A 40 year old female with Stage IA Hodgkins Lymphoma Tuesday, August - PowerPoint PPT Presentation

A 40 year old female with Stage IA Hodgkin’s Lymphoma Tuesday, August 8, 2017 Dr Ayasuddin Mohammed Dr Patrick Manshimba

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History of Present Illness • A 40 year old female, seronegaKve • In October 2016, the paKent consulted for a right cervical lymphadenopathy without B symptoms. And an FNA followed by excisional biopsy of a 2.2cm node in March 2017 showed a Hodgkin’s lymphoma, mixed cell type, CD30 and CD15 posiKve;CD20 focally posiKve. • The clinical exam noted a non bulky LAD involving only the right cervical chain. • The CT chest/abdomen/pelvis from October 2016 showed no addiKonal sites of disease.

History of Present Illness • She was iniKated on chemotherapy ABVD regimen fortnightly from October 2016 to March 2017 she completed the fourth cycle; and the paKent was referred to GPH for RT • At G.P.H, a planning CT scan was done and didn’t show any evidence of disease in the neck. RT was postponed in favor of a PET CT recommended • The PET CT from May 2017 showed no residual disease. GPH recommended conKnued surveillance to avoid undue toxicity from RT.

Past medical history • HIV negaKve; • Family history of cancer: breast cancer (grandmother & sister); • No history of TB, HTN or DM; • No known allergies; • Non smoker & does not drink alcohol; • Married and mother of 3. • Teacher; • Lives in Gaborone.

Currently • No symptoms • On examinaKon: - Stable PaKent with Good nutriKonal status - No weight lost - Loco-regional examinaKon: NAD • A/P 40 yo female, seronegaKve, diagnosed with stage IA; favorable Hodgkin lymphoma. Post chemotherapy 4 cycles of ABVD with a negaKve PET CT

Discussion and Questions • Place for RT at this stage? If not: • Does she need 2 more cycles of chemo as she absorbed only 4? • Should she conKnue follow up with repeated CT scan at 6 months?