Work-up of Lymphoma case

1. Blood work up includes:

• Total leucocytes (TLC).

• Differential leucocyte count (DLC).

• Hemoglobin

• Erythrocyte sedimentation rate (ESR)

• Platelet count.

2 Bipedal lymphangiogram. This is done for iliac and para aortic lymph nodes.

3. Staging laparotomy : Laparoscopy can be done for  splenectomy, liver biopsy, abdominal lymph nodes and bone marrow biopsy.

4.Clinical Examination : Do careful examination of lymph node, spleen, liver and etc.

5. Biochemical tests are needed are Liver function test (LFT) and lactate dehydrogenase (LDH).

6. Ultrasonography , CT scan and MRI are advised for further work up.

7. Advised liver and spleen scan.

Spleen 

25% positive in nonpalpable spleen by the pathologist.

50% negative in palpable spleen by the pathologist.

Bone Marrow

9 to 29% may show in the form of aggregates or diffuse infiltrate.