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Related Experiment Videos

Non-Hodgkin's lymphoma--clinicopathological pattern.

M Ahmad1, A H Khan, A Mansoor

  • 1Armed Forces Institute of Pathology (AFIP), Rawalpindi.

JPMA. the Journal of the Pakistan Medical Association
|September 1, 1992
PubMed
Summary

This study details non-Hodgkin's lymphoma (NHL) in 495 adult cases, finding it more common than Hodgkin's disease. Key features included lymphadenopathy, fever, weight loss, and anemia, with a significant proportion of extra-nodal cases.

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Area of Science:

  • Oncology
  • Pathology
  • Hematology

Background:

  • Non-Hodgkin's lymphoma (NHL) is a diverse group of lymphoid malignancies.
  • Understanding the epidemiological and clinical characteristics of NHL is crucial for diagnosis and treatment.

Purpose of the Study:

  • To describe the histopathological and clinical features of non-Hodgkin's lymphoma in a large cohort of adult patients.
  • To analyze the relative frequency, presenting symptoms, and subtypes of NHL in Pakistan.

Main Methods:

  • Retrospective analysis of 495 consecutive non-Hodgkin's lymphoma cases diagnosed between 1984 and 1989.
  • Utilized a new working formulation for morphological characterization.
  • Excluded patients under 15 years of age.

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Main Results:

  • Non-Hodgkin's lymphoma accounted for 4.29% of the material and was more frequent than Hodgkin's disease (2.44:1 ratio).
  • Common presenting features included lymphadenopathy (78.78%), fever (33.08%), weight loss (31.62%), and anemia (30.14%).
  • Follicular lymphoma comprised 8.08% of cases, predominantly in older adults, while diffuse lymphoma occurred across all age groups. Intermediate and high-grade lymphomas constituted 73.54% of NHL. Extra-nodal lymphoma was observed in 21.22% of cases, with the gastrointestinal tract being the most common site.

Conclusions:

  • This study highlights distinct epidemiological and clinical patterns of non-Hodgkin's lymphoma in Pakistan.
  • The findings emphasize the importance of histopathological classification and clinical presentation in managing NHL.