Table 1.

Ann Arbor staging system for Hodgkin lymphoma, including the Cotswolds modifications.

StageDisease Involvement
Single lymph node region (I) or one extralymphatic site(IE
II Two or more lymph node regions, on the same side of the diaphragm (II) or local extralymphatic extension plus one or more lymph node regions on the same (IIE
III Lymph node regions on both sides of the diaphragm (III), which may be accompanied by local extralymphatic extension(IIIE
IV Diffuse involvement of one or more extralymphatic organs or sites 
No B symptoms 
Presence of at least one of: unexplained weight loss >10% baseline during 6 months prior to staging; recurrent unexplained fever > 38°C; recurrent night sweats 
Bulky tumor: either a single mass exceeding 10 cm in largest diameter or a mediastinal mass exceeding one third of the maximum transverse transthoracic diameter measured on a standard posterior-anterior chest radiograph 
StageDisease Involvement
Single lymph node region (I) or one extralymphatic site(IE
II Two or more lymph node regions, on the same side of the diaphragm (II) or local extralymphatic extension plus one or more lymph node regions on the same (IIE
III Lymph node regions on both sides of the diaphragm (III), which may be accompanied by local extralymphatic extension(IIIE
IV Diffuse involvement of one or more extralymphatic organs or sites 
No B symptoms 
Presence of at least one of: unexplained weight loss >10% baseline during 6 months prior to staging; recurrent unexplained fever > 38°C; recurrent night sweats 
Bulky tumor: either a single mass exceeding 10 cm in largest diameter or a mediastinal mass exceeding one third of the maximum transverse transthoracic diameter measured on a standard posterior-anterior chest radiograph 

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