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Toronto childhood cancer staging criteria for hodgkin lymphoma
Toronto Childhood Cancer Staging criteria for Hodgkin lymphoma
TIER 1
Stage I
Involvement of a single lymph node region
or
Involvement of a single extra-lymphatic organ or site, without lymph node involvement.
Stage II
Involvement of two or more lymph node regions on the SAME side (either above or below) of the diaphragm
or
Localized involvement of a single extralymphatic organ or site in association with regional lymph node involvement (i.e. local extension from a lymph node area into a nearby organ), with or without involvement of other lymph node regions on the SAME side (either above or below) of the diaphragm.
Stage III
Involvement of lymph node regions on BOTH sides (above and below) of the diaphragm
extra-lymphatic extension in association with adjacent lymph node involvement (i.e. local extension from a lymph node area into a nearby organ) and/or
involvement of spleen.
Stage IV
Diffuse or disseminated involvement of one or more extra-lymphatic organs with or without associated lymph node involvement
or
Isolated extra-lymphatic organ involvement in the absence of adjacent regional lymph node involvement, but in conjunction with disease in distant site(s).
or
Any involvement of liver, bone marrow, lungs (except by direct extension from another site) or CSF.
TIER 2
Stage I
Involvement of a single lymph node region
or
Involvement of a single extra-lymphatic organ or site, without lymph node involvement.
Stage II
Involvement of two or more lymph node regions on the SAME side (either above or below) of the diaphragm
or
Localized involvement of a single extralymphatic organ or site with associated regional lymph node involvement (i.e. local extension from a lymph node area into a nearby organ), with or without involvement of other contiguous lymph node regions on the SAME side (either above or below) of the diaphragm.
Stage III
Involvement of lymph node regions on OPPOSITE sides (above and below) of the diaphragm
extra-lymphatic extension in association with adjacent lymph node involvement (i.e. local extension from a lymph node area into a nearby organ) and/or
involvement of spleen.
Stage IV
Diffuse or disseminated (multifocal) involvement of one or more extralymphatic organs with or without associated lymph node involvement
or
Isolated (non-contiguous) extra-lymphatic organ involvement in the absence of adjacent regional lymph node involvement, but in conjunction with disease in distant site(s).
or
Any involvement of liver, bone marrow, lungs (except by direct extension from another site) or CSF.
Result :
Diagnostic criteria
not met
.
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Disease A-Z
Health Topics
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