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Intermediate-risk disease (formerly Stage I/II): characterized by lymphocytosis, swollen lymph nodes (may be palpable or not), spleen enlargement, and/or liver enlargement High-risk disease (formerly Stage III/IV) : characterized by lymphocytosis with associated anemia (hemoglobin <11 g/dL) OR thrombocytopenia (<100,000/mm 3 ) with or without ...
However, inguinal lymph nodes of up to 15 mm and cervical lymph nodes of up to 20 mm are generally normal in children up to age 8–12. [ 38 ] Lymphadenopathy of more than 1.5–2 cm increases the risk of cancer or granulomatous disease as the cause rather than only inflammation or infection .
[3] [13] [14] Diagnosis, if enlarged lymph nodes are present, is usually by lymph node biopsy. [1] [2] Blood, urine, and bone marrow testing may also be useful in the diagnosis. [2] Medical imaging may then be done to determine if and where the cancer has spread. [1] [2] Lymphoma most often spreads to the lungs, liver, and brain. [1] [2]
Lymphadenopathy: The most common symptom of Hodgkin is the painless enlargement of one or more lymph nodes. [14] The nodes may also feel rubbery and swollen when examined. The nodes of the neck, armpits and groin (cervical and supraclavicular) are most frequently involved (80–90% of the time, on average). [14]
Secondary lymphedema affects both men and women, and, in Western countries, is most commonly due to cancer treatment. [14] In women, it is most prevalent in an upper limb after breast cancer surgery, especially axillary lymph node dissection, [ 15 ] and occurs on the same side of the body as the surgery.
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Patients normally present with painless, swollen lymph nodes, often in the neck, armpit, or groin. [1] Some have swollen lymph nodes inside their body, such as in the chest or abdomen, which can go undetected until they become very large and cause symptoms like cough or abdominal pain.