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Hodgkin Lymphoma, Pediatric

Elizabeth Robbins, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

B lineage malignant lymphoid neoplasm. Typically presents with painless lymphadenopathy, often cervical (70–80%) or supraclavicular (25%). Mediastinal mass present in 50%. Constituti...

DIAGNOSIS

HISTORY

  • Painless lymphadenopathy slowly increasing in size. Lymphadenopathy often present for weeks to months before presentation. Cervical or supraclavicular sites most common.

  • Constitutional...

TREATMENT

MEDICATION

  • Long-term survival in pediatric patients with HL is >90%. Recent treatment strategies have therefore focused on decreasing intensity of therapy to minimize late effects. Chemoth...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Patients are monitored for evidence of disease recurrence and for long-term toxicity from chemotherapy/radiation therapy. Two thirds of recurren...

ADDITIONAL READING

  • Cote GM, Canellos GP. Can low-risk, early-stage patients with Hodgkin lymphoma be spared radiotherapy? Curr Hematol Malig Rep.  2011;6(3):180–186. [View Abstract on OvidInsight...

CODES

ICD9

  • 201.90 Hodgkin’s disease, unspecified type, unspecified site, extranodal and solid organ sites

  • 201.91 Hodgkin’s disease, unspecified type, lymph nodes of head, face, and neck

  • 201.92 Hodgkin’s ...

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