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Case #5

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70-year-old HIV-negative male with gradual swelling in left neck. Saw MD when his wife complained about how bad it looked.

Expand Physical Exam

03/01/XX

Several matted cervical nodes. No other nodes or masses.

Expand Imaging

03/01/XX

CXR: Unsatisfactory due to patient movement.

03/05/XX

CT Chest: Lobular right superior mediastinal masses consistent with clinical diagnosis of Hodgkin lymphoma in paratracheal nodes; lungs clear
Bone scan: Negative
Liver scan: WNL

Expand Endoscopy

Not done

Expand Operation

04/01/XX

Staging laparotomy and splenectomy: no visible tumor in liver, spleen, or abdominal lymph nodes.

Expand Pathology

03/08/XX

L cervical node biopsy: Hodgkin lymphoma, mixed cellularity

04/01/XX

Liver biopsy: negative

03/08/XX

Bone marrow biopsy: negative

04/01/XX

Spleen: Hodgkin lymphoma, mixed cellularity

Expand Treatment

04/15/XX

Chemotherapy: Began ABVD regimen (doxorubicin, bleomycin, vinblastine, dacarbazine)

Hormone : Began Decadron as part of chemotherapy regimen