I-Classical Hodgkin lymphoma yigama elidala elisetshenziselwa ukuchaza iqembu lezinhlobo ezine ezivamile zesifo se-Hodgkin. Zonke zihlanganisa amaphesenti angaba ngu-95 azo zonke izifo ze-Hodgkin emazweni athuthukile.
Ama-subtypes we-Classical Hodgkin Lymphoma
- I-Nodular Sclerosing Hodgkin Lymphoma (NSHL) - Lena yiyona ehlukahlukene kunazo zonke zeHodgkin lymphoma emazweni athuthukile. Kwenzeka okuningi kubantu abasha.
- I-Mixed Cellularity Hodgkin Lymphoma (MCHL) - Yilokho okulandelayo okuvame kakhulu futhi luhlobo olungenzeka nanoma yisiphi isikhathi.
- I-Lymphocyte Rich Classical Hodgkin Lymphoma (LRCHL) - Lolu hlobo olungavamile futhi luvame kakhulu kubantu abaneminyaka ephakathi.
- I-Lymphocyte Isusiwe i-Hodgkin Lymphoma (LDHL) - Lena yiyona ehlukahlukene kakhulu ejwayelekile yeHodgkin lymphoma futhi ivame kakhulu kubantu abadala kanye nalabo abakhubazekile emzimbeni. Ngenkathi ezinye izinhlobo zitholakala ikakhulukazi ezithombeni ezingxenyeni ezingaphezulu komzimba, ku-LDHL zithintekile esiswini futhi kungabandakanyeka isilwane, isibindi kanye nomnyosa wethambo.
Yini Ehlukanisa Izifo Zase-Classical Hodgkin?
Kuwo wonke ama-subtypes we-Hodgkin lymphoma ejwayelekile, amangqamuzana omdlavuza awuhlobo olungavamile lwe-B lymphocyte okuthiwa yi-Reed-Sternberg cells. Babenokubonakala okujwayelekile, okungafani nanoma yimaphi amanye amaseli emzimbeni. Uma zibonakala ku-lymph node biopsy, ziyasiza ekuxilongweni kwesifo se-Hodgkin.
Zibanzi kakhulu, futhi i-RS ejwayelekile isebenzisa i-nuclei yesibuko-yesithombe esinika ukubonakala kwamehlo. Kunezinhlobonhlobo zalokhu kubukeka, kodwa zibonakala kalula yi-pathologist. Ama-RS amangqamuzana amangqamuzana anomdlavuza, kodwa ukwandiswa kwama-lymph nodes kungenxa yokusabela kwamanye amangqamuzana omzimba omzimba ku-lymph nodes.
I-subtypes ye-classic Hodgkin isifo siyashintsha kulokho okunye izinhlobo zeseli ezitholakala ema-lymph nodes nokuthi iziphi izakhi zithintekile.
Izimpawu Nokuqaphela I-Classic Hodgkin Izifo
Izimpawu ze-lymphoma azifani kakhulu phakathi kwalezi zinhlobo ezine, kodwa amaphethini we- lymph nodes ekhulisiwe kanye nesiteji ekuxilongweni kungenzeka ahluke kakhulu. Ngenxa yalokho, imiphumela emva kokwelashwa ingase ihluke futhi. I-pathologist onolwazi angakwazi ukubona uhlobo oluqondile lweHodgkin ngokuhlola amasampuli e- lymph node biopsy ngaphansi kwe-microscope.
Isifo se-Classic Hodgkin sinezibonakaliso, ukuhlolwa ngokomzimba, i-lymph node biopsy, ukuhlolwa kwe-imaging, ukuhlolwa kwegazi, futhi ngezinye izikhathi nokuhlolwa komnto we-bone. Lezi zihlolwe ngesistimu ye-Cotswold kanye nokunikezelwa kwizinyathelo I nge-IV. Banikezwa u-A no-B ngokuba yi-bulky noma cha, okusho ukuthi izicubu esifubeni ziyingxenye yesithathu ububanzi njengesifuba noma amamentimitha angu-10 ngaphesheya kwezinye izindawo.
Ukwelashwa kwezifo ze-Classic Hodgkin
Ukwelashwa kwesifo esiyingqayizivele se-Hodgkin kuncike ngohlobo, isigaba nokuthi ngabe lukhulu yini, izimpawu, imiphumela yebhu, ubudala, kanye nempilo ejwayelekile. Ngokuvamile, i-chemotherapy inikezwa, ilandelwa ukwelashwa kwemisebe. Uma kungekho impendulo kulezi zonyango, kungalandelwa uhlobo oluhlukile lwe-chemotherapy, ukufakelwa kwe-cell stem, noma ukwelashwa nge-monoclonal antibody brentuximab vedotin.
Imithombo:
I-Cancer: Izimiso Nokusebenza Kwe-Oncology 7th Edition. Abahleli: VT DeVita, S Hellman noSA Rosenberg. Ishicilelwe nguLippincott Williams noWilkins, ngo-2005.
Isifo se-Hodgkin, i-American Cancer Society.
Ukwelapha isifo esiyingqayizivele seHodgkin, ngesigaba. I-American Cancer Society.
Iseli le-Reed-Sternberg, i-Atlas of Pathology, i-3rd Edition.