Hematology/Oncology Lymph Node Seminar for Medical II Students

Slides 5D-E Enlarged Cervical Lymph Node

This is a 24-year-old female with an enlarged left cervical lymph node. She was otherwise healthy and asymptomatic. Physical exam was remarkable only for an enlarged, left cervical lymph node measuring approximately 5 cm in diameter. 

Chest X-ray revealed an anterior mediastinal mass. Abdominal CT scan, lymphangiogram, and a bone marrow biopsy were all normal.

Discussion:

1. Describe the architectural changes in this lymph node and compare these to those in the previous slide.
2. What is your diagnosis? Can you subclassify this disease?
3. A staging laparotomy was performed. The liver biopsies, spleen and abdominal lymph nodes were free of tumor. What stage is this patient's disease? 
4. How could a staging laparotomy influence the type of therapy this patient should receive?

Slides D & E

Slide D This is a 24-year-old female with an enlarged left cervical lymph node. She was otherwise healthy and asymptomatic. Physical exam was remarkable only for an enlarged, left cervical lymph node measuring approximately 5 cm in diameter. Chest X-ray revealed an anterior mediastinal mass. Abdominal CT scan, lymphangiogram, and a bone marrow biopsy were all normal.
Slide E Same as above.

Digital Legends for Labs
Slides 1a-c | Slides 1d-f | Slides 2a-d | Slides 3a-c | Slides 3d-f | Slides 4a-c | Slides 5a-c 
Slides 5d-e | Slides 6a-b | Slides 7a-b

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Medical II

Updated October 1, 2007