Table 1

Cotswold-modified Ann Arbor classification

Involvement/features
Stage  
    I Single lymph node region (I) or one extralymphatic site (IE) 
    II Two or more lymph node regions, same side of the diaphragm (II) or local extralymphatic extension plus one or more lymph node regions same side of the diaphragm (IIE) 
    III Lymph node regions on both sides of the diaphragm (III), which may be accompanied by local extralymphatic extension (IIIE) 
    IV Diffuse involvement of one or more extralymphatic organs or sites 
Suffix  
    A No B symptoms 
    B Presence of at least one of the following: unexplained weight loss >10% baseline during 6 months before staging; recurrent unexplained fever >38°C; recurrent night sweats 
    X Bulky tumor is defined as either a single mass of tumor tissue exceeding 10 cm in largest diameter or a mediastinal mass exceeding one-third of the maximum transverse transthoracic diameter measured on a standard posterior-anterior chest radiograph 
Involvement/features
Stage  
    I Single lymph node region (I) or one extralymphatic site (IE) 
    II Two or more lymph node regions, same side of the diaphragm (II) or local extralymphatic extension plus one or more lymph node regions same side of the diaphragm (IIE) 
    III Lymph node regions on both sides of the diaphragm (III), which may be accompanied by local extralymphatic extension (IIIE) 
    IV Diffuse involvement of one or more extralymphatic organs or sites 
Suffix  
    A No B symptoms 
    B Presence of at least one of the following: unexplained weight loss >10% baseline during 6 months before staging; recurrent unexplained fever >38°C; recurrent night sweats 
    X Bulky tumor is defined as either a single mass of tumor tissue exceeding 10 cm in largest diameter or a mediastinal mass exceeding one-third of the maximum transverse transthoracic diameter measured on a standard posterior-anterior chest radiograph 

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