โ worst prognosis, HIV-associated
๐ ๐๐ถ๐ฎ๐ด๐ป๐ผ๐๐ถ๐
๐งซ ReedโSternberg cells โ CD15โบ, CD30โบ
๐ โ ESR & LDH
๐ฌ Lymph node biopsy โ confirms diagnosis
โ๏ธ ๐๐น๐ถ๐ป๐ถ๐ฐ๐ฎ๐น ๐๐ฒ๐ฎ๐๐๐ฟ๐ฒ๐
๐ฆด Painless lymphadenopathy (cervical or mediastinal)
๐ก๏ธ B symptoms โ fever, drenching sweats, weight loss
๐ฃ Pruritus, fatigue
๐ท Alcohol-induced pain at nodes
๐ซ Mediastinal mass (esp. nodular sclerosis)
๐ ๐ง๐ฟ๐ฒ๐ฎ๐๐บ๐ฒ๐ป๐
๐ ABVD regimen โ Adriamycin, Bleomycin, Vinblastine, Dacarbazine
โข๏ธ Radiation therapy for localized stages
๐ฏ Excellent cure rate โ especially early detection
๐งฉ ๐๐ฒ๐ ๐๐ฎ๐ฐ๐๐
๐ฆ ReedโSternberg = diagnostic hallmark
๐งฌ CD15โบ / CD30โบ markers
๐งญ Orderly spread (unlike Non-Hodgkin Lymphoma)
๐ฆ EBV linked (esp. mixed cellularity)
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