VSCO.NET

Last name

First name

Date of birth (DD/MM/YYYY)

Symptoms

Fever (>38°C)

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

Tumor Stager >> Hodgkin