Ayikho i- leukemia noma i-lymphoma etholakala yi-imaging. Ukuxilongwa kokuqala kudinga ukuhlaziywa kwesibindi kanye nokuhlolwa kweziningi ze-laboratory ezenziwa kuma-sampuli negazi. Ukucabangela ukuhlolwa kwe-leukemia, ikakhulukazi, kungase kungabi usizo nakwezinye izinhlobo zomdlavuza owenza izicubu.
Lokho kusho ukuthi, ngisho nase-leukemia, futhi ngokuvamile e-lymphoma, izithombe ezicacile ze-x-ray zinganikeza izinkomba ezithathwe ndawonye nezinye izingcezu zolwazi, zingase ziyingxenye ye-worp ekugcineni ekuholele ku-biopsy nokuxilongwa.
Ngokuqondene ne-lymphoma , amaphethini wokubandakanyeka kwe-lymph node, engabonakaliswa ngisho nangesifuba x-rays, ingaba ibaluleke kakhulu ekuqaleni ukusiza ukunciphisa amathuba. Akuwona wonke ama-lymph nodes avuvukile esifubeni angama-lymphoma. Amanye ama-cancer, ukutheleleka, nezifo ezingafani nezifo ezifana ne-sarcoidosis kungase kube icala. Ngezinye izikhathi izilonda ze-lymph ezivuvukalayo zikhona ezindaweni ezifinyeleleka kalula ze-biopsy, njengentamo; Nokho, kwezinye izimo-ku-Hodgkin lymphoma, isibonelo-yilapho kuphela i-lymph nodes engumdlavuza ingase ibe ngaphakathi ngaphakathi kwesifuba.
I-X-ray Izithombe ku-Leukemia - Amabhomu nama-Lymph Nodes
Ama-X ray, noma amafilimu avulekile, awasetshenziselwa ukuxilonga i- leukemia. Noma kunjalo, i-x-ray yesifuba ingenziwa ukuze ihlole ukutheleleka kwamaphaphu noma ngesinye isizathu, kanti i-x-ray ingase ibonise futhi i-lymph nodes nezinye izifo zesifo. Ezinye izinhlobo ze-leukemia zingasakazeka kuma-lymph nodes njengoba lesi sifo siqhubeka.
I-leukemia ingaveza futhi izinguquko ekubukeni kwamathambo kubantu abadala nabathintekayo. I-osteopenia ibhekisela emathanjeni angabonakali njengamaqabunga-hhayi njengamhlophe emifanekiso-njengokwejwayelekile, kodwa angabonakali ekuboneni kwe-osteoporosis. I-Osteopenia iyatholakala njalo e-myeloma, i-leukemia, i-lymphoma, nezinye izinkinga eziningi.
Ngaphezu kwalokho, izazi ze-radiologists, noma odokotela abahumusha i-radiographic imaging, babheka amaphethini okubandakanya izifo, noma izilonda, ethambo. I-leukemia nezinye izifo eziningi ezingenayo umdlavuza eziphazamisa amathambo ezincane, ezifana ne-hyperparathyroidism kanye ne-osteoporosis, ingaba nokusabalalisa okulinganiselwe emasendeni. Ngokuphambene nalokho, ukubonakala okungahambi kahle, okungabonakali kwamathambo wesifuba kungase kusiphakamise imbangela ehlukile, njengesifo sikaPaget sesithambo noma ukusakazwa kwemetrashini kolunye uhlobo lomdlavuza.
I-X-ray Izithombe ku-Hodgkin Lymphoma - Amakhadi Akhulisiwe Esigodini
Izinhlobo ezimbili eziyinhloko ze-lymphoma yi- Hodgkin lymphoma , noma i-HL, non-Hodgkin lymphoma noma i-NHL. Kanti futhi, njenge-leukemia, i-lymphoma ayitholakali yi-x-ray.
Kodwa-ke, i-chest x-rays ingahle ilandelwe ngezizathu ezihlukahlukene, kanti amaphesenti angaba ngu- 40 kuya kwangu-65 abantu abane-HL banomdlavuza ngaphakathi kwesifuba, noma i-thorax, ngesikhathi sokuxilongwa; Kulezi, amaphesenti angaphezu kuka-90 abe nolwazi olubizwa ngokuthi yi-mediastinal lymph node. I-lymph nodes yama-mediastinal i-lymph nodes ephakathi kwe-mediastinum. I-mediastinum yindawo ephakathi kwesifuba esiphakathi kwamaphaphu amabili. I-HL ivame ukubandakanya ama-lymph nodes endaweni ye-mediastinum ebizwa ngokuthi i-mediastinum ephakeme-okungukuthi, amaqembu athile ama-lymph nodes anamagama afana namagama anjenge-prevascular, paratracheal, ne-aortopulmonary lymph nodes.
Ngama-x-rays avulekile, ukukhuliswa kwe-lymph node ngaphakathi kwe-mediastinum ngezinye izikhathi kungabonakala; kungase kubonakale njengokungavamile komuntu oyedwa noma okungajwayelekile emaceleni omabili emgqeni wamaphakathi esifubeni. Ngesibonelo se-Hodgkin's sokubandakanya i-lymph node, lapho ama-lymph nodes amaningi abandakanyeka angabonakala ndawonye, lokhu kungabonakala njengokuxhumene okuhlanganisiwe kwe-lobes. Lapho i-lymph node yomdlavuza noma ubuningi engenawo umngcele ocacile, lokhu kungabonisa ukuhlasela noma ukunwetshwa emaphethini amaphaphu eduze.
I-NHL ingabuye ikhiqize i-lymph node ekwandeni, kodwa i-NHL empeleni iqoqo le-lymphomas ehlukene engaqala cishe noma yikuphi-i-NHL ayisakazeki kusuka eqenjini le-node kuze kube yiqembu le-node ngendlela ehlelekile, njengoba ijwayelekile nge-HL.
I-Lymph Nodes ku-CT Scans
Ukubonakala kwe-lymph nodes ku-CT izilinganiso zingashintsha-ezivela kahle zichazwe futhi ziqondiswe ekubukeni okuningi okuhlangene. Ngesinye isikhathi udokotela wakho angabona kalula i-lymph nodes; ngezinye izikhathi, ama-lymph nodes amaningi angabonakala ndawonye, njengengxenye eyodwa enkulu enkulu. Izixuku zesifuba ezijwayelekile ze-HL zikhombisa i-CT njengomthunzi omnyama ofana nezinye izicubu ezithambile (kodwa hhayi amafutha, amnyama amnyama-amnyama; hhayi amathambo, amhlophe) futhi ubukhulu bungase bubukeke bukhuni noma bube nemicu engavamile. Nakuba ama-lymph nodes ekhulisiwe ngokuvamile ebukeka obukhulu, kunokwenzeka ukuthi kubalwa ukubalwa, okwenza kube mhlophe njengethambo; Nokho, lokhu kuvame kakhulu ukulandela ukwelashwa, ikakhulukazi ukulandela ukwelashwa kwemisebe.
Ama-PET ne-PET / CT Scans
I-PET ukuskena isebenzisa i-glucose ye-radioactive ethathwa ngokujwayelekile yiziningi, kodwa hhayi zonke izinhlobo zezinhlobo ze-lymphoma cell. Ukutholakala kwalesi sakhi esivuthayo kungenza imephu yezinhlobonhlobo, kubonise izindawo zomdlavuza emzimbeni . I-PET ivame ukuzwela kakhulu ekutholeni i-lymphoma kune-CT. Ngokwesibonelo, ukuskena kwe-PET kungabonisa isifo kuma-lymph nodes esivame ukulingana ku-CT futhi angasiza ekuhloleni izifo ezingaphandle kwe-lymph nodes kodwa ezingatholakali 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 nemifanekiso evamile, ukusebenzisa i-PET / CT ekuqaleni kungathonya isiteji futhi kuholele ukwelashwa okuhlukile kwinani elikhulu lamacala.
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