Deck 28: Lymphoreticular System Tumors

Question 1

5)The abdominal para-aortic treatment portal includes what organ(s)?

A) Kidneys
B) Spleen
C) Pancreas
D) Liver

Answer 1

B
AP/PA radiation to the subdiaphragmatic lymph nodes includes the para-aortic nodes and the spleen (or the splenic pedicle if the spleen had been removed).

Question 2

12)What stage is a Hodgkin lymphoma with extralymphatic extension?

A) Stage I
B) Stage II
C) Stage III
D) Stage IV

Answer 2

D
As defined by the AJCC, stage IV HD is defined as disease with extension to extralymphatic tissues.

Question 3

2)In what general anatomical location is Waldeyer ring located?

A) Mouth
B) Anus
C) Small intestine
D) Axilla

Answer 3

A
Waldeyer ring is a grouping of lymph nodes in the oropharynx (mouth).

Question 4

4)The thymus is commonly associated with which of the following blood cell types?

A) Red blood cells
B) B-cell lymphocytes
C) T-cell lymphocytes
D) Macrophages

Question 5

14)What stage is a Hodgkin lymphoma that involves SCV lymph nodes and the spleen?

A) Stage I
B) Stage II
C) Stage III
D) Stage IV

Question 6

17)Which treatment field for HD includes the inguinal lymph node chain?

A) Mantle
B) Inverted-Y (abdominal portion)
C) Inverted-Y (pelvic portion)
D) All of the above

Question 7

19)Which treatment field for HD includes the cervical lymph node chain?

A) Mantle
B) Inverted-Y (abdominal portion)
C) Inverted-Y (pelvic portion)
D) All of the above

Question 8

3)The spleen is commonly associated with which of the following blood cell types?

A) Red blood cells
B) B-cell lymphocytes
C) T-cell lymphocytes
D) Macrophages

Question 9

8)What landmark is typically used to determine the lower border of the abdominal portion of the inverted-Y field?

A) L1-2
B) L2-3
C) L3-4
D) L4-5

Question 10

6)What is the standard dose delivered for the treatment of NHL?

A) 1600 to 2000 cGy
B) 2600 to 3000 cGy
C) 3000 to 4500 cGy
D) 4600 to 5000 cGy

Question 11

15)What is the most common presenting symptom of HD?

A) Painless mass
B) Headache
C) Persistent cough
D) Dysphagia

Question 12

7)What landmark is typically used to determine the lower border of the mantle field?

A) T10
B) T12
C) Carina
D) Xyphoid

Question 13

9)What stage is a Hodgkin lymphoma affecting only the right cervical lymph nodes?

A) Stage I
B) Stage II
C) Stage III
D) Stage IV

Question 14

18)Which treatment field for HD includes the axillary lymph node chain?

A) Mantle
B) Inverted-Y (abdominal portion)
C) Inverted-Y (pelvic portion)
D) All of the above

Question 15

16)Which of the following chemotherapy regimens is not used to treat HD?
I)CHOP
II)MOPP
III)ABVD

A) I and II
B) I and III
C) II and III
D) I, II, and III

Question 16

1)A mantle field is used to treat which type of cancer?

A) Mycosis fungoides
B) Multiple myeloma
C) Non-Hodgkin lymphoma (NHL)
D) Hodgkin's disease (HD)

Question 17

10)Which stage is a Hodgkin lymphoma affecting two lymph node groups on the same side of the diaphragm?

A) Stage I
B) Stage II
C) Stage III
D) Stage IV

Question 18

13)What is the most common long-term side effect of total lymphoid irradiation?

A) Skin erythema
B) Dysphagia
C) Secondary malignancy
D) Developmental anomalies

Question 19

20)Which treatment field for HD includes the para-aortic lymph node chain?

A) Mantle
B) Inverted-Y (abdominal portion)
C) Inverted-Y (pelvic portion)
D) All of the above

Question 20

11)What stage is a Hodgkin lymphoma affecting the hilar nodes and the periaortic nodes?

A) Stage I
B) Stage II
C) Stage III
D) Stage IV

Question 21

22)Which treatment field for HD includes the iliac lymph node chain?

A) Mantle
B) Inverted-Y (abdominal portion)
C) Inverted-Y (pelvic portion)
D) All of the above

Question 22

28)Which pathologic type of Hodgkin lymphoma is the least common in the United States?

A) Nodular sclerosing
B) Mixed cellularity
C) Lymphocyte depleted
D) Lymphocyte rich

Question 23

30)Which of the following is an acute side effect of radiation to the upper mantle?

A) Diarrhea
B) Pneumonitis
C) Occipital alopecia
D) Radiation carditis

Question 24

24)Which lymph node chain is more likely to be the original site of Hodgkin lymphoma?

A) Pelvic
B) Inguinal
C) Para-aortic
D) Axillary

Question 25

23)Which treatment field for HD includes the mediastinal lymph node chain?

A) Mantle
B) Inverted-Y (abdominal portion)
C) Inverted-Y (pelvic portion)
D) All of the above

Question 26

26)Which of the following organs is most closely associated with the lymphatic system?

A) Heart
B) Spleen
C) Pancreas
D) Liver

Question 27

25)Which lymphoma is most common in young African males?

A) T-cell lymphoma
B) Burkitt lymphoma
C) HD
D) Follicular lymphoma

Question 28

21)Which treatment field for HD includes the retroperitoneal lymph node chain?

A) Mantle
B) Inverted-Y (abdominal portion)
C) Inverted-Y (pelvic portion)
D) All of the above

Question 29

27)Which of the following is not a B symptom?

A) Weight loss
B) Night sweats
C) Fever
D) Diarrhea

Question 30

29)Today, the standard treatment for early stage Hodgkin lymphoma is combination chemotherapy and irradiation of the involved field to a dose of ____ Gy.

A) 30
B) 45
C) 50
D) 60