Table 2.

Required staging tests for Hodgkin lymphoma.

  1. Pathology review

  2. Complete history searching for B symptoms or other symptomatic problems suggesting more advanced disease

  3. Physical examination for lymphadenopathy or organomegaly

  4. Complete blood count plus erythrocyte sedimentation rate (ESR)

  5. Serum creatinine, alkaline phosphatase, lactate dehydrogenase, bilirubin, calcium, AST, serum protein electrophoresis (including albumin level)

  6. Chest radiograph, posterior-anterior and lateral views

  7. CT scan of the neck, thorax, abdomen and pelvis

  8. Tests that are only required for specific Hodgkin lymphoma presentations:

 

  1. Pathology review

  2. Complete history searching for B symptoms or other symptomatic problems suggesting more advanced disease

  3. Physical examination for lymphadenopathy or organomegaly

  4. Complete blood count plus erythrocyte sedimentation rate (ESR)

  5. Serum creatinine, alkaline phosphatase, lactate dehydrogenase, bilirubin, calcium, AST, serum protein electrophoresis (including albumin level)

  6. Chest radiograph, posterior-anterior and lateral views

  7. CT scan of the neck, thorax, abdomen and pelvis

  8. Tests that are only required for specific Hodgkin lymphoma presentations:

 
TestPresentation/Condition
Abbreviations: ENT, ear, nose and throat 
Bone marrow biopsy and aspiration B symptoms or WBC < 4.0 x 109/L or Hgb < 120 g/L (women), 130 g/L (men) or Platelets < 125 x 109/L 
ENT examination Stage IA or IIA disease with upper cervical lymph node involvement (supra-hyoid) 
TestPresentation/Condition
Abbreviations: ENT, ear, nose and throat 
Bone marrow biopsy and aspiration B symptoms or WBC < 4.0 x 109/L or Hgb < 120 g/L (women), 130 g/L (men) or Platelets < 125 x 109/L 
ENT examination Stage IA or IIA disease with upper cervical lymph node involvement (supra-hyoid) 
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