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Tumor Stager >> Hodgkin

Last name
First name
Date of birth (DD/MM/YYYY)
Symptoms
Fever (>38C) yes no
Night sweats (changing of clothes) yes no
Weight loss (>10% BW in 6 Mon) yes no
Bulky disease (Tumor >5 cm) yes no
risk factor(s)
Extranodal disease Solitary
Lung left
Lung right
Skeleton (supradiaphr.)
Pleura
Pericardium
Disseminated
Lung left
Lung right
Skeleton
Pleura
Pericardium
Bone marrow
Liver
Large mediastinal tumor
(>1/3 of thorax diameter in chest X-ray (not CT)
yes no
Erythrocyte sed. rate (ESR) elevated
(>50 mm / 1h if B-symptoms missing, >30 mm / 1h in case of B-symptoms)
yes no

   

Waldeyer throat ring

cervical/supracl. right

cervical/supracl. left

infracl. right

infracl. left

axillary right

axillary left

hilar

mediastinal

Spleen

para-aortal

mesenteric

iliac right

iliac left

inguinal right

inguinal left


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