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1582  Part XI:  Malignant Lymphoid Diseases            Chapter 95:  General Considerations for Lymphomas             1583




                  BONE                                                    15.  Kostakoglu L, Cheson BD: Current role of FDG PET/CT in lymphoma. Eur J Nucl Med
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                  are usually lytic when imaged. 226,228  When the skull is involved the lym-    17.  Cheson BD, Fisher RI, Barrington SF, et al: Recommendations for initial evaluation,
                  phoma may invade the central nervous system.  Most patients exhibit-  staging, and response assessment of Hodgkin and Non-Hodgkin lymphoma: The Lug-
                                                   227
                  ing skeletal involvement are due to aggressive lymphomas, particularly   ano classification. J Clin Oncol 32:3059–3068, 2014.
                  DLBCL. Management generally involves R-CHOP chemotherapy with     18.  Siegel R, Ma J, Zou Z, et al: Cancer statistics, 2014. CA Cancer J Clin 64:9–29, 2014.
                  consolidative radiotherapy. 226                         19.  Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov)
                                                                           Research Data (1973–2011), National Cancer Institute, DCCPS, Surveillance Research
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                  BREAST                                                  20.  Skrabek P, Turner D, Seftel M: Epidemiology of non-Hodgkin lymphoma.  Transfus
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                  often mimics carcinoma of the breast. A small proportion of cases     21.  Alexander DD, Mink PJ, Adami HO, et al: The non-Hodgkin lymphomas: A review of
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                  may be bilateral. The pathologic diagnosis is DLBCL in approximately       22.  Chiu BC, Weisenburger DD: An update of the epidemiology of non-Hodgkin’s
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                                 230
                  tumor cells. Small lymphocytic lymphoma, follicular lymphoma, and     23.  Hardell L, Eriksson M: Is the decline of the increasing incidence of non-Hodgkin
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                  marginal zone lymphoma of mucosa-associated lymphoid tissue may     Environ Health Perspect 111:1704–1706, 2003.
                  also be the histopathologic diagnosis. 231,232  Staging may uncover either     24.  Moslehi R, Devesa SS, Schairer C, et al: Rapidly increasing incidence of ocular non-
                  nodal involvement, marrow involvement or other extranodal sites with   Hodgkin lymphoma. J Natl Cancer Inst 98:936–939, 2006.
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                  of primary breast lymphoma relapse in the central nervous system. 230,232    26.  Karunanayake CP, McDuffie HH, Dosman JA, et al: Occupational exposures and non-
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                  ENDOCRINE GLANDS                                        27.  Schenk M, Purdue MP, Colt JS, et al: Occupation/industry and risk of non-Hodgkin’s
                                                                           lymphoma in the United States. Occup Environ Med 66:23–31, 2009.
                  Primary adrenal lymphoma usually present bilaterally and thus may     28.  Blair A: Occupational exposures and non-Hodgkin lymphoma: Where do we stand?
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                  lead to adrenal insufficiency. In the latter case, the presenting symptoms     29.  Lu Y, Sullivan-Halley J, Cozen W, et al: Family history of haematopoietic malignan-
                  may be fatigue, asthenia, and other signs of hypoadrenocorticism. 233–236     cies and non-Hodgkin’s lymphoma risk in the California Teachers Study. Br J Cancer
                  Primary thyroid lymphoma often occurs in a gland afflicted by Hashimoto     100:524–526, 2009.
                  thyroiditis. Thus, it occurs more frequently in women than men. The     30.  McDuffie HH, Pahwa P, Karunanayake CP, et al: Clustering of cancer among families
                                                                           of cases with Hodgkin lymphoma (HL), multiple myeloma (MM), non-Hodgkin’s lym-
                  patient may present with an enlarged thyroid (goiter) or have symp-  phoma (NHL), soft tissue sarcoma (STS) and control subjects. BMC Cancer 9:70, 2009.
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                  be DLBCL or marginal zone B-cell MALT lymphoma. Primary pituitary     32.  Hehn ST, Grogan TM, Miller TP: Utility of fine-needle aspiration as a diagnostic tech-
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          Kaushansky_chapter 95_p1569-1586.indd   1583                                                                  9/21/15   12:17 PM
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