Diffuse large B-cell lymphoma?

summary

Diffuse large B-cell lymphoma is the most common type of NHL, accounting for almost one third of all cases. This type of lymphoma accounted for the majority of cases of "aggressive" or "moderately high malignant" lymphoma. The correct diagnosis of diffuse large B-cell lymphoma depends on the evidence of appropriate biopsy and B-cell immunophenotype. Diffuse large B-cell lymphoma? Let's talk about it

Diffuse large B-cell lymphoma?

The most typical manifestation is painless and progressive swelling of superficial lymph nodes, with smooth surface and tough texture. It feels like ping-pong or the hardness of the tip of the nose. The cervical and supraclavicular lymph nodes were the most common, followed by axillary and inguinal lymph nodes. There are also patients with deep lymph node enlargement as the main performance, such as mediastinum, abdominal cavity, pelvic lymph node enlargement, the onset is more hidden, lymph node enlargement is often more obvious when found.

It may affect or oppress the surrounding tissues and organs, and cause corresponding symptoms. For example, huge mediastinal lymph nodes can compress the superior vena cava, leading to blood reflux disorders, such as face and neck swelling, chest tightness, chest pain, dyspnea, etc; Pelvic and abdominal huge lymph nodes can compress gastrointestinal tract, ureter or bile duct, causing intestinal obstruction, hydronephrosis or jaundice, and causing abdominal pain, abdominal distension.

Lymphoma can also invade organs outside the lymphatic system, showing invasion, destruction, compression or obstruction of corresponding organs. For example, the manifestation of gastrointestinal lymphoma is similar to that of gastric cancer and colorectal cancer, which may have abdominal pain, gastrointestinal ulcer, bleeding, obstruction, compression and other symptoms; Cutaneous lymphoma is often misdiagnosed as psoriasis, eczema and dermatitis; If it invades the brain, it may have headache, blurred vision, speech disorder, unconsciousness, personality change, sensory and motor disorder of some body and limbs, or even paralysis; Bone invasion can cause bone pain and fracture; Invasion of nasopharynx, can appear nasal congestion, runny nose, epistaxis, similar to the performance of nasopharyngeal carcinoma.

matters needing attention

The spleen and stomach were further damaged by chemotherapy and operation, and the heat toxin of radiotherapy consumed Qi, blood and Yin fluid. Malignant lymphoma is based on the weakness of spleen and stomach, phlegm and blood stasis and qi stagnation. The treatment is based on strengthening spleen and expelling pathogenic factors. At present, the Chinese medicine for the treatment of malignant tumor mainly includes two aspects: Supplementing Qi and nourishing Yin, supplementing qi and strengthening spleen. Regulating qi is also an important part of the treatment of malignant tumor. Traditional Chinese medicine treatment of malignant lymphoma can be summarized as strengthening the body, expelling pathogenic factors and symptomatic treatment.