Going to the hospital to check the process of lymphoma

There are many patients with lymphoma. This disease has caused many people to lose their normal lives, so many patients are troubled by the disease. After suffering from the disease, the patient should first make a correct diagnosis. Diagnosis is the first step in treating the disease, and it is also something that every patient cannot ignore.

Going to the hospital to check lymphoma process

Routine blood test: The blood count of patients with early or newly diagnosed lymphoma is mostly normal. However, with disease progression, bone marrow involvement, hypersplenism, and after multiple chemotherapy and radiotherapy, the patient's routine blood test may show a decrease in the three lineages.

Bone marrow examination: The bone marrow invasion rate can be as high as 30% when diagnosing lymphoma, and it is inconsistent for different histological subtypes and different clinical stages. Patients with high-grade or advanced lymphoma are more likely to have bone marrow involvement. The invaded bone marrow cells have the characteristics of nuclear distortion and obvious nuclear division. Since about 70% of patients with lymphoma have focal involvement of the bone marrow, and 30% have diffuse and interstitial invasion. Therefore, multiple punctures and biopsies are expected to increase the positive rate of the examination.

Imaging examination: X-rays are of great reference value in the diagnosis of malignant lymphoma. At present, routine X-ray examinations include posterior-anterior and lateral chest films, supplemented by tomography when necessary, in order to observe the hilar, mediastinal, and subcarinal lymph nodes of the trachea, and also to observe whether there is any invasion in the lungs. CT, magnetic resonance imaging, and color Doppler ultrasound examinations are very helpful in discovering lesions in the mediastinum, retroperitoneum, and other hidden parts.

Histopathological examination: Pathological examination of lymph nodes or other affected tissues is the main basis for confirming lymphoma and pathological type. Malignant lymphoma generally needs to be confirmed by pathological examination. Optical microscopic examination of lymph nodes not only observes the morphology of cells, but also the structure of the entire lymph node and the reaction of interstitial cells. Therefore, it is best to take complete lymph nodes for examination and avoid taking partial lymph nodes as much as possible.

Lymphoma is a common disease. Although it is a cancer, it can be controlled if we can actively treat it. In the process of treating the disease, patients should also pay attention to the details of their lives and develop good living habits.