Hom / lymphoma / neeg mob / menyuam-nhl-kho-pdq
Txheej txheem
- 1 Thaum Menyuam Tsis Kho Hodgkin Lymphoma Kev Kho Mob (®) atPatient Version
- 1.1 Cov Lus Qhia Txog Dav Txog Cov Me Nyuam Tsis-Hodgkin Lymphoma
- 1.2 .2 Theem Cov Menyuam Tsis Tau Hodgkin Lymphoma
- 1.3 Hauv Lub Neej Me Nyuam Tsis Muaj-Hodgkin Lymphoma
- 1.4 Nkauj Txoj Kev Kho Mob Cov Tswv Yim
- 1.5 Cov Kev Xaiv Kho rau Menyuam Yaus Tsis-Hodgkin Lymphoma
- 1.6 Cov kev kho rau kab mob HIV-txuam nrog Hodgkin lymphoma
- 1.7 Txhawm Rau Kawm Ntau Txog Thaum Menyuam Yaus Tsis Hodgkin Lymphoma
Thaum Menyuam Tsis Kho Hodgkin Lymphoma Kev Kho Mob (®) atPatient Version
Cov Lus Qhia Txog Dav Txog Cov Me Nyuam Tsis-Hodgkin Lymphoma
QHOV TSEEM CEEB
- Menyuam thaum yau tsis yog Hodgkin lymphoma yog ib yam kab mob uas mob hlwb (qog nqaij hlav cancer) ua mob rau cov qog ua ntshav.
- Qhov tseem ceeb ntawm cov qog ntshav yog Hodgkin lymphoma thiab tsis-Hodgkin lymphoma.
- Muaj peb qho loj ntawm cov menyuam yaus thaum tsis-Hodgkin lymphoma.
- Lub cev B-cell tsis-Hodgkin lymphoma
- Lymphoblastic cov lymphoma
- Anaplastic cov cell loj lymphoma
- Qee hom tsis mob Hodgkin lymphoma tsis tshua muaj rau cov menyuam yaus.
- Kev kho yav dhau los rau mob qog noj ntshav thiab muaj lub cev tsis muaj zog tiv thaiv kab mob cuam tshuam rau kev pheej hmoo ntawm kev muaj menyuam yaus tsis-Hodgkin lymphoma.
- Cov cim qhia ntawm cov menyuam yaus tsis-Hodgkin lymphoma suav nrog teeb meem ua pa thiab cov qog ntshav.
- Kev ntsuam xyuas uas kuaj xyuas lub cev thiab cov qog ntshav yog siv los kuaj (tshawb pom) thiab kuaj mob thaum tsis-Hodgkin lymphoma.
- Siv ib qho kev kuaj ntshav mus kuaj thaum kuaj pom tus me nyuam tsis-Hodgkin lymphoma.
- Qee yam cuam tshuam txog kev raug (mob rov qab) thiab txoj kev kho.
Menyuam thaum yau tsis yog Hodgkin lymphoma yog ib yam kab mob uas mob hlwb (qog nqaij hlav cancer) ua mob rau cov qog ua ntshav.
Thaum yau tsis Hodgkin lymphoma yog hom mob cancer uas ua rau cov qog ntshav, uas yog ib feem ntawm lub cev tiv thaiv kab mob. Nws pab tiv thaiv lub cev los ntawm kev kis kab mob thiab kab mob.
Lymph lub cev yog ua los ntawm cov hauv qab no:
- Lymph: Tsis muaj kob, kua dej uas ntws los ntawm cov qog hlab thiab coj T thiab B lymphocytes. Lymphocytes yog ib hom qe ntshav dawb.
- Lymph hlab ntsha (hlab ntsws): Lub network ntawm txoj hlab nyias nyias uas sau cov qog ntawm ntau qhov ntawm lub cev thiab xa rov qab rau cov ntshav.
- Cov qog ntshav: Lub cev me, taum pauv uas lim cov qog thiab khaws cov qe ntshav dawb uas pab tawm tsam kev kis mob thiab kab mob. Cov qog tau nyob raws cov kab ke sib txuas ntawm cov qog ntshav thoob plaws lub cev. Cov pab pawg ntawm cov qog ntshav tau pom nyob hauv caj dab, underarm, mediastinum, plab, pelvis, thiab puab tais.
- Spleen: Ib qho khoom hauv nruab nrog uas ua cov lymphocytes, khaws cov qe ntshav liab thiab lymphocytes, lim ntshav, thiab rhuav cov qe ntshav qub. Tus po yog pob nyob rau sab laug ntawm lub plab ze rau lub plab.
- Thymus: Ib qho khoom hauv lub cev uas T lymphocytes paub tab thiab hlav ntau. Tus qa yog hauv siab hauv qab lub mis.
- Tonsils: Ob qhov loj me ntawm cov qog ntshav ntawm sab caj pas. Muaj ib tonsil ntawm ib sab ntawm caj pas.
- Hlwb Pob Txha: Cov nqaij mos thiab pob txha mos nyob hauv qhov chaw ntawm qee cov pob txha, xws li pob txha pob txha thiab txhaws. Cov qe ntshav dawb, qe ntshav liab thiab cov qe ntshav ua rau cov hlwb pob txha.

Tsis-Hodgkin lymphoma tuaj yeem pib hauv B lymphocytes, T lymphocytes, lossis lub hlwb tua neeg. Lymphocytes tseem tuaj yeem pom hauv cov ntshav thiab sau cov qog ntshav, qog ntshav, thiab thymus.
Cov qog ua kua kuj tseem pom nyob hauv lwm qhov chaw ntawm lub cev xws li lub plab, lub qog caj pas, lub hlwb thiab daim tawv.
Kev tsis mob Hodgkin lymphoma tuaj yeem tshwm sim hauv cov neeg laus thiab menyuam yaus. Kev kho mob rau menyuam yaus txawv dua li kev kho rau cov neeg laus. Saib cov lus qhia hauv hauv qab no rau cov ntaub ntawv hais txog kev kho mob tsis mob Hodgkin lymphoma hauv cov neeg laus:
- Cov Neeg Laus Tsis-Hodgkin Lymphoma
- Kev Kho Tus Mob CNS Qeb Qeb Thawj
- Mycosis Fungoides (Xws li Sezary Syndrome) Kev Kho Mob
Qhov tseem ceeb ntawm cov qog ntshav yog Hodgkin lymphoma thiab tsis-Hodgkin lymphoma.
Lymphomas tau muab faib ua ob hom dav dav: Hodgkin lymphoma thiab tsis-Hodgkin lymphoma. Cov ntsiab lus no yog hais txog kev kho mob thaum yau tsis-Hodgkin lymphoma. Saib cov ntsiab lus ntawm Cov Menyuam Yaus Hodgkin Lymphoma Kev Kho Mob rau cov ntaub ntawv hais txog menyuam yaus Hodgkin lymphoma.
Muaj peb qho loj ntawm cov menyuam yaus thaum tsis-Hodgkin lymphoma.
Hom qog ua txiav txim siab los ntawm saib cov hlwb ua lub tsom hauv lub tshuab tsom. Peb qhov loj ntawm menyuam yaus tsis-Hodgkin lymphoma yog:
Lub cev B-cell tsis-Hodgkin lymphoma
Maum B-cell tsis-Hodgkin lymphomas suav nrog:
- Burkitt thiab Burkitt-zoo li cov qog ntshav / mob leukemia: Burkitt lymphoma thiab Burkitt leukemia yog qhov sib txawv ntawm tib hom kab mob. Burkitt lymphoma / leukemia yog qhov muaj qhov ua sai sai (loj hlob) ntawm B lymphocytes uas feem ntau ua rau menyuam yaus thiab cov neeg hluas. Nws tuaj yeem tsim nyob rau hauv plab, Waldeyer lub nplhaib, noob qes, pob txha, pob txha pob txha, tawv nqaij, lossis hauv nruab nrab lub paj hlwb (CNS). Burkitt leukemia yuav pib nyob rau hauv lub qog ua Burkitt lymphoma thiab tom qab ntawd kis mus rau cov ntshav thiab mob pob txha, lossis nws yuav pib tshwm rau hauv cov ntshav thiab pob txha hlwb tsis tas ua rau cov qog ntshav ua ntej.
Ob hom kab mob Burkitt leukemia thiab Burkitt lymphoma tau cuam tshuam txog kev kis tus mob Epstein-Barr (EBV), txawm hais tias EBV kis mob feem ntau yuav tshwm sim rau cov neeg mob hauv Africa dua hauv tebchaws Asmeskas. Burkitt thiab Burkitt-zoo li cov lymphoma / leukemia tau kuaj pom thaum kuaj cov qauv ntawm cov nqaij mos thiab kuaj pom qhov hloov pauv rau MYC gene.
- Diffuse loj B-cell lymphoma: Diffuse loj B-cell lymphoma yog hom feem ntau ntawm cov tsis-Hodgkin lymphoma. Nws yog hom B-cell tsis-Hodgkin lymphoma uas loj hlob sai hauv cov qog ntshav. Tus po, mob siab, mob hlwb pob txha, lossis lwm yam khoom hauv nruab nrog cev kuj tau cuam tshuam ntau zaus. Diffuse loj B-cell lymphoma tshwm sim ntau dua rau cov tub ntxhais hluas dua li cov menyuam yaus.
- Thawj mediastinal B-cell lymphoma: Ib hom qog uas tsim tawm los ntawm cov hlwb B nyob rau hauv mediastinum (thaj tsam tom qab lub plab yug menyuam). Nws kis tau rau cov kabmob uas nyob ze nrog rau lub ntsws thiab lub hnab nyob ib ncig ntawm lub siab. Nws kuj yuav kis mus rau cov qog ntshav thiab lub cev nyob deb li suav nrog lub raum. Hauv cov menyuam yaus thiab tub ntxhais hluas, thawj hom kab mob mediastinal B-cell lymphoma tshwm sim ntau dua nyob rau cov neeg hluas.
Lymphoblastic cov lymphoma
Lymphoblastic lymphoma yog hom qog uas feem ntau cuam tshuam rau T-cell lymphocytes. Feem ntau nws ua rau hauv mediastinum (thaj chaw tom qab lub plab yug menyuam). Qhov no ua rau muaj teeb meem ua pa, hawb pob, teeb meem nqos, lossis o ntawm lub taub hau thiab caj dab. Nws kis tau rau cov qog ntshav, pob txha, pob txha pob txha, tawv nqaij, CNS, plab hnyuv plab, thiab lwm thaj chaw. Lymphoblastic lymphoma zoo ib yam li lymphoblastic leukemia mob (TXHUA).
Anaplastic cov cell loj lymphoma
Anaplastic cell loj ua qog ntshav yog ib hom qog ntshav uas feem ntau cuam tshuam rau T-cell lymphocytes. Feem ntau nws ua rau cov qog ntshav, tawv nqaij, lossis pob txha, thiab qee zaum tsim nyob rau hauv txoj hnyuv, mob ntsws, daim ntaub uas npog lub ntsws, thiab cov leeg. Cov neeg mob uas muaj qhov tso ntshav qog loj hauv lub cev muaj cov receptor, hu ua CD30, nyob rau ntawm lawv cov cell T. Hauv ntau cov menyuam yaus, anaplastic loj cell lymphoma yog cim los ntawm kev hloov pauv hauv ALK gene uas ua rau cov protein hu ua anaplastic lymphoma kinase. Tus kws kho mob tshawb nrhiav cov xovtooj ntawm tes thiab cov noob hloov pauv txhawm rau pab txheeb xyuas cov qog ntshav loj hauv lub cev.
Qee hom tsis mob Hodgkin lymphoma tsis tshua muaj rau cov menyuam yaus.
Qee hom kev tsim thaum yau tsis yog Hodgkin lymphoma tsawg dua. Cov no suav nrog:
- Pediatric-type follicular lymphoma: Hauv cov menyuam yaus, follicular lymphoma feem ntau tshwm sim hauv txivneej. Nws yog feem ntau pom muaj nyob hauv ib thaj chaw thiab tsis kis mus rau lwm qhov chaw hauv lub cev. Feem ntau nws ua tau rau ntawm qog thiab caj hlav hauv lub caj dab, tab sis kuj tuaj yeem ua rau hauv cov noob qes, raum, plab hnyuv, thiab mob caj pas.
- Marginal zone lymphoma: Marginal cheeb tsam lymphoma yog ib hom qog uas hlav loj thiab nthuav qeeb thiab feem ntau pom muaj thaum ntxov. Tej zaum nws yuav pom nyob rau hauv lub lymph node lossis nyob rau thaj chaw sab nraud ntawm cov qog ntshav. Marginal tsam lymphoma pom nyob sab nraum cov qog ntshav hauv cov menyuam yaus yog hu ua mucosa-txuam lymphoid nqaij (MALT) lymphoma. MALT yuav txuas nrog Helicobacter pylori ua mob rau txoj hnyuv thiab Chlamydophila psittaci kis ntawm cov qog ua ke uas ua kab rau lub qhov muag.
- Lub hauv paus rau cov leeg hlwb (CNS) lymphoma: Thawj CNS lymphoma yog qhov tsis tshua muaj rau menyuam yaus.
- Peripheral T-cell lymphoma: Peripheral T-cell lymphoma yog txhoj puab sai (loj hlob) tsis-Hodgkin lymphoma uas pib paub tab T lymphocytes. T lymphocytes hlob nyob rau hauv lub qog thymus thiab taug kev mus rau lwm qhov chaw ntawm lub lymph system, xws li cov qog ntshav, hlwb pob txha, thiab spleen.
- Cutaneous T-cell lymphoma: Cutaneous T-cell lymphoma pib rau ntawm daim tawv nqaij thiab tuaj yeem ua rau daim tawv nqaij ua rau tuab lossis tsim cov qog. Nws yog qhov tsawg kawg ntawm cov menyuam yaus, tab sis feem ntau muaj rau cov hluas thiab cov neeg hluas. Nws muaj ntau hom kev txiav tawm T-cell lymphoma, xws li cutaneous anaplastic cell loj lymphoma, subcutaneous panniculitis-zoo li T-cell lymphoma, gamma-delta T-cell lymphoma, thiab mycosis fungoides. Tus mob Mycosis fungoides feem ntau tshwm sim hauv cov menyuam yaus thiab cov tub ntxhais hluas.
Kev kho yav dhau los rau mob qog noj ntshav thiab muaj lub cev tsis muaj zog tiv thaiv kab mob cuam tshuam rau kev pheej hmoo ntawm kev muaj menyuam yaus tsis-Hodgkin lymphoma.
Txhua yam uas ua rau koj muaj feem yuav kis tus mob yog hu ua kev pheej hmoo. Muaj qhov muaj feem yuav tsis txhais tau tias koj yuav muaj mob qog noj ntshav; tsis muaj yam txaus ntshai tsis txhais tau tias koj yuav tsis muaj mob qog noj ntshav. Tham nrog koj tus menyuam tus kws kho mob yog tias koj xav tias koj tus menyuam raug pheej hmoo.
Muaj kev pheej hmoo txaus ntshai rau menyuam yaus tsis-Hodgkin lymphoma suav nrog cov hauv qab no:
- Yav dhau los kho mob qog noj ntshav.
- Raug kis rau tus kab mob Epstein-Barr lossis tib neeg qhov tshuaj tiv thaiv kab mob (HIV).
- Muaj lub cev tsis muaj zog tiv thaiv kab mob tom qab hloov ntshav lossis los ntawm cov tshuaj tau muab tom qab hloov ntshav.
- Muaj qee yam kab mob muaj mob (xws li DNA kho cov teeb meem tsis xws luag mob uas suav nrog ataxia-telangiectasia, Nijmegen breakage syndrome, thiab tsab cai kho tsis zoo).
Yog tias lymphoma lossis lymphoproliferative muaj feem cuam tshuam nrog kev tiv thaiv kab mob tsis muaj zog los ntawm qee yam kab mob muaj keeb, kab mob HIV, hloov lossis hloov tshuaj tom qab hloov ntshav, qhov mob hu ua lymphoproliferative muaj feem nrog kev tiv thaiv kab mob. Qhov sib txawv ntawm cov mob lymphoproliferative uas cuam tshuam nrog kev tiv thaiv kab mob muaj xws li:
- Lymphoproliferative kab mob cuam tshuam nrog kev txhaj tshuaj tiv thaiv kab mob ua ntej.
- HIV-txuam-tsis mob Hodgkin lymphoma.
- Cov mob tom qab hloov ntshav nrog lymphoproliferative.
Cov cim qhia ntawm cov menyuam yaus tsis-Hodgkin lymphoma suav nrog teeb meem ua pa thiab cov qog ntshav.
Cov no thiab lwm yam cim yuav tshwm sim los ntawm menyuam yaus tsis-Hodgkin lymphoma lossis lwm yam mob. Nrog kws kho mob tham yog tias koj tus menyuam muaj tej yam hauv qab no:
- Teeb meem ua pa.
- Hawb pob.
- Hnoos.
- Suab siab kawg li.
- Kev pauv taub hau, caj dab, sab sauv, lossis caj npab.
- Teeb meem nqos.
- Kev mob tsis zoo ntawm cov qog ntshav hauv caj dab, underarm, plab, lossis puab tais.
- Tsis mob qog lossis o hauv lub noob qes.
- Ua npaws yam tsis paub tias yog vim li cas.
- Poob phaus yam tsis paub tias yog vim li cas.
- Hmo ntuj tawm hws.
Kev ntsuam xyuas uas kuaj xyuas lub cev thiab cov qog ntshav yog siv los kuaj (tshawb pom) thiab kuaj mob thaum tsis-Hodgkin lymphoma.
Cov ntawv xeem thiab txheej txheem hauv qab no yuav raug siv:
- Kev kuaj lub cev thiab keeb kwm: Kev tshuaj xyuas lub cev los kuaj cov cim ntawm kev noj qab haus huv, suav nrog kuaj lub cim ntawm tus kab mob, xws li cov qog lossis lwm yam uas zoo li txawv txawv. Cov keeb kwm ntawm tus neeg mob txoj kev noj qab haus huv thiab cov kab mob yav dhau los thiab kev kho mob tseem yuav raug coj los siv.
- Kev tshawb fawb hauv ntshav cov ntshav: ib txoj kev kuaj ntshav coj los ntsuas cov khoom uas tso rau hauv ntshav los ntawm cov kabmob thiab cov nqaij hauv lub cev, suav nrog cov electrolytes, lactate dehydrogenase (LDH), uric acid, ntshav urea nitrogen (BUN) , creatinine, thiab lub siab ua haujlwm qhov tseem ceeb. Ib qho txawv (ntau dua lossis qis dua qub) ntawm cov tshuaj yuav ua rau lub cim ntawm tus kabmob.
- Kev kuaj mob rau daim siab ua haujlwm: Tus txheej txheem uas kuaj cov ntshav ntsuas los ntsuas lub cev los ntawm lub siab. Ib qho siab dua li cov tshuaj hauv lub cev yuav yog tus mob qog nqaij hlav cancer.
- CT scan (CAT scan): Tus txheej txheem uas ua rau cov duab ntxaws ntxig ntawm cov chaw hauv lub cev, coj los ntawm ntau cov ces kaum. Cov duab no yog tsim los ntawm lub koos pis tawj txuas nrog lub tshuab xoo hluav taws xob. Ib qho zas xim tuaj yeem raug txhaj rau hauv txoj hlab ntshav lossis nqos los pab rau cov kabmob lossis cov nqaij ua kom pom tseeb dua. Cov txheej txheem no tseem hu ua suav tomography, computer tom tomography, lossis computerized axial tomography.
- PET scan (positron emission tomography scan): Cov txheej txheem los nrhiav cov qog hlav qog nqaij hlav hauv lub cev. Ib qho me me ntawm cov kua hluav taws xob cov kua qab zib (qab zib) tau txhaj rau txoj hlab ntshav. PET scanner tig ncig lub cev thiab ua ib daim duab ntawm qhov chaw nyob hauv qab ntawm lub cev tau siv rau hauv lub cev. Malignant hlav qog ua yeeb yam qhia ci ntsa iab hauv daim duab vim tias lawv nquag ua ub ua no thiab noj ntau dua cov piam thaj dua li cov hlwb ua. Qee zaum PET scan thiab CT scan ua tib lub sijhawm. Yog tias muaj mob qog nqaij hlav, qhov no yuav muaj ntau ntxiv thaum nws tuaj yeem tshawb pom.

- MRI (sib nqus resonance duab): Tus txheej txheem uas siv cov hlau nplaum, xov tooj cua vuam vias, thiab khoos phis tawm los ua cov duab ntxaws ntxaws ntawm cov chaw hauv lub cev. Tus txheej txheem no tseem hu ua nuclear sib nqus resonance imaging (NMRI).
- Lumbar puncture: Tus txheej txheem siv los sau cov kua roj cerebrospinal kua (CSF) los ntawm pob txha caj qaum. Qhov no yog ua los ntawm kev tso ib rab koob ntawm ob pob txha hauv tus nqaj qaum thiab nkag rau hauv CSF puag ncig tus txha nraub qaum thiab hle qhov hnoos qeev. Qhov piv txwv ntawm CSF raug kuaj hauv qab lub tshuab tsom rau cov cim qhia tias tus kabmob tau kis mus rau lub hlwb thiab tus txha caj qaum. Qhov txheej txheem no tseem hu ua LP lossis txha caj qaum.

- Xoo Xaim: Xoos hluav taws xob ntawm cov plab hnyuv siab raum thiab pob txha hauv hauv siab. Qhov xoo hluav taws xob yog ib hom kev tawm dag zog ntawm lub zog uas tuaj yeem nkag mus hauv lub cev thiab mus rau zaj duab xis, ua duab ntawm thaj chaw hauv lub cev.
- Kev kuaj mob Ultrasound: Ib txoj kev uas lub suab nrov zog hluav taws xob (ultrasound) muaj bounced tawm ntawm cov ntaub so ntswg sab hauv lossis cov plab hnyuv siab raum thiab ua echoes. Cov ncha tsim daim duab ntawm lub cev nqaij daim tawv hu ua sonogram. Daim duab tuaj yeem tsim kom pom tom ntej.
Siv ib qho kev kuaj ntshav mus kuaj thaum kuaj pom tus me nyuam tsis-Hodgkin lymphoma.
Cov cell thiab cov nqaij mos tau raug tshem tawm thaum kuaj me me kom lawv pom nyob rau hauv lub tshuab tsom kab ntsig los ntawm tus kws tshawb fawb mob los kuaj cim mob. Vim hais tias kev kho yog nyob ntawm hom tsis-Hodgkin lymphoma, kev kuaj qog nqaij hlav yuav tsum tau kuaj los ntawm tus kws kho mob uas tau ntsib hauv kev kuaj mob menyuam yaus tsis-Hodgkin lymphoma.
Ib qho ntawm cov hauv qab no tso tawm tuaj yeem ua:
- Kev phais me me: Qhov tshem tawm tag nrho cov qog ntshav lossis cov leeg.
- Kev phais me me: tshem tawm ntawm ib feem ntawm lub qog, qog ntshav, lossis qauv ntawm daim ntaub.
- Txoj kev hlais tawm tub ntxhais: tshem tawm cov ntaub so ntswg lossis ib feem ntawm lub qog siv siv rab koob loj.
- Kev Siv Tshuaj Zoo (FNA): Kev tshem tawm cov nqaij mos lossis ib feem ntawm lub qog siv siv rab koob nyias.
Cov txheej txheem siv los tshem tawm cov qauv ntawm cov nqaij mos yog nyob ntawm qhov twg lub qog nyob rau hauv lub cev:
- Mob pob txha rau txoj kev cia siab thiab kuaj me me: Tshem tawm cov pob txha pob txha thiab ib qho me me ntawm pob txha los ntawm ntxig rab koob hollow rau hauv lub duav lossis ob lub mis.
- Mediastinoscopy: Kev phais mob los saib lub plab hnyuv siab raum, ntaub so ntswg, thiab cov qog ntshav ntawm lub ntsws rau thaj chaw tsis meej. Kev phais (txiav) yog ua nyob rau sab saum toj ntawm lub pob txha caj qaum thiab xov tooj nruab nrab yog tso rau hauv siab. Lub tshuab tsom iav yog qhov khoom siv sib txawv, raj zoo li lub teeb thiab lub lens rau pom. Nws tseem muaj qhov cuab yeej tshem tawm cov nqaij los yog qog ntshav, uas kuaj hauv qab lub tshuab tsom rau cov cim mob qog nqaij hlav.
- Anterior mediastinotomy: Kev phais mob rau saib cov plab hnyuv siab raum thiab cov nqaij ntawm lub ntsws thiab nruab nrab ntawm lub qog thiab lub plawv rau thaj chaw tsis meej. Kev phais (txiav) tau ua ib sab ntawm tus nqaj thiab xov nruab nrog ntsaws hauv lub hauv siab. Lub tshuab tsom iav yog qhov khoom siv sib txawv, raj zoo li lub teeb thiab lub lens rau pom. Nws tseem muaj qhov cuab yeej tshem tawm cov nqaij los yog qog ntshav, uas kuaj hauv qab lub tshuab tsom rau cov cim mob qog nqaij hlav. Qhov no tseem hu ua tus txheej txheem Chamberlain.
- Thoracentesis: Cov kev tshem tawm cov kua dej los ntawm qhov chaw nruab nrab ntawm lub hauv ob sab phlu thiab lub ntsws, siv rab koob. Tus kws kho mob pub kev paub txog cov kua hauv lub tshuab tsom nrhiav cov qog nqaij hlav cancer.
Yog tias pom muaj mob qog noj ntshav, yuav tshuaj ntsuam cov kab hauv qab no los saib cov qog nqaij hlav cancer:
- Immunohistochemistry: Kev sim tshuaj uas siv tshuaj tiv thaiv kab mob los tiv thaiv qee yam antigens (ntaus cim) hauv cov qauv ntawm tus neeg mob lub cev. Cov tshuaj tiv thaiv kab mob feem ntau yog txuas nrog qhov enzyme lossis fluorescent zas. Tom qab cov tshuaj tiv thaiv txuas mus rau ib qho antigen tshwj xeeb hauv cov qauv ntaub so ntswg, cov enzyme lossis zas xim raug qhib, thiab cov antigen tuaj yeem pom hauv qab lub tshuab tsom. Kev kuaj ntshav no siv los pab kuaj mob qog nqaij hlav thiab pab qhia ib hom qog ntshav los ntawm lwm hom mob qog noj ntshav.
- Flow cytometry: Kev sim ntsuas uas ntsuas cov naj npawb ntawm cov cell hauv ib qho piv txwv, qhov feem pua ntawm cov nyob hauv ib qho piv txwv, thiab qee cov yam ntxwv ntawm lub hlwb, xws li qhov loj me, cov duab, thiab muaj cov qog (lossis lwm yam) cov cim rau ntawm ntawm tes nto. Cov qog los ntawm cov qauv ntawm tus neeg mob cov ntshav, pob txha pob txha, lossis lwm cov nqaij yog nyob nrog cov xim fluorescent, tso rau hauv dej, thiab tom qab ntawd kis ib tus dhau ib ntus los ntawm lub teeb. Cov kev sim coj los txiav txim siab raws li yuav ua li cas cov qog hlwb uas tsuas nrog cov xim fluorescent hnov mob rau lub nqaj ntawm lub teeb. Qhov kev kuaj ntshav no yog siv los pab txheeb xyuas thiab tswj hwm qee yam qog nqaij hlav, xws li mob qog ntshav thiab mob qog.
- Kev tshuaj ntsuam Cytogenetic: Kev sim tshuaj uas cov chromosomes ntawm cov hlwb hauv ib qho piv txwv ntawm cov ntshav lossis pob txha pob txha suav thiab tshawb xyuas rau ib qho kev hloov pauv, xws li tawg, ploj, rov kho dua, lossis ntxiv rau cov keebkwm chromosomes. Kev hloov qee yam chromosomes yuav yog mob qog nqaij hlav. Cytogenetic tsom xam yog siv los pab ntsuas mob qog noj ntshav, npaj kev kho mob, lossis pom tias kev kho mob ua haujlwm tau zoo npaum li cas.
- FISH (fluorescence hauv situ hybridization): Lub chaw sim siv los saib thiab suav cov noob lossis cov keeb yoog nyob hauv cov hlwb thiab cov ntaub so ntswg. Cov qog ntawm DNA uas muaj cov xim fluorescent yog tsim nyob rau hauv chav kuaj thiab ntxiv rau ib qho qauv ntawm tus neeg mob lub hlwb lossis cov nqaij. Thaum cov dyed pieces ntawm DNA txuas rau qee cov caj ces lossis thaj chaw ntawm cov chromosomes hauv qhov qauv, lawv taws thaum saib hauv qab lub tshuab tsom fluorescent. Kev ntsuas FISH yog siv los pab ntsuas mob qog nqaij hlav thiab pab npaj kho mob.
- Immunophenotyping: Kev sim tshuaj uas siv tshuaj tiv thaiv kab mob ntawm cov qog nqaij hlav cancer ua raws li hom antigens lossis cim rau ntawm cov kem hlwb. Qhov kev ntsuam xyuas no yog siv los pab txheeb xyuas qee hom qog ntshav.
- Qee yam cuam tshuam txog kev raug (mob rov qab) thiab txoj kev kho.
Qhov raug (sij hawm rov qab) thiab txoj kev kho yog nyob ntawm:
- Hom lymphoma.
- Qhov twg cov qog nyob hauv lub cev thaum kuaj cov qog.
- Theem mob cancer.
- Txawm hais tias muaj qee yam hloov pauv hauv cov chromosomes.
- Hom kev kho mob thaum ntxov.
- Seb puas yog mob qog rau cov kev kho thaum xub thawj.
- Tus neeg mob lub hnub nyoog thiab kev noj qab haus huv feem ntau.
Theem Cov Menyuam Tsis Tau Hodgkin Lymphoma
QHOV TSEEM CEEB
- Tom qab tus menyuam tsis muaj Hodgkin lymphoma tau kuaj pom, kev txheeb xyuas yog kuaj pom tias cov qog nqaij hlav cancer tau kis hauv cov lymph lossis mus rau lwm qhov hauv lub cev.
- Muaj peb txoj hauv kev uas mob cancer kis hauv lub cev.
- Cov theem hauv qab no yog siv rau cov menyuam yaus tsis-Hodgkin lymphoma:
- Theem Kuv
- Theem II
- Theem III
- Theem IV
Tom qab tus menyuam tsis muaj Hodgkin lymphoma tau kuaj pom, kev txheeb xyuas yog kuaj pom tias cov qog nqaij hlav cancer tau kis hauv cov lymph lossis mus rau lwm qhov hauv lub cev.
Cov txheej txheem tau siv los xyuas seb tus mob khees xaws tau nthuav tawm hauv lub lymph lossis mus rau lwm qhov hauv lub cev hu li cas. Cov txiaj ntsig ntawm kev tshuaj ntsuam thiab cov txheej txheem siv los kuaj pom tsis yog Hodgkin lymphoma kuj tseem siv tau rau kev ntsuas. Saib tshooj General Cov Lus Qhia rau cov lus piav qhia ntawm cov ntawv xeem no thiab cov txheej txheem. Cov ntaub ntawv sau los ntawm cov txheej txheem theem txiav txim theem ntawm tus kab mob. Nws yog ib qho tseem ceeb uas yuav tsum paub txog theem kom thiaj li npaj tau kev kho mob.
Cov txheej txheem hauv qab no kuj tseem siv tau los txiav txim rau theem:
- Nqaij pob txha mos: cov txheej txheem los kuaj xyuas yog tias muaj cov hlwb faib sai sai, xws li mob hlwb, hauv cov pob txha. Qhov tsawg tsawg ntawm cov khoom siv hluav taws xob yog txhaj rau hauv cov hlab ntsha thiab ncig ntawm cov ntshav. Cov khoom siv hluav taws xob khaws cia hauv cov pob txha nrog mob qog noj ntshav thiab tau kuaj pom los ntawm ib qho luam theej duab.
Muaj peb txoj hauv kev uas mob cancer kis hauv lub cev.
Kab mob khees xaws tuaj yeem kis tawm los ntawm cov nqaij mos, cov qog ntshav, thiab ntshav:
- Ntaub so ntswg. Tus kab mob cancer kis los ntawm qhov chaw nws pib kis los ntawm thaj chaw ze.
- Lymph system. Tus mob cancer kis ntawm qhov uas nws pib los ntawm kev nkag rau hauv lymph system. Tus kab mob cancer taug kev los ntawm cov qog ntshav mus rau lwm qhov ntawm lub cev.
- Ntshav. Tus mob cancer kis rau nws los ntawm qhov nws pib los ntawm nkag rau hauv cov ntshav. Tus kabmob khiav tawm hauv cov hlab ntshav mus rau lwm qhov ntawm lub cev.
Cov theem hauv qab no yog siv rau cov menyuam yaus tsis-Hodgkin lymphoma:
Theem Kuv
Hauv theem kuv thaum yau tsis-Hodgkin lymphoma, mob cancer yog pom:
- hauv ib pawg ntawm cov qog ntshav; lossis
- nyob rau ib thaj chaw sab nraud cov qog ntshav.
Tsis muaj mob cancer nyob ntawm thaj chaw mob plab los yog mediastinum (thaj tsam ntawm lub ntsws).
Theem II

Hauv theem II thaum yau tsis-Hodgkin lymphoma, mob cancer yog pom:
- nyob hauv ib thaj chaw sab nraud ntawm cov qog ntshav thiab hauv cov qog ntshav ze; lossis
- nyob rau ob lossis ntau thaj chaw nyob rau saum toj lossis qis dua ntawm daim diaphragm, thiab yuav kis mus rau cov qog ntshav nyob ze; lossis
- kom pib lub plab lossis plab hnyuv thiab tuaj yeem tshem tawm tag nrho los ntawm kev phais mob. Mob kheesxaws yuav kis mus rau qee cov qog ua ntshav nyob ze.
Theem III

Hauv theem III thaum yau tsis-Hodgkin lymphoma, mob cancer yog pom:
- tsawg kawg ib thaj chaw saum toj daim diaphragm thiab tsawg kawg ib qhov hauv qab ntawm daim diaphragm; lossis
- kom tau pib hauv siab; lossis
- kom tau pib mob lub plab thiab kis thoob plaws hauv plab; lossis
- hauv thaj tsam ib ncig ntawm tus txha caj qaum.
Theem IV
Hauv theem IV thaum yau tsis-Hodgkin lymphoma, mob qog nqaij hlav yog nyob hauv cov leeg pob txha, hlwb, lossis kua dej hlab hlwb. Mob khees xaws kuj tseem tuaj yeem tshawb pom hauv lwm seem ntawm lub cev.
Hauv Lub Neej Me Nyuam Tsis Muaj-Hodgkin Lymphoma
Qhov kev mob tshwm sim thaum menyuam tsis-Hodgkin lymphoma yog mob cancer uas tau rov mob dua (rov qab los) tom qab nws tau kho. Cov menyuam yaus tsis yog Hodgkin lymphoma tuaj yeem rov qab los rau hauv lub lymph lossis lwm qhov hauv lub cev.
Txoj Kev Kho Mob Cov Tswv Yim
QHOV TSEEM CEEB
- Muaj ntau hom kev kho mob rau cov menyuam yaus uas tsis-Hodgkin lymphoma.
- Cov menyuam yaus uas tsis mob Hodgkin lymphoma yuav tsum muaj lawv cov kev kho mob npaj los ntawm pab pawg kws kho mob uas yog tus kws tshaj lij hauv kev kho mob qog ntshav thaum yau.
- Kev kho rau menyuam yaus tsis-Hodgkin lymphoma tuaj yeem ua rau muaj kev phiv tshuaj.
- Rau rau hom kev kho mob tau siv:
- Kws khomob
- Kev siv hluav taws xob
- Kev siv tshuaj ntau ntxiv nrog cov qog hloov qog
- Cov hom phiaj kho
- Lwm txoj kev kho tshuaj
- Kev Kho Duab
- Cov hom kev kho mob tshiab tau raug sim hauv qhov kev sim kho mob.
- Kev Txhaj Tshuaj Tiv Thaiv
- Cov neeg mob yuav xav txog kev sim kho mob.
- Cov neeg mob tuaj yeem nkag mus kuaj mob ua ntej, sijhawm, lossis tom qab pib kho mob qog noj ntshav.
- Tej zaum yuav tau ua raws li kev ntsuam xyuas.
Muaj ntau hom kev kho mob rau cov menyuam yaus uas tsis-Hodgkin lymphoma.
Ntau hom kev kho mob muaj rau cov menyuam yaus uas tsis-Hodgkin lymphoma. Qee qhov kev kho mob yog tus qauv (cov kev kho mob tam sim no), thiab qee qhov raug sim hauv kev kuaj mob. Ib txoj kev kho mob hauv tsev kho mob yog txoj kev tshawb nrhiav uas pab txhawm rau txhim kho kev kho mob tam sim no lossis tau txais cov ntaub ntawv ntawm kev kho mob tshiab rau cov neeg mob cancer. Thaum kuaj pom tias cov kev kho tshiab zoo dua li kev kho mob, cov kev kho mob tshiab tuaj yeem dhau los ua cov qauv kev kho mob.
Koom tes nrog kev sim tshuaj yuav tsum raug txiav txim siab rau txhua tus menyuam yaus tsis mob Hodgkin lymphoma. Qee qhov kev sim tshuaj sim tsuas yog qhib rau cov neeg mob uas tsis tau pib kho.
Cov menyuam yaus uas tsis mob Hodgkin lymphoma yuav tsum muaj lawv cov kev kho mob npaj los ntawm pab pawg kws kho mob uas yog tus kws tshaj lij hauv kev kho mob qog ntshav thaum yau.
Kev kho yuav raug saib xyuas los ntawm tus kws kho menyuam yaus, kws kho mob tshwj xeeb hauv kev kho menyuam yaus mob qog noj ntshav. Tus kws kho menyuam yaus ua haujlwm nrog lwm tus kws saib xyuas kev noj qab haus huv uas yog tus kws tshaj lij hauv kev kho cov menyuam yaus uas tsis yog Hodgkin lymphoma thiab tus kws paub tshwj xeeb hauv qee thaj chaw tshuaj. Cov no yuav suav nrog cov kws tshwj xeeb hauv qab no:
- Kws kho mob hlwb.
- Kws phais hluav taws xob oncologist.
- Kev kuaj xyuas cov hlab ntshav ntshav.
- Kws phais neeg mob hlwb.
- Kws saib xyuas neeg mob tshwj xeeb.
- Cov kws tshaj lij fab kev peem tsheej.
- Kws tshuaj sab laj.
- Neeg ua hauj lwm pab neeg.
Kev kho rau menyuam yaus tsis-Hodgkin lymphoma tuaj yeem ua rau muaj kev phiv tshuaj.
rau cov ntaub ntawv ntsig txog cov kev mob tshwm sim uas pib thaum kho mob cancer, saib peb Sab Phiv Sab.
Cov kev mob tshwm sim los ntawm kev kho mob cancer uas pib tom qab kho thiab txuas ntxiv rau lub hlis lossis xyoo yog hu ua kev mob lig. Kev lig dhau los ntawm kev kho mob cancer tej zaum yuav muaj cov hauv qab no:
- Lub cev muaj teeb meem.
- Hloov pauv hauv txoj kev xav, kev xav, kev xav, kev kawm, lossis kev nco.
- Kab mob qog zaum ob (hom qog nqaij hlav tshiab).
Qee qhov cuam tshuam tom qab tuaj yeem kho lossis tswj tau. Nws yog ib qho tseem ceeb nrog kws kho mob tham nrog koj tus menyuam tus kws kho mob hais txog cov kev kho mob cancer yuav muaj rau koj tus menyuam. (Saib cov ntsiab lus hais txog Cov Kev Kho Mob Npaws Sij Hawm Rau Kev Mob Hlwb Me Nyuam Me kom paub ntau ntxiv.)
Rau rau hom kev kho mob tau siv:
Kws khomob
Kev siv tshuaj kho mob yog kev kho mob cancer uas siv cov tshuaj los txwv kev loj hlob ntawm cov qog nqaij hlav cancer, los ntawm kev tua cov qog lossis txwv tsis pub faib. Thaum cov tshuaj tua kab mob noj los ntawm qhov ncauj lossis txhaj rau hauv txoj hlab ntshav lossis leeg, cov tshuaj nkag mus rau cov ntshav thiab tuaj yeem mus txog rau cov qog nqaij hlav ntshav thoob plaws lub cev (kev kho mob tshuaj tua kabmob). Thaum cov tshuaj tua hluav taws xob tso ncaj qha mus rau cov kua tshuaj cerebrospinal (tshuaj pleev ib ce rau hauv lub cev), ib qho khoom hauv nruab nrog cev, lossis lub cev ua kom lub cev zoo li lub plab, cov tshuaj feem ntau cuam tshuam rau cov qog nqaij hlav cancer hauv cov chaw ntawd. Kev siv tshuaj sib xyaw ua ke yog kev kho mob siv ob lossis ntau hom tshuaj anticancer.
Txoj hauv kev siv tshuaj kho yog muab raws li hom thiab theem ntawm kev kho mob qog noj.
Intrathecal kev kho mob tshuaj pleev ib ce yuav raug siv los kho kev mob thaum yau tsis-Hodgkin lymphoma uas tau sib kis, lossis kis mus rau lub hlwb. Thaum siv los txo qis kev muaj mob qog noj ntshav yuav kis mus rau lub hlwb, nws hu ua CNS prophylaxis. Intrathecal kws kho mob muab rau kev kho mob hauv qhov ncauj lossis leeg ntshav. Tshaj siab dua cov niaj hnub siv tshuaj kho mob kuj tseem siv tau raws li CNS prophylaxis.

Saib Cov Tshuaj Pom Zoo rau Kev Tsis-Hodgkin Lymphoma yog xav paub ntxiv.
Kev siv hluav taws xob
Kev siv hluav taws xob ntau yog kev kho mob qog noj ntshav uas siv hluav taws xob xoo hluav taws xob loj lossis lwm yam hluav taws xob tua los tua cov qog noj ntshav lossis ua kom lawv loj tuaj. Muaj ob txoj kev kho hluav taws xob:
- Kev siv hluav taws xob sab nraud siv lub tshuab sab nraud lub cev xa hluav taws xob mus rau cov kabmob.
- Kev kho hluav taws xob sab hauv yog siv cov tshuaj pleev hluav taws xob kaw hauv cov koob, noob, xov hlau, lossis cov paws menyuam uas tso ncaj qha mus rau lossis ze ntawm cov qog nqaij hlav cancer.
Txoj kev kho hluav taws xob yog muab nyob ntawm hom tsis-Hodgkin lymphoma kho. Kev kho hluav taws xob sab nraud tuaj yeem siv kho mob thaum tsis yog Hodgkin lymphoma uas tau kis, lossis kis mus rau lub hlwb thiab tus txha caj qaum. Kev kho hluav taws xob sab hauv tsis yog siv los kho cov tsis mob Hodgkin lymphoma.
Kev siv tshuaj ntau ntxiv nrog cov qog hloov qog
Kev txhaj tshuaj siab ntau yog muab rau tua cov qog nqaij hlav cancer. Cov kab mob noj qab haus huv, suav nrog cov qe tsim cov ntshav, kuj raug rhuav tshem los ntawm kev kho mob qog noj ntshav. Kev hloov ntawm qia yog kev kho mob los hloov cov qe tsim cov qe ntshav. Cov qia hlwb (cov qe ntshav tsis txaus) raug tshem tawm los ntawm cov ntshav lossis pob txha mob ntawm tus neeg mob lossis tus neeg pub ntshav thiab raug khov thiab khaws cia. Tom qab tus neeg mob ua tiav kev kho mob tshuaj, cov qia hlwb raug thaws thiab muab rov qab rau tus neeg mob los ntawm kev hla tshuaj. Cov qog ntshav qog ua kom loj hlob mus rau (thiab txum tim) lub cev cov ntshav.
Saib Cov Tshuaj Pom Zoo rau Kev Tsis-Hodgkin Lymphoma yog xav paub ntxiv.

Cov hom phiaj kho
Cov hom phiaj kho yog ib hom kev kho mob uas siv tshuaj los yog lwm yam tshuaj los txheeb xyuas thiab tua cov qe ntshav tshwj xeeb tsis yog ua mob rau cov leeg zoo li qub. Cov tshuaj tiv thaiv kab mob monoclonal, tyrosine kinase inhibitors, thiab immunotoxins yog peb hom kev kho mob rau kev siv los yog kawm hauv kev kho thaum menyuam tsis-Hodgkin lymphoma.
Monoclonal antibody therapy yog kev kho mob qog noj ntshav uas siv cov tshuaj pleev rau hauv qhov chaw kuaj kab mob los ntawm ib hom kab mob tiv thaiv kab mob ntawm tes. Cov tshuaj tiv thaiv no tuaj yeem txheeb xyuas cov tshuaj ntawm qog nqaij hlav cancer lossis cov khoom qub uas tuaj yeem pab ua kom cov cell mob qog noj ntshav. Cov tshuaj tiv thaiv txuas rau cov tshuaj thiab tua cov qog nqaij hlav cancer, thaiv lawv qhov kev loj hlob, lossis txwv tsis pub kis mus rau lwm qhov. Cov kab mob monoclonal yog muab los ntawm kev lis ntshav. Lawv yuav raug siv nyob ib leeg lossis nqa tshuaj, co toxins, lossis khoom siv hluav taws xob ncaj qha mus rau qog nqaij hlav cancer.
- Rituximab yog siv los kho ntau hom mob thaum yau tsis-Hodgkin lymphoma.
- Pembrolizumab yog siv los kho thawj mediastinal loj B-cell lymphoma uas tsis tau teb rau kev kho lossis tau rov tshwm sim (rov qab los) tom qab kho nrog lwm txoj kev kho. Txoj kev kho nrog pembrolizumab feem ntau tau kawm rau cov neeg laus.
- Brentuximab vedotin yog ib qho tshuaj monoclonal ua ke nrog cov tshuaj anticancer uas tau siv los kho cov qog ntshav loj hauv lub cev.
Ib qho bispecific monoclonal antibody yog ua los ntawm ob qhov sib txawv ntawm cov tshuaj monoclonal uas khi rau ob qho tshuaj sib txawv thiab tua cov qog nqaij hlav cancer. Bispecific monoclonal antibody therapy yog siv rau kev kho Burkitt thiab Burkitt-zoo li lymphoma / mob roj ntsha thiab mob loj B-cell lymphoma.
Tyrosine kinase inhibitors (TKIs) thaiv cov cim taw qhia tias qog xav tau loj hlob. Qee TKIs tseem tuaj yeem khaws cov qog los ntawm kev loj hlob los ntawm kev tiv thaiv kev loj hlob ntawm cov hlab ntshav tshiab rau cov qog. Lwm yam kev kho mob kinase inhibitors, xws li crizotinib, tab tom kawm rau cov menyuam yaus tsis-Hodgkin lymphoma.
Cov tshuaj Immunotoxins tuaj yeem txuas rau cov kabmob kheesxaws thiab tua lawv. Denileukin diftitox yog ib qho tshuaj tiv thaiv immunotoxin siv los kho cutaneous T-cell lymphoma.
Lub hom phiaj yog kho rau kev kho mob thaum yau tsis-Hodgkin lymphoma uas tau rov muaj dua (rov qab los).
Saib Cov Tshuaj Pom Zoo rau Kev Tsis-Hodgkin Lymphoma yog xav paub ntxiv.
Lwm txoj kev kho tshuaj
Retinoids yog cov tshuaj cuam tshuam nrog vitamin A. Retinoid txoj kev kho nrog bexarotene yog siv los kho ntau hom kev txiav ntshav T-cell lymphoma.
Cov tshuaj steroid yog cov tshuaj hormones tsim hauv lub cev. Lawv kuj tuaj yeem ua hauv chav kuaj thiab siv tshuaj yeeb. Kev kho mob steroid yog siv los kho cutaneous T-cell lymphoma.
Kev Kho Duab
Txoj kev kho yog txoj kev kho mob cancer uas siv tshuaj thiab qee hom teeb ci los tua cov qog noj ntshav. Cov tshuaj uas tsis ua haujlwm kom txog thaum nws raug rau lub teeb raug txhaj rau hauv txoj hlab ntshav. Cov tshuaj sau ntau nyob rau hauv cov kabmob kheesxaws dua li ntawm cov cell ib txwm muaj. Rau kev mob qog nqaij hlav hauv daim tawv nqaij, lub teeb ci laser ci ntsa rau saum daim tawv thiab cov tshuaj ua kom nquag plias thiab tua cov qog nqaij hlav cancer. Kev siv tshuaj tua kab mob yog siv rau hauv kev kho mob ntawm txoj kab txiav T-cell lymphoma.
Cov hom kev kho mob tshiab tau raug sim hauv qhov kev sim kho mob.
Tshooj lus kawg piav txog kev kho mob uas tau kawm hauv kev sim tshuaj. Nws yuav tsis hais txog txhua txoj kev kho tshiab tau kawm. Cov ntaub ntawv hais txog kev sim kho mob muaj nyob rau ntawm NCI lub vev xaib.
Kev Txhaj Tshuaj Tiv Thaiv
Kev Siv Tshuaj Tiv Thaiv yog ib txoj kev kho mob uas siv tus neeg mob lub cev tiv thaiv kab mob cancer. Cov tshuaj uas tsim los ntawm lub cev lossis tsim hauv chav siv tshuaj yog siv los txhawb, ncaj qha, lossis rov kho lub cev lub cev los tiv thaiv tus mob qog nqaij hlav. Hom kev kho mob cancer no tseem hu ua biotherapy lossis biologic therapy.
Tus kab mob Epstein-Barr (EBV) -specific cytotoxic T-lymphocytes yog ib hom kab mob tiv thaiv kab mob uas tuaj yeem tua qee cov qe ntshav, suav nrog cov qe ntshav txawv tebchaw, cov qog nqaij hlav cancer, thiab cov qe ntshav muaj tus kabmob EBV. Cytotoxic T-lymphocytes tuaj yeem sib cais los ntawm lwm cov qe ntshav, loj hlob hauv chav kuaj, thiab tom qab ntawd muab rau tus neeg mob tua cov qog nqaij hlav cancer. EBV-cytotoxic T-lymphocytes tshwj xeeb tau hais qhia txog kev kho mob tom qab hloov ntshav lymphoproliferative.
Cov neeg mob yuav xav txog kev sim kho mob.
Txog qee tus neeg mob, koom nrog kev sim kho mob yuav yog txoj kev xaiv zoo tshaj plaws. Cov chaw kuaj mob yog ib feem ntawm cov txheej txheem tshawb mob qog noj ntshav. Cov chaw kho mob tau sim ua kom pom tias kev kho mob qog noj ntshav tshiab muaj kev nyab xeeb thiab zoo dua lossis zoo dua cov qauv tshuaj.
Ntau yam ntawm cov qauv kev kho mob qog noj ntshav niaj hnub no yog los ntawm cov kev tshawb fawb kab mob thaum ntxov. Cov neeg mob uas koom nrog kev sim kho mob tuaj yeem tau txais cov qauv kev kho mob lossis ua thawj zaug tau txais kev kho mob tshiab.
Cov neeg mob uas koom nrog kev sim kho mob kuj pab txhim kho txoj kev kho mob qog nqaij hlav yav tom ntej. Txawm hais tias kev sim tshuaj sim tsis ua rau muaj kev kho mob tshiab, lawv feem ntau teb cov lus nug tseem ceeb thiab pab txav kev tshawb fawb tom ntej.
Cov neeg mob tuaj yeem nkag mus kuaj mob ua ntej, sijhawm, lossis tom qab pib kho mob qog noj ntshav.
Qee qhov kev sim tshuaj tsuas yog suav nrog cov neeg mob uas tseem tsis tau txais kev kho mob. Lwm txoj kev sim sim cov kev kho mob rau cov neeg mob uas mob qog noj qab tsis tau zoo dua. Kuj tseem muaj cov kev sim tshuaj kuaj mob uas sim txoj kev tshiab los txwv qog noj ntshav kom tsis txhob mob ntxiv (rov qab los) lossis txo kev phiv los ntawm kev kho mob qog noj.
Cov chaw kuaj mob tau tshwm sim nyob rau ntau lub tebchaws. Cov ntaub ntawv hais txog kev sim kho mob uas tau txhawb nqa los ntawm NCI tuaj yeem nrhiav pom ntawm NCI cov chaw kuaj mob tshawb nrhiav lub vev xaib. Cov chaw kuaj mob txhawb nqa los ntawm lwm cov koomhaum tuaj yeem nrhiav pom ntawm ClinicalTrials.gov lub vev xaib.
Tej zaum yuav tau ua raws li kev ntsuam xyuas.
Qee qhov kev ntsuas mob uas tau ntsuas los kuaj mob qog noj ntshav lossis kom pom tias theem mob cancer yuav rov qab ua dua. Qee qhov kev ntsuas yuav rov ua qhov qub txhawm rau kom pom tias qhov kev kho mob ua haujlwm li cas. Cov kev txiav txim siab hais txog seb puas yuav txuas ntxiv, hloov, lossis tsum tsis mus kho yuav ua raws cov txiaj ntsig ntawm cov kev ntsuas no.
Qee qhov kev sim yuav txuas ntxiv ua ib zaug dhau ib zaug tom qab kho tas. Qhov tshwm sim ntawm cov kev sim no tuaj yeem qhia tau yog tias koj tus menyuam tus mob tau hloov lossis yog tus kabmob tau mob ntxiv (rov qab los). Qee qhov kev ntsuas no qee zaum hu ua kev kuaj mob rov qab lossis mus kuaj mob.
Cov Kev Xaiv Kho rau Menyuam Yaus Tsis-Hodgkin Lymphoma
Hauv Tshooj Lus no
- Burkitt thiab Burkitt-zoo li cov qog ntshav / mob ntshav qab zib
- Cov kev kho mob rau cov nyuam qhuav raug Burkitt thiab Burkitt-xws li mob lymphoma / mob nqaij hlav
- Cov kev kho mob rau cov mob Burkitt thiab Burkitt-xws li mob qog nqaij hlav / mob qog ntshav
- Diffuse loj B-cell lymphoma
- Cov kev kho mob rau cov nyuam qhuav pom muaj mob loj B-cell lymphoma
- Cov kev kho rau kev rov ua dua txawv txav loj B-cell lymphoma
- Thawj Mediastinal B-cell Lymphoma
- Cov kev xaiv kho mob rau cov nyuam qhuav raug mob tawm mediastinal B-cell lymphoma
- Cov kev xaiv kho rau kev rov kho dua daim tawv nqaij B-cell lymphoma
- Lymphoblastic Lymphoma
- Cov kev kho mob qog cov ntshav tshiab ua mob qog ua ntshav
- Cov kev kho rau lymphoblastic lymphoma
- Anaplastic Loj Cell Lymphoma
- Cov kev kho mob rau cov kev nyuam qhuav tso tshuaj tshiab anaplastic cell loj lymphoma
- Cov kev xaiv kho rau cov mob qog ua pob hlav loj hauv lub cev
- Lymphoproliferative Kab Mob Sib Txawv Nrog Kev Txhaj Tshuaj Hauv Cov Menyuam Yaus
- Cov kev xaiv kho mob rau cov mob lymphoproliferative cuam tshuam nrog kev txhaj tshuaj tiv thaiv kab mob thaum pib
- Cov kev kho mob kho tau rau cov tsis-Hodgkin lymphoma cuam tshuam nrog DNA kho cov teeb meem syndromes
- Cov kev kho rau kab mob HIV-txuam nrog Hodgkin lymphoma
- Cov kev xaiv kho mob tom qab hloov ntshav lymphoproliferative
- Tsawg NHL Muaj Muaj Hauv Cov Menyuam yaus
- Cov kev xaiv kho mob rau menyuam yaus hom follicular lymphoma
- Cov kev xaiv kho mob rau cov phom sij ntawm cheeb tsam lymphoma
- Cov kev kho mob kho rau tus mob CNS lymphoma thawj zaug
- Cov kev xaiv kho rau peripheral T-cell lymphoma
- Cov kev xaiv kho rau kev txiav tawm T-cell lymphoma
Yog xav paub txog cov kev kho mob uas teev rau hauv qab no, saib hauv Cov Lus Qhia Kev Xaiv Kev Xaiv.
Burkitt thiab Burkitt-zoo li cov qog ntshav / mob ntshav qab zib
Cov kev kho mob rau cov nyuam qhuav raug Burkitt thiab Burkitt-xws li mob lymphoma / mob nqaij hlav
Cov kev kho mob rau cov nyuam qhuav raug Burkitt thiab Burkitt-xws li mob lymphoma / mob roj ntsha daj tuaj yeem suav nrog:
- Kev phais tawm kom tshem tawm cov qog ntau li ntau tau, tom qab ntawd ua ke nrog kev siv tshuaj kho mob.
- Kev siv tshuaj sib xyaw nrog lossis tsis tsom rau kev kho (rituximab).
Cov kev kho mob rau cov mob Burkitt thiab Burkitt-xws li mob qog nqaij hlav / mob qog ntshav
Cov kev kho mob rau kev rov ua rau Burkitt thiab Burkitt-zoo li tsis-Hodgkin lymphoma / mob ntshav ntswg tuaj yeem suav nrog:
- Kev siv tshuaj sib xyaw nrog lossis tsis tsom rau kev kho (rituximab).
- Kev siv tshuaj kho cov ntshav siab ntau dua nrog lub qia hloov nrog tus neeg mob lub hlwb lossis cov hlwb los ntawm tus neeg pub ntshav.
- Kev kho hom phiaj nrog cov tshuaj tiv thaiv bispecific.
- Kev kuaj mob hauv tsev kho mob uas kuaj pom ib qho piv txwv ntawm tus neeg mob qog mob rau qee yam hloov pauv gene. Hom kev hloov kho hom phiaj uas yuav muab rau tus neeg mob nyob ntawm hom kev hloov pauv ntawm gene.
Siv peb qhov kev tshawb nrhiav kab mob hauv tsev kho mob kom pom qhov NCI-txhawb nqa kev mob qog nqaij hlav uas pom zoo rau cov neeg mob. Koj tuaj yeem tshawb xyuas cov kev sim raws li hom mob cancer, hnub nyoog ntawm tus neeg mob, thiab qhov chaw uas sim kev sim. Cov ncauj lus dav dav txog kev sim kho mob kuj muaj.
Diffuse loj B-cell lymphoma
Cov kev kho mob rau cov nyuam qhuav pom muaj mob loj B-cell lymphoma
Cov kev kho mob rau cov nyuam qhuav muaj mob sai loj B-cell lymphoma tuaj yeem suav nrog:
- Kev phais tawm kom tshem tawm cov qog ntau li ntau tau, tom qab ntawd ua ke nrog kev siv tshuaj kho mob.
- Kev siv tshuaj sib xyaw nrog lossis tsis tsom rau kev kho (rituximab).
Cov kev kho rau kev rov ua dua txawv txav loj B-cell lymphoma
Cov kev kho mob rau cov mob loj hlob B-cell lymphoma tuaj yeem suav nrog:
- Kev siv tshuaj sib xyaw nrog lossis tsis tsom rau kev kho (rituximab).
- Kev siv tshuaj kho cov ntshav siab ntau dua nrog lub qia hloov nrog tus neeg mob lub hlwb lossis cov hlwb los ntawm tus neeg pub ntshav.
- Kev kho hom phiaj nrog cov tshuaj tiv thaiv bispecific.
- Kev kuaj mob hauv tsev kho mob uas kuaj pom ib qho piv txwv ntawm tus neeg mob qog mob rau qee yam hloov pauv gene. Hom kev hloov kho hom phiaj uas yuav muab rau tus neeg mob nyob ntawm hom kev hloov pauv ntawm gene.
Siv peb qhov kev tshawb nrhiav kab mob hauv tsev kho mob kom pom qhov NCI-txhawb nqa kev mob qog nqaij hlav uas pom zoo rau cov neeg mob. Koj tuaj yeem tshawb xyuas cov kev sim raws li hom mob cancer, hnub nyoog ntawm tus neeg mob, thiab qhov chaw uas sim kev sim. Cov ncauj lus dav dav txog kev sim kho mob kuj muaj.
Thawj Mediastinal B-cell Lymphoma
Cov kev xaiv kho mob rau cov nyuam qhuav raug mob tawm mediastinal B-cell lymphoma
Cov kev xaiv kho mob rau cov nyuam qhuav raug mob thawj hom mediastinal B-cell lymphoma tuaj yeem suav nrog:
- Kev sib xyaw ua ke ntawm kev siv tshuaj kho mob thiab kho hom phiaj (rituximab).
Cov kev xaiv kho rau kev rov kho dua daim tawv nqaij B-cell lymphoma
Cov kev xaiv kho rau kev rov kho dua siab hom B-cell lymphoma tuaj yeem suav nrog:
- Hom phiaj kho (pembrolizumab).
- Kev kuaj mob hauv tsev kho mob uas kuaj pom ib qho piv txwv ntawm tus neeg mob qog mob rau qee yam hloov pauv gene. Hom kev hloov kho hom phiaj uas yuav muab rau tus neeg mob nyob ntawm hom kev hloov pauv ntawm gene.
Siv peb qhov kev tshawb nrhiav kab mob hauv tsev kho mob kom pom qhov NCI-txhawb nqa kev mob qog nqaij hlav uas pom zoo rau cov neeg mob. Koj tuaj yeem tshawb xyuas cov kev sim raws li hom mob cancer, hnub nyoog ntawm tus neeg mob, thiab qhov chaw uas sim kev sim. Cov ncauj lus dav dav txog kev sim kho mob kuj muaj.
Lymphoblastic Lymphoma
Cov kev kho mob qog cov ntshav tshiab ua mob qog ua ntshav
Lymphoblastic lymphoma tuaj yeem raug cais raws li tus kabmob tib yam li mob lymphoblastic leukemia (TXHUA). Cov kev kho mob rau cov mob lymphoblastic lymphoma tuaj yeem suav nrog:
- Kev sib xyaw nrog kev kho tshuaj. CNS prophylaxis nrog kev kho hluav taws xob kuj tseem yuav tau muab yog tias mob cancer tau kis mus rau lub hlwb lossis tus txha caj qaum.
- Ib qho kev sim kho mob ntawm cov kws kho mob nrog cov txheej txheem sib txawv rau CNS prophylaxis.
- Kev sim tshuaj mob sib xyaws ntawm kev sib txuas nrog tshuaj kho nrog lossis tsis muaj phiaj xwm kho mob (bortezomib).
Cov kev kho rau lymphoblastic lymphoma
Cov kev kho mob rau cov mob qog ua kua paug tej zaum yuav muaj:
- Kws khomob.
- Kev siv tshuaj kho cov ntshav siab ntau dua nrog qia cell hloov nrog lub hlwb los ntawm tus neeg pub.
- Kev kuaj mob hauv tsev kho mob uas kuaj pom ib qho piv txwv ntawm tus neeg mob qog mob rau qee yam hloov pauv gene. Hom kev hloov kho hom phiaj uas yuav muab rau tus neeg mob nyob ntawm hom kev hloov pauv ntawm gene.
Siv peb qhov kev tshawb nrhiav kab mob hauv tsev kho mob kom pom qhov NCI-txhawb nqa kev mob qog nqaij hlav uas pom zoo rau cov neeg mob. Koj tuaj yeem tshawb xyuas cov kev sim raws li hom mob cancer, hnub nyoog ntawm tus neeg mob, thiab qhov chaw uas sim kev sim. Cov ncauj lus dav dav txog kev sim kho mob kuj muaj.
Anaplastic Loj Cell Lymphoma
Cov kev kho mob rau cov kev nyuam qhuav tso tshuaj tshiab anaplastic cell loj lymphoma
Cov kev xaiv kho cov qog nqaij hlav loj hauv lub cev uas tsis muaj ntau yam tsis zoo muaj xws li:
- Kev phais mob raws kev siv tshuaj kho mob sib xyaw.
- Kev sib xyaw nrog kev kho tshuaj.
- Intrathecal thiab kev siv tshuaj kho mob, rau cov neeg mob qog nqaij hlav hauv lub hlwb lossis tus txha nqaj qaum.
- Kev sim tshuaj mob rau cov hom phiaj kho (crizotinib lossis brentuximab) thiab kev siv tshuaj kho mob sib ntxiv.
Cov kev xaiv kho rau cov mob qog ua pob hlav loj hauv lub cev
Cov kev xaiv kho cov mob qog nqaij hlav loj hauv lub cev ntau ntxiv xws li:
- Kev siv tshuaj kho mob, brentuximab, thiab / lossis zuaj yas.
- Kev hloov ntawm qia rau tus neeg mob lub hlwb lossis cov hlwb los ntawm tus neeg pub ntshav.
- Kev siv hluav taws xob los yog kev siv tshuaj kho lub siab rau cov neeg mob uas nws cov mob loj zuj zus mus rau lub hauv nruab nrab cov hlab hlwb.
- Kev sim tshuaj mob rau cov hom phiaj kho (crizotinib lossis brentuximab) thiab kev siv tshuaj kho mob sib ntxiv.
- Kev kuaj mob hauv tsev kho mob uas kuaj pom ib qho piv txwv ntawm tus neeg mob qog mob rau qee yam hloov pauv gene. Hom kev hloov kho hom phiaj uas yuav muab rau tus neeg mob nyob ntawm hom kev hloov pauv ntawm gene.
Siv peb qhov kev tshawb nrhiav kab mob hauv tsev kho mob kom pom qhov NCI-txhawb nqa kev mob qog nqaij hlav uas pom zoo rau cov neeg mob. Koj tuaj yeem tshawb xyuas cov kev sim raws li hom mob cancer, hnub nyoog ntawm tus neeg mob, thiab qhov chaw uas sim kev sim. Cov ncauj lus dav dav txog kev sim kho mob kuj muaj.
Lymphoproliferative Kab Mob Sib Txawv Nrog Kev Txhaj Tshuaj Hauv Cov Menyuam Yaus
Cov kev xaiv kho mob rau cov mob lymphoproliferative cuam tshuam nrog kev txhaj tshuaj tiv thaiv kab mob thaum pib
Cov kev xaiv kho mob rau cov mob lymphoproliferative rau cov menyuam yaus thiab cov hluas uas lub cev tsis muaj zog tiv thaiv kab mob xws li:
- Kev siv tshuaj kho mob nrog lossis tsis rituximab.
- Kev hloov ntawm qia rau hlwb nrog cov hlwb los ntawm tus neeg pub dawb.
Cov kev kho mob kho tau rau cov tsis-Hodgkin lymphoma cuam tshuam nrog DNA kho cov teeb meem syndromes
Cov kev kho mob rau cov tsis mob Hodgkin lymphoma cuam tshuam nrog DNA kho cov kab mob tsis huv hauv cov menyuam yaus suav nrog:
- Kws khomob.
Cov kev kho rau kab mob HIV-txuam nrog Hodgkin lymphoma
Kev kho mob nrog kev siv tshuaj tiv thaiv kab mob siab lossis HAART (kev sib txuas ntawm cov tshuaj tiv thaiv kab mob) txo qis kev pheej hmoo ntawm tsis-Hodgkin lymphoma rau cov neeg mob kis tus kab mob human immunodeficiency virus (HIV).
Cov kev kho rau kab mob HIV-Hodgkin lymphoma (NHL) hauv cov menyuam yaus suav nrog:
- Kev siv tshuaj kho mob nrog lossis tsis rituximab.
Rau kev kho mob ntawm kev rov ua dua, txoj kev kho yog nyob ntawm hom tsis-Hodgkin lymphoma.
Cov kev xaiv kho mob tom qab hloov ntshav lymphoproliferative
Cov kev xaiv kho mob tom qab lymphoproliferative tej zaum yuav muaj xws li:
- Kev phais kom tshem tawm cov qog. Yog tias ua tau, txo cov tshuaj immunosuppressive tom qab muab qia ntawm tes los hloov khoom nruab nrog cev.
- Hom phiaj kho (rituximab).
- Kev siv tshuaj kho mob nrog lossis tsis tsom lub hom phiaj kho (rituximab).
- Kev kho mob los ntawm kev siv tshuaj tiv thaiv kab mob uas siv cov lymphocytes pub dawb lossis tus neeg mob lub hlwb T rau lub hom phiaj Epstein-Barr yuav tau kawm. Qhov kev kho mob no tsuas yog muaj rau ntawm ob peb lub chaw hauv Tebchaws Meskas xwb.
Tsawg NHL Muaj Muaj Hauv Cov Menyuam yaus
Cov kev xaiv kho mob rau menyuam yaus hom follicular lymphoma
Cov kev kho rau lymphoma raws qab ntawm cov menyuam yaus muaj xws li:
- Kev phais mob.
- Kev sib xyaw ua ke nrog kev kho mob nrog lossis tsis muaj rituximab.
Rau cov menyuam yaus uas mob qog nqaij hlav muaj qee yam hloov pauv ntawm cov caj ces, kev kho mob zoo ib yam li kev kho mob rau cov neeg laus uas muaj mob qog ua ntshav qab zib. Saib tshooj Tom Qab Cov Lymphoma nyob hauv cov ntsiab lus ntawm Cov Neeg Tsis Hodgkin Lymphoma rau cov ntaub ntawv.
Cov kev xaiv kho mob rau cov phom sij ntawm cheeb tsam lymphoma
Cov kev kho mob rau cov phom sij qhov mob qog ua kua (nrog rau cov hnoos qeev - mob ntsws (MALT) lymphoma) hauv cov menyuam yuav suav nrog:
- Kev phais mob.
- Kev siv hluav taws xob.
- Rituximab nrog lossis tsis muaj tshuaj tua kab mob.
- Tshuaj tua kab mob kho, rau MALT lymphoma.
Cov kev kho mob kho rau tus mob CNS lymphoma thawj zaug
Cov kev kho rau CNS lymphoma hauv cov menyuam yaus yuav suav nrog:
- Kws khomob.
Cov kev xaiv kho rau peripheral T-cell lymphoma
Cov kev kho mob rau kho cov qe ntshav muaj ntshav mob T-cell hlav rau cov menyuam yaus muaj xws li:
- Kws khomob.
- Kev siv hluav taws xob.
- Kev hloov ntawm qia rau tus neeg mob lub hlwb lossis cov hlwb los ntawm tus neeg pub ntshav.
Cov kev xaiv kho rau kev txiav tawm T-cell lymphoma
Cov kev kho mob rau kev mob pob qes ntshav zoo li tawv nqaij T-cell hlav ua mob rau cov menyuam yuav muaj xws li:
- Xyuam xim tos.
- Muaj tshuaj steroids ntau heev.
- Kev kho hom phiaj (denileukin diftitox).
- Kev sib xyaw nrog kev kho tshuaj.
- Kev kho mob Retinoid.
- Qia cell hloov.
Cov kev xaiv kho rau cutaneous anaplastic cell loj lymphoma tuaj yeem suav nrog:
- Kev phais mob, kho hluav taws xob, lossis ob yam tib si.
Hauv cov menyuam yaus, kev xaiv kho mob rau mycosis fungoides yuav suav nrog:
- Steroids thov rau daim tawv nqaij.
- Kev kho mob Retinoid.
- Kev siv hluav taws xob.
- Kev siv tshuaj pleev (kev kho lub teeb siv ultraviolet B hluav taws xob).
Txhawm Rau Kawm Ntau Txog Thaum Menyuam Yaus Tsis Hodgkin Lymphoma
Yog xav paub ntxiv los ntawm National Cancer Institute txog thaum yau tsis-Hodgkin lymphoma, saib hauv qab no:
- Sib Tham Tomography (CT) Kev Kuaj thiab Cancer
- Tshuaj Pom Zoo rau Cov Tshuaj Uas Tsis Yog Hodgkin Lymphoma
- Ntshav-Ua Rau Lub Cev Hloov Pauv
- Hom Kab Mob Kuaj Mob Cancer
Yog xav paub ntau ntxiv txog kev mob qog noj ntshav thaum tseem yau thiab lwm yam kev qhia txog mob qog noj ntshav, saib cov hauv qab no:
- Txog Mob Cancer
- Kev Menyuam Kab Menyuam Kiag
- CureSearch rau Cov Menyuam Txoj Kev Mob Cancer
- Qhov Zoo Los Ntawm Txoj Kev Kho Mob Kheev Me Menyuam Thaum Ntxov
- Cov Hluas thiab Cov Hluas Hluas Muaj Mob Cancer
- Cov Menyuam Muaj Mob Cancer: Cov Lus Qhia rau Niam Txiv
- Mob Cancer rau Cov Menyuam thiab Cov Hluas
- Qib
- Kev Muaj Mob Cancer
- Cov Lus Nug Yuav Nug Koj Tus Kws Kho Mob txog Kab Mob Cancer
- Rau Cov Muaj Txoj Sia Nyob thiab Cov Saib Xyuas