I-Classical Hodgkin lymphoma lide elide elisetyenziswe ukuchaza iqela leentlobo ezine eziqhelekileyo zezifo zeHodgkin. Bonke babandakanya amaphesenti angama-95 yazo zonke izifo zeHodgkin kumazwe athuthukile.
Iincinci ze-Classical Hodgkin Lymphoma
- I-Nodular Sclerosing I-Hodgkin Lymphoma (i-NSHL) - Le yintlobo eqhelekileyo ye-Hodgkin lymphoma emazweni athuthukileyo. Kuyenzeka ngakumbi kubantu abancinci.
- I-Mixed Cellularity i-Hodgkin Lymphoma (MCHL) - Oku kulandelelwano oluqhelekileyo kwaye luhlobo olungenzeka nanini na.
- I-Lymphocyte i-Rich Classical Hodgkin Lymphoma (LRCHL) - Olu luhlobo olungavamile kwaye luqhelekileyo kubantu abadala.
- I-Lymphocyte ichithwe iHodgkin Lymphoma (LDHL) - Le yintlobo encinci ye-Hodgkin lymphoma yeklastiki kwaye iyaxhaphaka kubantu abadala kunye nalabo abanokukhubazeka komzimba. Nangona ezinye iindidi zenzeka ngokubanzi kwii-lymph nodes kwisiqingatha esiphezulu somzimba, kwi-LDHL zichaphazelekayo esiswini kwaye kunokubandakanyeka kwiteyile, isibindi kunye nomnatha wethambo.
Yintoni eyahlula izifo ze-Classical Hodgkin?
Kuzo zonke ii-subtypes ze-Hodgkin lymphoma yesiqhelo, iiseli zomhlaza ngumhlobo ongaqhelekanga we-B lymphocyte ebizwa ngokuba yi-Reed-Sternberg iiseli. Bafana nokubonakala okungafani nawaphi na amaseli emzimbeni. Xa zibonwa kwi-lymph node biopsy, zinceda ekuxilongweni kwesifo seHodgkin.
Zikhulu kakhulu, kwaye i-RS yeseli ifana ne-nuclei ye-mirror-image iyinika ukubonakala kwamehlo. Kukho iintlobo zolu hlobo, kodwa zichongwa ngokugqithiseleyo ngumhlaza wezilwanyana. Iiseli ze-RS ziiseli zomhlaza, kodwa ukwandiswa kwee-lymph nodes kubangelwa ukuphendula kwamanye amaseli omzimba kuma-lymph nodes.
Izicatshulwa zezifo ze-Hodgkin zakudala zihluka kwezinye iindidi zeeseli zitholakala kwi-lymph nodes kunye neziphi iziphahla ezichaphazelekayo.
Iimpawu kunye nokuxilongwa kwezifo ze-Classic Hodgkin
Iimpawu ze-lymphoma azifani kakhulu phakathi kwezi ntlobo ezine, kodwa iipatheni zee- lymph nodes ezandisiweyo kunye nesigaba esicatshulwayo singase zihluke. Ngenxa yoko, iziphumo emva kokuba unyango luyahluka. I-pathologist onamava angakwazi ukubona uhlobo oluchanekileyo lweHodgkin ngokuhlolisisa iisampuli ze- lymph node biopsy phantsi kwe-microscope.
Isifo se-Classic Hodgkin sisisigxina ngeempawu, ukuhlolwa ngokomzimba, i-lymph node biopsy, iimvavanyo zokucinga, ukuhlolwa kwegazi, ngamanye amaxesha kunye neemvavanyo zomongo weethambo. Ezi zihlolwe ngeenkqubo zeendlela zeCotswold kwaye zinikezelwe kwiSigaba I ukuya kwi-IV. Banikezwe A kunye no-B ngokuba yi-bulky okanye ayikho, oku kuthetha ukuba iifompho esifubeni ziyingxenye yesithathu ububanzi njengesifuba okanye iisentimitha ezili-10 ngaphesheya kwezinye iindawo.
Unyango lwe-Classic Hodgkin Disease
Unyango lwesifo se-Hodgkin yesigxina kuxhomekeke kwimihlobo, isigaba nokuba ingaba yinto enamandla, iimpawu, iziphumo zebhu, ubudala kunye nempilo jikelele. Ngokuqhelekileyo, i-chemotherapy inikezelwa, ilandelwa ngonyango lwamayeza. Ukuba akukho mpendulo kulezi zonyango, kunokulandelwa yerimim ekhethiweyo ye-chemotherapy, ukutshintshwa kwe-cell stem, okanye unyango nge-antioclonal antibody brentuximab vedotin.
Imithombo:
I-Cancer: Imigaqo kunye nokuSebenza kwe-Oncology 7th Edition. Abahleli: VT DeVita, S Hellman kunye ne-SA Rosenberg. Ipapashwe nguLippincott Williams noWilkins, ngo-2005.
Isifo seHodgkin, i-American Cancer Society.
Ukunyanga i-classic Hodgkin isifo, ngesigaba. American Cancer Society.
Iseli leRed-Sternberg, i-Atlas of Pathology, i-3rd Edition.