| Hodgkin's disease may respond well to therapy. Thus, it is important to determine the stage of the disease and the histologic type of HD in order to provide the most appropriate therapy. |
| Hodgkin's Disease - Classification | |||
|---|---|---|---|
| Type | Histologic Features | Frequency | Prognosis |
| Nodular sclerosis | Bands of fibrosis, lacunar cells | Most frequent type, more common in women | Good, most are stage I or II |
| Mixed cellularity | Composed of many different cells | Most frequent in older persons, second most frequent overall | Fair, most are stage III |
| Lymphocyte predominance | Mostly B-cells and few Reed-Sternberg variant cells | Uncommon | Good, most are stage I or II |
| Lymphocyte depletion | Many Reed-Sternberg cells and variants | Uncommon | Poor, most are stage III or IV |
| Hodgkin's Disease - Staging | |
|---|---|
| Stage | Characteristics |
| I | Only a single lymph node site or extranodal site is involved |
| II | Two or more lymph node sites on one side of the diaphragm are involved, or limited contiguous extranodal site involvement |
| III | Lymph node sites on both sides of the diaphragm are involved, with splenic or limited contiguous extradodal site involvement, or both |
| IV | Extensive involvement of extranodal sites, with or without lymph node involvement |
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