Assessment

HISTORY. Many patients present with asymptomatic peripheral adenopathy. Because there are numerous causes for enlarged lymph nodes, it is important to elicit information about recent infections, allergic reactions, and other events. In Hodgkin's, the nodes tend to be cervical, supraclavicular, and mediastinal. About 40% of patients report fever, night sweats, and recent weight loss, collectively called B symptoms. Less commonly, they may report pruritus during any stage (Table 2). Because the B symptoms are necessary for staging, it is important to elicit that information in the history.

• TABLE 2 Staging for Hodgkin's Lymphoma
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