I-PET / CT isiza i-Stage Hodgkin Lymphoma Ngaphezu Kokufanele
Ama-lymphomas angama-khancer ahlanganisa izinhlobo zamangqamuzana egazi omhlophe aziwa ngokuthi i-lymphocytes. Ngokuvamile ama-lymphomas ahlukaniswa njenge- Hodgkin noma ama-non-Hodgkin lymphomas .
Kunezinhlobo ezinhlanu zeHodgkin lymphoma, noma i-HL. Igama elithi HL classic libhekisela kulezi zinhlobo ezilandelayo ezilandelayo: i-nodular sclerosing HL, i-cellularity HL, i-lymphocyte-rich rich classic HL kanye ne-LLphocyte-ephelile i-HL.
Uhlobo lwesihlanu luyi-HL nodular lymphocyte-predominant HL, futhi alubhekwa njenge-HL yesilasi.
Izimpawu . Abantu abane-HL bangase bahlakulele izimpawu ezihlukene, kodwa uphawu oluvame kakhulu ludokotela noma ama-lymph node ekhulisiwe. Ama-lymph nodes angase akhuliswe entanyeni, emagqumeni, noma e-groin, noma ngaphakathi kwesifuba. Ngokuvamile, labo abane-Hodgkin lymphoma, noma i-HL, bangase babe nokunciphisa umzimba, ukushisa komkhuhlane, ukuvuza noma ukugcoba ukujula ebusuku - okubizwa ngokuthi "izimpawu ze-B." Ukuba khona kweyodwa yalezi zimpawu kuzuza njengezinkinga zeB.
Izingozi Zezingozi . Ukuba nemingcele engozini akusho ukuthi nakanjani uzothola i-HL. Eqinisweni, abantu abaningi abane-HL abanalo izici eziyingozi. Izinto eziyaziwayo zengozi zihlanganisa i- mononucleosis, noma i-mono ; iminyaka yobudala - amaqembu okudala we-HL angama-20s no-70s / 80s; umlando womndeni; isizinda esiphezulu sezenhlalakahle; nokutheleleka nge-HIV.
Ukuxilongwa nokuThuthukisa . Ngokusho kwe-American Cancer Society, odokotela bangase bakhethe ngezindlela eziningi ezahlukene zokuthatha isampula yezincubu ezihilelekile, noma i-biopsy, yokuhlola nokuhlaziywa okuncane.
Uma i-PET / CT itholakale, isetshenziselwa ukufakwa kwesiteji. Amapayipi e-PET / CT ahlanganisa i-CT ne-PET, noma i-positron emission tomography ukuthola ukuthi umdlavuza usakaze kangakanani nokuthi usukhulu kanjani.
Mayelana ne-PET ne-PET / CT
I-PET isebenzisa ifomu le-sugaractive, noma i-FDG, ethathwa phezulu, ngokujwayelekile, ngamaseli e-Hodgkin lymphoma kahle, noma njengoba odokotela bathi, ngokuzidela okukhulu.
Ngokwe-physics, uhlobo lwemibala lufana nolwama-x-rays, noma kunjalo, ukuvezwa okuhlangene ku-PET-CT kunamaphesenti angaba ngu-10 kuya phezulu kunokuba kuvezwe kwi-x-ray evamile. Ukuskena okunjalo kuhlotshaniswa nezinzuzo ezingase kube khona kodwa futhi kunezingozi ezingase zivele emngceleni omkhulu wegazi kanye nomdlavuza. Ngakho-ke, isilinganiso sokungena engozini kufanele sihlolwe ngokucophelela umuntu ngamunye ngaphambi kokutadisha.
I-PET ukuskena ngokuvamile izwela kakhulu kune-CT ekutholeni i-lymphoma. Isibonelo, i-PET ingabonisa ukuthi isifo singama-lymph nodes esijwayelekile futhi sisize ukuhlola izifo ezingaphandle kwe-lymph nodes, kodwa akucaci ku-CT. I-PET ivame ukuhlanganiswa ne-CT ukuvumela ukufaniswa kwezindawo zemisakazo ephakeme kwi-PET scan kanye nokubonakala okuningiliziwe kwalowo ndawo ku-CT. Uma kuqhathaniswa nesithombe esivamile, ukusetshenziswa kwe-PET / CT esisezingeni eliyisisekelo kungathonya isiteji futhi kuholele ekwelapheni okuhlukile kwinani elikhulu lamacala.
I-PET / CT ye-Hodgkin Lymphoma
Izinkombandlela ezivela kwiNational Comprehensive Cancer Network zincoma ukusetshenziswa kwePET / CT ukuze kutholakale ukuhlolwa kokuqala kanye nokuhlolwa kokugcina kokuphendula ngeziguli ezine-HL. Ngenxa yokuthi i-PET / CT ikulungele ukuhlola nokuphendula impendulo ngesikhathi nangemva kokwelapha, isetshenziselwa ukuzama ukwandisa ukwelashwa.
Njengoba iziguli eziningi zihlanganyela ekuvivinyweni komtholampilo, izilinganiso zesikhashana zingasetshenziselwa ukuhlukumeza okuhlukahlukene, kufaka phakathi i-HL, ukuzama ukubikezela isidingo sokwelapha okuhlukile kepha akukhuthazwa ngendlela okwamanje.
I-PET / CT iyinto enhle kakhulu ekutholeni i-lymph nodes eye yabandakanyeka neHodgkin lymphoma. Kuhle futhi ukuthola izifo emnothweni wethambo nakwezinye izitho. Isigaba se-HL sincike kwinani nendawo yendawo ye-lymph nodes nezinye izinto ezithintekayo. Ucwaningo luye lwabonisa ukuthi amandla engeziwe okuthola i-PET / CT aholela kumaphesenti angaba ngu-10 kuya kwangu-15 weziguli ezine-HL ezishintsha esiteji esithuthukisiwe kakhulu-okuphambili kakhulu, okungukuthi, kunokuthi kube yisiteji nge-CT, yedwa.
Ngakho, iziguli eziningi zingase zithole ukwelashwa abazidingayo.
Ngomuthi wokwelashwa ovame ukuhlelwa iziguli ze-HL zakuqala, i-PET / CT inenye inzuzo engaba khona. Kwezinye izimo, ukuhlonza okucacile kwezifunda eziqala ukubandakanya noma ama-node kungasiza odokotela abahlela ukwelapha imishanguzo ukuze bagxilise indawo encane, okungaba nomthelela ongaphansi kwezicubu ezinempilo.
I-PET / CT e-Treatment and Prognosis
I-Hodgkin lymphoma ingenye yezinhlobo eziningana ze-lymphoma ezibhekwa njengezona eziphulukisa kakhulu. Ukubukwa kwesiteleka esiphila emzimbeni lapho kunomzimba khona i-lymphoma futhi ikhula-kubaluleke kakhulu ku-HL, hhayi kuphela ngoba kusiza ukwazisa isinqumo sokwelapha, kodwa futhi ngoba kusiza ukubikezela ukubikezela konke.
Iziguli ezinezifo ezisencane zingathola ukwelashwa kwemisebe yodwa, kanti ngezifo ezithuthukisiwe kakhulu, i-chemotherapy inikezwa futhi imisebe ingasetshenziselwa kakhulu izifo ezisele, ngokusho kukaHutchings nozakwabo.
Iziguli ezidala ezinezifo ezisenesikhathi sokuqala zinesisindo esingaphezu kwamaphesenti angu-90 ezivivinyweni eziningi. Ezifweni ezisezingeni eliphezulu, ukusinda jikelele kunamaphesenti angu-65-80. Kuzo zombili izifo zesandulela-ngculazi kanye nezifo ezisezingeni eliphezulu, ukuqoqa okuqhubekayo ngokwezinto ezibeka engcupheni kuvame ukwenza.
Ngaphezu kwesiteji esicacile, i-PET / CT ingasiza ukuthola noma yisiphi isifo esisele ngemuva kokwelashwa. Lokhu kungasiza, isibonelo, uma kunesisindo sokusala, noma ukukhulisa esifubeni futhi akucaci ukuthi ngabe kubonisa yini ukugula okushiya noma okusebenzayo.
> Imithombo:
> I-American Cancer Society. Yiziphi izici ezingozini ze-Hodgkin?
> Hoppe RT, Advani RH, Ai WZ, et al. I-Hodgkin lymphoma. J Natl Compr Canc Netw . 2011; 9 (9): 1020-1058.
> Hutchings M. Kanjani usizo lwe-PET / CT ekukhetheni ukwelashwa kweziguli ezine-Hodgkin lymphoma? Uhlelo lwe-Hematology Uhlelo lwe-Soc Hematol Educ Educator . 2012; 2012: 322-7.
> Townsend W, iLinch D. Hodgkin's lymphoma kubantu abadala. I-Lancet . 2012; 380 (9844): 836-47.