鎻浣曠偤闇嶅閲戞穻宸寸槫


銆€銆€闇嶅閲戞穻宸寸槫(Hodgkin鈥榮lymphoma)鏄穻宸寸郴绲�(t菕ng)鐨勪竴绋崹(d煤)鐗圭殑鎯℃€х柧鐥咃紝闁�(k膩i)濮嬪父鐧�(f膩)鐢熶簬涓€绲勬穻宸寸祼(ji茅)锛岀劧鍚庢摯(ku貌)鏁e埌鍏朵粬娣嬪反绲�(ji茅)鎴栫祼(ji茅)澶栧櫒瀹�銆佺祫绻斻€傜敺鎬у浜庡コ鎬�(1.3锝�1.4鈭�1)銆傜櫦(f膩)鐥呭勾榻$櫦(f膩)閬�(d谩)鍦�(gu贸)瀹跺憟闆欏嘲鍒嗗竷锛岀1骞撮健楂樺嘲鍦�15锝�39姝诧紝绗�2宄板湪50姝蹭互鍚�銆備腑鍦�(gu贸)鍜屾棩鏈櫦(f膩)鐥呯劇(w煤)骞撮健鐨勯洐宄板垎甯冿紝鐧�(f膩)鐥呭浜�40姝插乏鍙�銆傛穻宸寸祼(ji茅)鑵ぇ鏄湇濂囬噾娣嬪反鐦ょ殑鏈€甯歌(ji脿n)鑷ㄥ簥琛ㄧ従(xi脿n)锛屽垵瑷烘檪(sh铆)澶氭暩(sh霉)鎮h€呯劇(w煤)鏄庨’鍏ㄨ韩鐧ョ媭锛�20%锝�30%鎮h€呰〃鐝�(xi脿n)鐧�(f膩)鐔便€佺洔姹�銆佹秷鐦︺€傜櫦(f膩)鐔卞彲鐐轰綆鐔�锛屾湁鏅�(sh铆)鐐洪枔姝囬珮鐔�(Pel-Ebstein鐔�)銆傛澶栧彲鏈夌槞鐧�銆佷箯鍔涚瓑銆�
銆€銆€闇嶅閲戞穻宸寸槫 (Hodgkin鈥榮lymphoma)鏄穻宸寸郴绲�(t菕ng)鐨勪竴绋崹(d煤)鐗圭殑鎯℃€х柧鐥�锛岄枊(k膩i)濮嬪父鐧�(f膩)鐢熶簬涓€绲勬穻宸寸祼(ji茅)锛岀劧鍚庢摯(ku貌)鏁e埌鍏朵粬娣嬪反绲�(ji茅)鎴栫祼(ji茅)澶栧櫒瀹�銆佺祫绻斻€傚叾绲勭箶鐥呯悊瀛�(xu茅)鐗瑰緛鐐烘儭鎬eed-Sternberg(閲�-鏂�)绱�(x矛)鑳炵殑鍑虹従(xi脿n)鍜岄仼鐣�(d膩ng)鏁�(sh霉)閲忕殑绱�(x矛)鑳炶儗鏅�銆傛牴鎿�(j霉)鍏跺瑙€鍜岄噷-鏂窗(x矛)鑳炪€佹穻宸寸窗(x矛)鑳炰互鍙婄簴缍寲鐨勭浉灏�(du矛)姣斾緥鍙垎鐐�4绋祫绻斿(xu茅)椤炲瀷锛氭穻宸寸窗(x矛)鑳炵偤涓诲瀷銆佺祼(ji茅)绡€(ji茅)纭寲鍨嬨€佹贩鍚堢窗(x矛)鑳炲瀷鍜屾穻宸寸窗(x矛)鑳炶€楃鍨�銆傜祫绻斿(xu茅)浜炲瀷鏄焙瀹氭偅鑰呰嚚搴婅〃鐝�(xi脿n)銆侀爯(y霉)鍚庡拰鎭扮暥(d膩ng)娌荤檪鐨勪富瑕佸洜绱�銆�
銆€銆€鏄儭鎬ф穻宸寸槫鐨勪竴鍊�(g猫)鐛�(d煤)鐗归鍨�锛屾槸闈掑勾浜轰腑鏈€甯歌(ji脿n)鐨勬儭鎬ц叓鐦や箣涓€銆傜梾璁婁富瑕佺櫦(f膩)鐢熷湪娣嬪反绲�(ji茅)锛屼互闋搁儴娣嬪反绲�(ji茅)鍜岄帠楠ㄤ笂娣嬪反绲�(ji茅)鏈€鐐哄父瑕�(ji脿n)锛屽叾娆℃槸绺遍殧銆佽吂鑶滃悗銆佷富鍕�(d貌ng)鑴堟梺娣嬪反绲�(ji茅)銆傜梾璁婂緸涓€鍊�(g猫)鎴栦竴绲勬穻宸寸祼(ji茅)闁�(k膩i)濮�锛屽緢灏戦枊(k膩i)濮嬪氨鏄鐧�(f膩)鎬�,閫愭几鐢辫嚚杩戠殑娣嬪反绲�(ji茅)鍚戦仩(yu菐n)铏曟摯(ku貌)鏁�銆傛櫄鏈熷彲浠ヤ镜鐘绠�锛岃儍鍙婅劸銆佽倽銆侀楂撳拰娑堝寲閬撶瓑铏�銆�
銆€銆€闇嶅閲戞穻宸寸槫鑷充粖鐥呭洜涓嶆槑锛孍B鐥呮瘨鐨勭梾鍥犵爺绌舵渶鍙楅棞(gu膩n)娉紝绱�50%鎮h€呯殑RS绱�(x矛)鑳炰腑鍙鍑篍B鐥呮瘨鍩哄洜绲勭墖娈�銆傚凡鐭ュ叿鏈夊厤鐤己闄峰拰鑷鍏嶇柅鎬х柧鐥呯殑鎮h€呴湇濂囬噾娣嬪反鐦ょ殑鐧�(f膩)鐥呭嵄闅�(xi菐n)澧炲姞銆傚柈鍚堝瓙瀛跨敓瀛愰湇濂囬噾娣嬪反鐦ゆ偅鑰呭叾鍚岃優鐨勭櫦(f膩)鐥呭嵄闅�(xi菐n)楂�99鍊嶏紝鍙兘鏄敱浜庡皪(du矛)鐥呭洜瀛樺湪鐩稿悓鐨勯伜鍌虫槗鎰熸€у拰(鎴�)鐩稿悓鐨勫厤鐤暟甯�銆傛湰鐥呯殑鐥呭洜鍙婄櫦(f膩)鐥呮(j墨)鍒跺皻寰呴€�(j矛n)涓€姝ョ爺绌�銆�
渚�(l谩i)婧愶細涓湅(gu贸)闈掑勾缍�(w菐ng)
鐩搁棞(gu膩n)鎺ㄨ枽锛�
鍖椾含闆嗕腑鏁存不鍥涢娑夐啱(y墨)绐佸嚭鍟�(w猫n)椤�
棣虫彺浜戝崡锛氱伣(z膩i)闆i潰鍓嶉啱(y墨)鐢熺殑鎿�(d膩n)鐣�(d膩ng)锛�
鏈€鏂拌硣瑷�
- 鎴愮妇(j墨)鍏竷锛佹嬁涓嬭嚚搴婂煼(zh铆)妤�(y猫)閱�(y墨)甯瓑鏇�(sh奴)锛岄€欎簺楂樿柂鑱锋キ(y猫)浠讳綘鎸戦伕2024-09-16
- 2024骞存禉姹熷娉㈣嚚搴婂煼(zh铆)妤�(y猫)閱�(y墨)甯硣鏍艰€冭│閱�(y墨)瀛�(xu茅)缍滃悎鑰冭│鍦撴豢瀹屾垚2024-08-29
- 2024骞存箹鍖楄嚚搴婂煼(zh铆)妤�(y猫)閱�(y墨)甯硣鏍艰€冭│閱�(y墨)瀛�(xu茅)缍滃悎鑰冭│鍦撴豢瀹屾垚2024-08-23
- 2024骞村ぉ娲ヨ嚚搴婂煼(zh铆)妤�(y猫)閱�(y墨)甯硣鏍艰€冭│閱�(y墨)瀛�(xu茅)缍滃悎鑰冭│闋嗗埄绲�(ji茅)鏉�2024-08-23
- 2024骞村収(n猫i)钂欏彜鑷ㄥ簥鍩�(zh铆)妤�(y猫)閱�(y墨)甯硣鏍艰€冭│閱�(y墨)瀛�(xu茅)缍滃悎鑰冭│骞崇┅(w臎n)绲�(ji茅)鏉�2024-08-22
- 2024骞村寳浜€冨崁(q奴)鑷ㄥ簥鍩�(zh铆)妤�(y猫)閱�(y墨)甯硣鏍艰€冭│閱�(y墨)瀛�(xu茅)缍滃悎鑰冭│闋嗗埄瀵�(sh铆)鏂�2024-08-22
- 鎷夸笅鑷ㄥ簥鍩�(zh铆)妤�(y猫)閱�(y墨)甯硣鏍艰瓑鏇�(sh奴)鏈夊摢浜涚鍒╁拰瑁�(b菙)璨�2024-08-21
- 2024骞存禉姹熸箹宸炶嚚搴婂煼(zh铆)妤�(y猫)閱�(y墨)甯啱(y墨)瀛�(xu茅)缍滃悎绛嗚│宸ヤ綔闋嗗埄瀹屾垚2024-08-21
- 2024骞村唬鏉辨繁鍦宠嚚搴婂煼(zh铆)妤�(y猫)閱�(y墨)甯啱(y墨)瀛�(xu茅)缍滃悎鑰冭│闋嗗埄瀹屾垚2024-08-21
- 2024骞村悏鏋楅暦(zh菐ng)鏄ヨ嚚搴婂煼(zh铆)妤�(y猫)閱�(y墨)甯硣鏍艰€冭│閱�(y墨)瀛�(xu茅)缍滃悎鑰冭│鍦撴豢瀹屾垚2024-08-20