NCI Dictionary of Cancer Terms
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stage IV childhood Hodgkin lymphoma (...HOJ-kin lim-FOH-muh)
Cancer is found (1) outside the lymph nodes throughout one or more organs, and may be in lymph nodes near those organs; or (2) outside the lymph nodes in one organ and has spread to areas far away from that organ; or (3) in the lung, liver, bone marrow, or cerebrospinal fluid (CSF). The cancer has not spread to the lung, liver, bone marrow, or CSF from nearby areas.