RT Book, Section A1 Hudson, Melissa M. A1 Trippett, Tanya M. A2 Rudolph, Colin D. A2 Rudolph, Abraham M. A2 Lister, George E. A2 First, Lewis R. A2 Gershon, Anne A. SR Print(0) ID 7042638 T1 Chapter 452. Hodgkin Lymphoma T2 Rudolph's Pediatrics, 22e YR 2011 FD 2011 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-149723-7 LK accesspediatrics.mhmedical.com/content.aspx?aid=7042638 RD 2024/04/23 AB Hodgkin lymphoma is a hematopoietic malignancy with unique epidemiologic features that vary depending on the geographic region of the patient. Genetic and environmental contributions to the pathogenesis of the disease are not completely understood and represent an active area of research. Progression of Hodgkin lymphoma initially occurs along functionally contiguous lymph nodes. If untreated, extranodal involvement eventually results from hematogenous dissemination of neoplastic cells to the liver, lungs, bones, bone marrow, and other tissues. The most common clinical presentation is one of painless lymphadenopathy previously attributed to infectious or inflammatory etiologies. Other signs and symptoms vary based on the involved nodal sites and their compression of adjacent organs and tissues. Cytokine production by malignant cells results in constitutional symptoms including anorexia, pruritus, weight loss, night sweats, and fever in some patients.