Hodgkin Lymphoma The Ann Arbor staging system is used to describe the stages of Hodgkin [lymphoma in adults. The same system can be used for non-Hodgkin lymphoma. ] CANCEROUS LYMPH NODES CANCEROUS LYMPH NODE DIAPHRAGM STAGE 1: STAGE 2: The cancer is located in a lymph node or The cancer is located in two or more lymph node nodes in a single lymph node group. groups on the same side of the diaphragm. CANCER STAGING STAGE 1E: STAGE 2E: The cancer is located in one organ or in one The cancer is located in one or more lymph area outside the lymph nodes (extranodal). node groups on the same side of the diaphragm 2 and in an organ or area outside the lymph nodes. 22 CURE’S ILLUSTRATED GUIDE TO CANCER CANCEROUS LYMPH NODES ABOVE DIAPHRAGM LUNG DIAPHRAGM DIAPHRAGM SPLEEN SPLEEN LIVER CANCEROUS LYMPH NODES BELOW DIAPHRAGM STAGE 3: The cancer is located in one or more lymph node STAGE 4: The cancer has spread outside the groups above and below the diaphragm. lymph nodes to one or more distant organs, such as the liver, lung or bone marrow. STAGE 3E: The cancer is located in lymph node groups above and below the diaphragm and in an organ or area outside the lymph nodes. STAGE 3S: The cancer is located in lymph node groups above and below the diaphragm and in the spleen. STAGE 3S+E: The cancer is located in lymph node groups above and below the diaphragm, in the spleen and in an organ or area outside the lymph nodes. ILLUSTRATION BY LEWIS E. CALVER ORIGINALLY PUBLISHED IN CURE’S ILLUSTRATED GUIDE TO CANCER, 2010 ©CURE Media Group For patient handouts only CANCER STAGING 23.