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Medicine General c01b53ef

A man with a mass at duodenojejunal flexor invading renal papillae. Histopathology revealed it as lymphoma which of the following is true:

A
II E stage
B
I E Stage
C
IV E stage
D
Staging cannot be done until bone marrow examination is performed
High-Yield Explanation
The stages of gastrointestinal lymphomas are staged using a modified Ann Arbor classification: IE: Tumor confined to small intestine HE: Spread to regional lymph nodes HIE: Spread to non resectable nodes beyond regional nodes IVE: Spread to other organs In this patient the mass has invaded the renal papillae (spread to other organs) hence it is under stage IV E. Ref: Gastrointestinal Lymphoma: Future Perspectives By Wolfgang Fishbach, Page 75 ; Grading and Staging in Gastroenterology By G. Tytgat, Stefaan Tytgat, Pages 64-65

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