Overview
Munhu anonzi haana kukanganiswa kwemapfupa emapfupa kana kuti "discordant lymphoma" apo maviri akasiyana-siyana e-lymphoma anowanikwa mumunhu mumwechete kune nzvimbo mbiri dzakasiyana mumuviri.
Mune zvisiri Hodgkin's lymphoma, kana kuti NHL , kusagadzikana kwemafuta emapfupa anobatanidzwa kunowanzoitika apo lymphoma ine utsinye inowanikwa muine lymph node biopsy asi ine lymphoma inosvibisa kana inononoka inowanikwa mumapfupa emarota biopsy.
Izvo zvinogona kuitika, kana zviripo, zvekushongedza uye kusagadzikana kwemapfupa emapfupa anobatanidzwa mu lymphoma zvinoratidzika zvichienderana nemhando dze lymphoma inowanikwa pamwe nemamwe mamiriro ekuwedzera pamusoro penzira yechirwere chacho. Kazhinji, kugadzirisa zvakagadziriswa pamusoro pekutsvaga kwakagadziriswa pamagwaro akafanana kana asinganzwisisiki masora ekubatanidzwa kunonetsa nekuti, mumatambudziko mazhinji, zvakabudiswa nedzimwe tsananguro izvo vanachiremba vanovimba nazvo zvakanyanya.
Bhata Marrow Kubatanidzwa
Zvizhinji zvakasununguka kana kuti zvishoma nezvishoma zvinokura B-cell lymphomas zvine mapfupa emapfupa anobata panguva yekuongororwa. Nekuremekedza kupararira kwechikuru B-cell lymphoma (DLBCL), iyo inopesana neyeusingaiti Hodgkin's lymphoma , nyanzvi dzakawanda dzinorondedzera kuti anenge 10 kusvika ku15 muzana yematambudziko ane mafupa anobatanidzwa paanoongororwa. Kunyange zvakadaro, kuedza marasha emapfupa kunokosha.
Concordance uye Kurambana
Kana kuwanikwa kwemafupa emhepa kunenge kusina Hodgkin's lymphoma, kazhinji ndiyo iyo iyo masero emukenza mumapfupa emafuta akafanana nemasero emukenza anowanikwa pane dzimwe nzvimbo, zvakadai semakiriniki-uye izvi zvinonzi conordance .
Kuwirirana kunoreva kune mishonga yemakirini iyo inonzi histology , kana maitiro uye chitarisiko chemasero ane kenza, yakasiyana nenzira dzinokosha pakati pemafupa uye dzimwe nzvimbo dzekubatanidzwa.
- Kurongeka kwakasiyana nedzakasiyana- siyana , iyo inoreva kumativi maviri kana kupfuura akaparadzana emasero e-lymphoma mune rimwechete lymph node samples.
- Kurambana kunopesanawo nekushandura , izvo zvinoreva lymphoma inotanga kukura zvishoma kana kuti isingashandisi asi zvino inoshanduka kuve yerusimba lymphoma (kazhinji DLBCL) munguva yechirwere chacho. Richter shanduko muenzaniso wekushandura kunosanganisira chronic lymphocytic leukemia inoshandura kuDLBCL kana Hodgkin lymphoma.
Kuongororwa, Kurapa uye Chibereko
Izvo hazvisi zvakawanda zvekubvumirana pamusoro pekuti kazhinji sei zvinokonzera lymphomas zvinowanikwa, kuti vanozvibata sei muchipatara, kana kuti zvakanakisisa sei kuvabata, nhamo. Dhiyabhorosi inowanzobva mumatambudziko asina kuverengwa ayo akataurwa mumabhuku ezvesayenzi uye zvidzidzo zviduku zvinotarisa kumashure kuti uedze kuongorora maitiro neshamwari.
Concordant marrow marrow involvement yave yakabatanidzwa munhoroondo yepamusoro kune zvakanyanya kuitika pakupona kune varwere vane nodalular follicular lymphoma. Kuwana kunokonzera kuvandudzirwa kune Ann Arbor danho re IV uye nokudaro mapeji akakwirira pane imwe tsananguro inoshandiswa kugadzirisa maitiro, iyo FLIPI chikamu.
Kusagadzikana kwemapfupa emapfupa ekubatanidzwa kunoratidzika kunge kusinganzwisisiki pakati pemakumbo emakemikari anokura; concordant kubatanidzwa kwave zvichifungidzirwa kuitika mukati makumi mana kusvika ku70 muzana yevarwere vane follicular lymphoma.
Izvo zvisingadikanwi mapfupa emapfupa anobatanidzwa mumativi ekumativi lymphoma anoita kunge akafanana zvakare.
The Bottom Line
Maererano nevanyori vegore ra2016 rakabudiswa mu "Ropa" - rinonzi 'Discordant bone marrow kubatanidzwa mune zvisiri Hodgkin's lymphoma,' - zvimwe zvidzidzo nezviverengi zvakakura zvinodiwa kuti zvikwanise kuzivisa kuti chii chinopikisana uye kusawirirana zvinoreva vazhinji varwere vane lymphoma.
- Concordant bone marrow inobatana neDLBCL inoratidzika kuratidzira mamiriro akaipisisa uye kuipa kukura kwehupenyu hunoenzanirana nematambudziko asina kupindira kwemapfupa.
- Izvo zvisingazivikanwi mapfupa emapfupa anobatanidzwa nechirwere chisingaverengeki kana kuti chinokura B-cell lymphoma muDLBCL ichichangobva kuongororwa hachiratidzi kuti chinokanganisa zvakashata pakufananidzira.
Uye, kunyange zvazvo FDG-PET iri chinhu chinobatsira pakutsvaga kwe concordant bone marrow kubatanidzwa muDLBCL, zvinogona kunge zvisinganyanyi kunzwisisika mukuona kusagadzikana kwemafupa ekubatanidzwa kwemawere.
Sources
Brudno J, Tadmor T, Pittaluga S. Inokanganisa marora emasora anobata muHodgkin lymphoma. Ropa. 2016; 127 (8): 965-70.
Merli M, Arcaini L, Boveri E, et al. Kuongororwa kwemapfupa emapfupa anobatanidzwa mune zvisiri zveHodgkin's lymphomas: kuenzanisa pakati pe histology uye cytometry iri kufamba. Eur J Haematol . 2010; 85 (5): 405-15.
Sehn LH, Scott DW, Chhanabhai M, et al. Mhedziso ye concordant uye isinganzwisisiki marora marara anobatanidzwa pamigumisiro mukupararira kukuru kweB-cell lymphoma inobatwa neR-CHOP. J Clin Oncol . 2011; 29 (11): 1452-7.