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Lymphosarcoma

Lymphoma is a general term for a variety of cancer that begins in the lymphatic system. In technical terms, lymphoma denotes malignancies of lymphocytes or, more rarely, of histiocytes. Collectively, these cell types form the reticuloendothelial system and circulate in the vessels of the lymphatic system. Just as there are many types of lymphocytes, so there are many types of lymphoma.

Traditionally, Lymphoma is classified as Hodgkin's lymphoma, discovered by Thomas Hodgkin in 1832, and non-Hodgkin's lymphoma (all other types of lymphoma). Modern classifications of lymphoma have moved away from this artificial division.

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Pride before a fall
From British Medical Journal, 6/19/99 by Desmond Farley

As a newly qualified doctor and with a first job as casualty officer I saw a boy of 14 with a tender swelling in his left groin. I diagnosed an inflamed lymph node and asked him if he had a sore wound or spot on his leg or foot. He said yes, on his knee. This seemed to be a good teaching point, and, flushed with the success of my apparent clinical acumen, I sent for the two student dressers. On examining the patient, one suggested a femoral hernia; the other wondered about a lymphosarcoma. I said I thought that it was simply an infected lymph node and asked them what questions they should put. There was no immediate response so I said that they should ask the boy if he had any sore spots or cuts on his leg. Anticipating gasps of appreciation I proceeded to roll up the patient's left trouser leg. Alas, as I began this manoeuvre the boy said, "The spot's on the other leg, Doctor." This was my first clinical "shock" and proved a salutary lesson that cured me of over confidence for life.

Desmond Farley, retired consultant surgeon, Winchester

COPYRIGHT 1999 British Medical Association
COPYRIGHT 2000 Gale Group

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