A man presents with mass at duodenojejunal flexurs invading renal papillae. Histopathology repos it as lymphoma; true statement is:: (A) II E stage, (B) III E Stage, (C) IV E stage, (D) Staging cannot be done until bone marrow examination is performed
Answer is C. Involvement of another organ (kidney) by GI lymphoma of duodenojejunal flexure classifies it as a stage IV lymphomaGI lymphomas are staged using a modified Ann Arbor classification:IE: tumor confined to small intestineIIE: spread to regional lymph nodesIIIE: spread to non-resectable nodes beyond regional nodesIVE: spread to other organs(ref: Meningot 10/e p1181)