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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.
| Physical Exam | 03/01/XX |
Several matted cervical nodes. No other nodes or masses. |
| 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 |
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| Endoscopy |
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Not done |
| Operation | 04/01/XX |
Staging laparotomy and splenectomy: no visible tumor in liver, spleen, or abdominal lymph nodes. |
| 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 | |
| Treatment | 04/15/XX |
Chemotherapy: Began ABVD regimen (doxorubicin, bleomycin, vinblastine, dacarbazine) |
| 04/15/XX | Hormone : Began Decadron as part of chemotherapy regimen | |
