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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.
Several matted cervical nodes. No other nodes or masses.
CXR: Unsatisfactory due to patient movement.
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
Staging laparotomy and splenectomy: no visible tumor in liver, spleen, or abdominal lymph nodes.
L cervical node biopsy: Hodgkin lymphoma, mixed cellularity
Liver biopsy: negative
Bone marrow biopsy: negative
Spleen: Hodgkin lymphoma, mixed cellularity
Chemotherapy: Began ABVD regimen (doxorubicin, bleomycin, vinblastine, dacarbazine)
Hormone : Began Decadron as part of chemotherapy regimen