Work up of Lymphoma case
- Lymphoma cases either Non-Hodgkins or Hodgkin’s need the following work up.
- Clinical Examination:
- Do a careful examination of the lymph node, spleen, liver and etc.
- Blood workup:
- Total leukocytes (TLC).
- Differential leukocyte count (DLC).
- Hemoglobin
- Erythrocyte sedimentation rate (ESR)
- Platelet count.
- Bipedal lymphangiogram.
- This is done for iliac and para-aortic lymph nodes.
- Staging laparotomy:
- Laparoscopy can be done for splenectomy, liver biopsy, abdominal lymph nodes, and bone marrow biopsy.
- Biochemical tests are:
- Needed are Liver function test (LFT) and lactate dehydrogenase (LDH).
- Ultrasonography.
- CT scan and MRI are advised for further work up.
- . Advised liver and spleen scan.
- 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.
- 25% positive in nonpalpable spleen by the pathologist.
- 50% negative in palpable spleen by the pathologist.