Lymphoid clinical check and diagnosis method of tumor for building blood system

(1)the check of necessity
The history of the ① detailed disease.(include to have fever, perspire a lot, emaciated, skin disease Yang, tired)
The ② overall physical examination, including lymphoid knot, swallow lymphoid wreath, liver, Pi and bone road.
The ③ analyzes a check:The blood elephant, blood sinks, the serum alkaline phosphoric acid Mao, liver function, kidney function.
The line of ④ X checks:Chest slice(positive side), double side legs the lymph build a shadow, the skeleton presses painful part to shoot a slice.
(2)the selectivity check
The ① whole lungses break a layer to photograph normal regulations chest the slice contain abnormality, the Zong separates, lung door the lymphoid knot is swollen big.
② CT the check and super voice check adds the detection that the lymph builds a shadow.
Considered marrow to live check when ③ had the following circumstance:
The alkaline phosphoric acid Mao goes up;The reason unidentified and anemic or other blood cell represses;Other bone pathological changeses;(scan or X line)III expects an above whole body sexually transmitted disease to change.④The cent expects sex Pou stomach to fish for Shu, Pi resection.
(3)the assistance check
The pit vegetable of the ① liver organs, such as Pi, skeleton and kidney...etc. shows elephant and kidney diagram;②The blood bio-chemical check includes blood calcium and uric acid etc.;③Immunology check and tubercle germ experiment;④The gallium scans all over.
(4)lymphoid build a shadow
The ① lymph builds the purpose of shadow to lie in looking for whether lymphoid knot inside the belly cavity is invaded.The cent that mainly useds for malignant and lymphoid lump expects;Judge to project to cure or chemistry treatment of curative effect;Discover if the disease relapses.Building the shadow can be detained in the body for 9 months is to a year, therefore can repeat to shoot a slice to observe curative effect.
The ② adaption malignant and lymphoid lump 1, the II expect to make the legs lymph to build a shadow, in order to understand after the peritoneum lymphoid knot have already had no invasion;Stomach ditch pathological changes often the companion has after the peritoneum the lymphoid knot infringes upon, therefore knot a swollen case to need to carry on lymph to build shadow to the stomach ditch lymph;The NHL patient easily has marrow invasion, therefore proper make marrow first to wear a sting or live check, if confirm to have already had marrow invasion to then no longer make lymph to build shadow Shu.
The ③ taboo disease lung substantial pathological changes;The iodine allergic history;Have already known to expect a pathological changes for III and IV, especially separate bottom can Men and lump.
(5)the cent expect sex Pou stomach check with Pi resection
With the cent expect for the purpose Pou stomach fish for Shu not a few foreign research units have already listed as necessary check item and include Pi excision and liver Xie the form slice to take to live check and needle to absorb to live check, the bone Xie form lives check, many lymphoid knot samplings to live check etc..According to the local circumstance, can optionally make the Pou stomach fishes for Shu and Pi resection, if have whole body symptom, lymphoid build to copy suspicious, Pi can Men and, pathology is hybrid cell type and lymphoid cell reduction type, or belong to a left bottom neck pathological changes, lymphoid knot specimen blood vessel infringe upon, can accept a cent to expect sex Pou stomach fishes for Shu.
Because the stomach of NHL Pou fishes for after the Shu complications compare HD is Gao, transfer again none settle regulation, easily have the outside lymphoid knot the invasion, therefore the cent expects sex Pou stomach to fish for Shu to have smaller value to the NHL diagnosis.
In addition, cutting off the spleen can raise to be subjected to sex towards putting to treat or bearing of chemotherapy, and can avoid irradiation spleen to the harm of surrounding organ.
Expects to the disease the early young and female sufferer should go the ovary fixed Shu when the Pou stomach fishes for, be move ovary to be located on at the back of the womb, fix in the centerline position, counteract a silver to clip to make marking.With avoid direct project light upon, reserve fertility.Generally need to be projected light upon lymphoid just carry on the ovary fixed Shu while knotting inside a chamber.
(6)the CT scan a check
The CT scans to discover the legs lymph builds to copy can not discover of lymphoid knot set, after fastenning a film and separating feet such as the bowel, Yi week, liver door, belly cavity artery side etc. lymph knot.The CT can also discover a dirty machine pathological changes.But the CT scans to limit sex, first judge by pouring flattering size have no pathological changes, can not observe internal structure, therefore often increasing a part of reactions to living the misdiagnosis is also masculine gender;Secondly the CT shows of the basin chamber lymph knot not as lymphoid as legs knot to build a shadow explicit.Because NHL often infringes upon lymph to build to copy the lymphoid knot district and dirty machine that can not show, such as probably should still consider CT first.
The false feminine gender rate diagnosed to the spleen Gao, therefore to HD patient, the CT scans to replace Pou stomach to fish for Shu.
Because of the chest CT sometimes separates pathological changes and windpipe to the concealed feet and Zong beside, the lymphs, such as lung door and aorta window...etc. knots swollen the diagnosis also has an absolute being benefit.