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非霍奇金淋巴瘤。

Non-Hodgkin lymphoma.

机构信息

University of Nebraska Medical Center, Omaha, NE, USA.

British Columbia Cancer Agency and British Columbia Cancer Research Centre, Vancouver, BC, Canada.

出版信息

Lancet. 2017 Jul 15;390(10091):298-310. doi: 10.1016/S0140-6736(16)32407-2. Epub 2017 Jan 31.

Abstract

Lymphomas can affect any organ in the body, present with a wide range of symptoms, and be seen by primary care physicians and physicians from most specialties. They are traditionally divided into Hodgkin's lymphoma (which accounts for about 10% of all lymphomas) and non-Hodgkin lymphoma, which is the topic of this Seminar. Non-Hodgkin lymphoma represents a wide spectrum of illnesses that vary from the most indolent to the most aggressive malignancies. They arise from lymphocytes that are at various stages of development, and the characteristics of the specific lymphoma subtype reflect those of the cell from which they originated. Since this topic was last reviewed in The Lancet in 2012, advances in understanding the biology and genetics of non-Hodgkin lymphoma and the availability of new diagnostic methods and therapies have improved our ability to manage patients with this disorder.

摘要

淋巴瘤可累及体内任何器官,临床表现多样,可由初级保健医生和大多数专科医生诊治。淋巴瘤传统上分为霍奇金淋巴瘤(占所有淋巴瘤的 10%左右)和非霍奇金淋巴瘤,本专题主要讨论后者。非霍奇金淋巴瘤是一组异质性疾病,从惰性最强到侵袭性最强的恶性肿瘤均有涵盖。它们起源于不同发育阶段的淋巴细胞,具体淋巴瘤亚型的特征反映了起源细胞的特征。自 2012 年《柳叶刀》杂志上次对该主题进行综述以来,人们对非霍奇金淋巴瘤的生物学和遗传学的认识不断深入,新的诊断方法和治疗药物的出现提高了我们治疗此类疾病患者的能力。

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