最近审阅: 七月 2020
最近更新: 十月  2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 淋巴结肿大

其他诊断因素

  • 不明原因的发热
  • 盗汗
  • 体重减轻
  • 呼吸困难
  • 咳嗽
  • 胸痛
  • 上腔静脉综合征
  • 腹痛
  • 全身瘙痒
  • 累及部位有饮酒导致的疼痛症状
  • 肝大和/或脾大
  • 扁桃体肿大

危险因素

  • EB 病毒 (EBV) 感染病史
  • 霍奇金淋巴瘤家族史
  • 社会经济地位较高的年轻成人
  • HLA 类型
  • 犹太人血统

诊断性检查

首要检查

  • FBC 和分类计数
  • 生化检查
  • 红细胞沉降率 (ESR)
  • 胸部 X 线检查 (CXR)
  • PET-CT 扫描
  • 镓扫描
  • 颈部、胸部、腹部/盆腔增强 CT 检查
  • 淋巴结切除活检
  • 免疫组织化学检查
更多 首要检查

需考虑的检查

  • 骨髓活检
  • 甲状腺功能检测
  • 超声心动图或多门控采集 (MUGA) 扫描
  • 肺功能检查 (PFT)
更多 需考虑的检查

治疗流程

撰稿人

Assistant Attending

Lymphoma Service

Memorial Sloan-Kettering Cancer Center

New York City

NY

利益声明

AM has received honoraria for serving on advisory boards for Seattle Genetics, BMS, Merck, and Erytech. She has received honoraria from Seattle Genetics and Takeda for educational lectures.

Dr Alison Moskowitz would like to gratefully acknowledge Dr Chris R. Kelsey, Dr Leonard R. Prosnitz, and Dr Timothy M. Zagar, the previous contributors to this topic.

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Radiation Oncologist

Director of Postgraduate Education

Department of Radiation Oncology

Memorial Sloan-Kettering Cancer Center

New York

NY

利益声明

JY declares that he has no competing interests.

Chief Fellow

Section of Hematology and Oncology

Department of Internal Medicine

Wake Forest University Baptist Medical Center

Winston-Salem

NC

利益声明

RC declares that she has no competing interests.

Consultant Haematologist

University College London Hospitals

London

UK

利益声明

KA declares that he has no competing interests.

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