Stage II A
|B.||Stage II B|
Stage III A
|D.||Stage III B|
Ans. D Stage III B
According to Ann Arbor Staging, this patient is categorized as Stage IIIB.
In this clinical perspective, lymph node regions on both sides of the diaphragm are involved (cervical and inguinal) and the patient presents with B symptoms (fever, night sweats, and weight loss), hence this patient can be categorized as Stage IIIB.
Ann Arbor Staging of Hodkin’s lymphoma
Involvement of a single lymph node (I) or a single extra-lymphatic organ or site (IE)
Involvement of 2 or more lymph node regions on the same side of the diaphragm (II) or localized involvement of an extra-lymphatic organ or site and 1 or more lymph node regions on the same side of the diaphragm (IIE)
Involvement of lymph node regions on both sides of the diaphragm (III), which may be accompanied by involvement of the spleen (IIIS) or by localized involvement of an extra-lymphatic organ or site (IIIE) or both (IIISE)
- Diffuse or disseminated involvement of 1 or more extra-lymphatic organs or tissues with or without associated lymph node involvement
The absence or incidence of fever >38°C (100.4°F) for 3 consecutive days
Drenching night sweats
Unexplained loss of > 10% of body weight in the 6 months