Palibe khansa ya m'magazi kapena lymphoma imapezeka ndi kuganiza. Kufufuza koyambirira kumafuna biopsy ndi mayesero angapo a ma laboratory omwe amachitidwa pazigawo zamagazi ndi minofu. Kuyesera kuganizira za khansa ya m'magazi, makamaka, sikungathandize ngati mitundu ina ya khansara yomwe imapanga matumbo.
Izi zikuti, ngakhale khansa ya m'magazi, komanso nthawi zambiri mu lymphoma, zithunzi zooneka bwino za x-ray zingapereke ndondomeko zomwe, zogwiritsidwa ntchito pamodzi ndi mfundo zina, zingakhale mbali ya kugwedeza komwe kumayambitsa matendawa.
Ponena za lymphoma , njira zogwirira ntchito zamaliseche, zomwe zikhoza kuwululidwa ngakhale m'chifuwa x-ray, zingakhale zofunikira poyamba kuti zithandizire kuchepetsa mwayi. Sikuti mitsempha yonse yotupa m'chifuwa ndi lymphoma. Matenda ena, matenda, ndi matenda omwe sali odwala ngati sarcoidosis angakhale olakwa. Nthawi zina mabala a mitsempha yotupa amapezeka m'malo ovuta, monga khosi; Komabe, nthawi zina-mu Hodgkin lymphoma, mwachitsanzo-okhawo maselo a khansa amatha kukhala mkatikati mwa chifuwa.
X-ray Mafuta a khansa ya m'magazi - Mitsempha ndi Mitsempha Yam'mimba
X-rays, kapena mafilimu omveka, sagwiritsidwa ntchito kuti apeze matenda a khansa ya m'magazi. Komabe, chifuwa cha x-ray chikhoza kuchitidwa kuti afufuze matenda a mapapu kapena chifukwa china, ndipo x-ray ikhoza kusonyeza ma lymph node ndi malo ena a matenda. Mitundu ina ya khansa ya m'magazi imatha kufalikira kumatenda am'mimba pamene matendawa akupita.
Khansa ya m'magazi ikhozanso kusintha maonekedwe a mafupa omwe akukhudzidwa ndi akuluakulu ndi ana. Osteopenia amatanthauza mafupa omwe samawonekera ngati ofooka-osati owala kwambiri mu mafano-monga ozolowereka, koma sali pamlingo womwe umawoneka mu matenda a mitsempha. Osteopenia ndi kawirikawiri kupeza myeloma, leukemia, lymphoma, ndi mavuto ena ambiri.
Kuphatikiza apo, radiologists, kapena madokotala omwe amatanthauzira chithunzi cha radiographic, akuyang'ana momwe amachitira matenda, kapena zilonda, mu fupa. Matenda a khansa ndi matenda ambiri omwe alibe khansa omwe amachititsa kuti mafupa asokonezeke, monga hyperparathyroidism ndi matenda otupa mafupa, amatha kufalitsidwa m'magazi. Mosiyanitsa, mawonekedwe osasunthika, osakanikirana a mafupa angapangitse zifukwa zina, monga matenda a Paget a mafupa kapena kufalikira kwa mtundu wina wa khansara.
Zithunzi za X-Hodgkin Lymphoma - Mipukutu Yowonjezera M'chifuwa
Mitundu ikuluikulu ya lymphoma ndi Hodgkin lymphoma , kapena HL, ndipo si-Hodgkin lymphoma kapena NHL. Apanso, mofanana ndi khansa ya m'magazi, lymphoma sichipezeka ndi x-ray.
Komabe, chifuwa cha x-ray chikhoza kulamulidwa pa zifukwa zina, ndipo 40 mpaka 65 peresenti ya anthu omwe ali ndi HL ali ndi kansa mkati mwa chifuwa, mwa izi, oposa 90 peresenti ali ndi zomwe zimadziwika kuti kukhala ndi maseŵera olimbitsa thupi. Zilonda za m'magazi ndi zam'mimba zimakhala mkati mwa mediastinum. Mthendayi ndi malo omwe ali pakatikati mwa chifuwa pakati pa mapapu awiri. Kawirikawiri zimakhudzana ndi maselo am'mimba mumtundu wa mediastinamu wotchedwa mediastinum wapamwamba-omwe ndi magulu a ma lymph node omwe ali ndi mayina monga ma chymph nodes, omwe amatha kutuluka m'mimba.
Pakati pa ma x-ray, kupatsirana kwa mitsempha mkati mwa mediastinum nthawi zina kumawoneka; zikhoza kuwoneka ngati zosaoneka bwino kapena zosavomerezeka kumbali zonse za pakati pa chifuwa. Ndi mtundu wa Hodgkin wa mtundu wamagulu okhudzana ndi maselo a mitsempha, pamene mabala ambiri amagazi amatha kuwonana palimodzi, izi zingawoneke ngati mgwirizano wambiri wa ma lobe. Pamene minofu ya khansa kapena misa ilibe malire, izi zikhoza kusonyeza kuti zimakhala zovuta kapena zowonjezereka m'magazi omwe ali pafupi.
NHL ingathenso kutulutsa mphulupulu m'mimba, koma NHL kwenikweni ndi gulu la mafupa osiyanasiyana omwe angayambe pafupifupi kulikonse-NHL sichitha kufalikira kuchokera ku gulu la node kupita ku gulu lachidziwitso, monga momwe zilili ndi HL.
Lymph Nodes pa CT Scans
Maonekedwe a ma lymph nodes pa CT amawoneka amasiyana-kuchokera kumveka bwino ndi osamveka ku mawonekedwe owonjezera-pamodzi. Nthawi zina dokotala wanu amatha kuona mosavuta ma lymph node; Nthawi zina, ma lymph nodes angapangidwe palimodzi, monga gawo limodzi lalikulu. Matenda achifuwa amtundu wa HL amasonyeza kuti CT imakhala mthunzi wofanana ndi zina zomwe zimakhala zofewa (koma osati mafuta, omwe ndi a mdima wakuda, osati mafupa, omwe ndi oyera) ndipo misa imatha kuwoneka ngati yovuta kapena yopanda malire. Ngakhale kuti maselo akuluakulu amatha kuoneka ofiira, ena amatha kuwerengera, omwe amawoneka oyera ngati fupa; Komabe, izi ndizofala kwambiri pakutsata chithandizo, makamaka potsatira njira zamagetsi.
PET ndi PET / CT Scans
Kufufuza kwa PET kumagwiritsa ntchito shuga yotulutsa mavitamini omwe imatengedwa ndi ambiri, koma osati onse, mitundu yosiyanasiyana ya maselo a lymphoma. Kupeza kwa mankhwalawa kumatha kupanga mapu osiyanasiyana, kusonyeza mbali za khansa yotenga thupi . PET nthawi zambiri imakhala yovuta kwambiri pozindikira lymphoma kuposa CT. Mwachitsanzo, kuyeza kwa PET kungayambitse matenda omwe ali ndi matenda akuluakulu pa CT ndipo angathandizenso kufufuza matenda omwe ali kunja kwa ma lymph nodes koma osapezeka pa CT. PET nthawi zambiri imaphatikizidwa ndi CT kuti zitheke kuyerekezera malo omwe ali ndi mphamvu zowonjezereka pa PET kufufuza ndi maonekedwe ambiri a dera la CT. Poyerekeza ndi kujambula kwapadera, kugwiritsa ntchito PET / CT kumayambiriro kumatha kuyambitsa machitidwe ndikupanganso mankhwala osiyanasiyana.
> Zotsatira:
> Hare SS, Souza CA, Bay G, et al. Matendawa omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda. Br J Radiol . 2012; 85 (1015): 848-864.
> Juanpere S, Cañete N, Ortuño P, Martínez S, Sanchez G, Bernado L. Njira yothandizira anthu ambiri. Kuzindikira Imaging . 2013; 4 (1): 29-52.
> Mehrian P, Ebrahimzadeh SA. Kusiyanitsa pakati pa sarcoidosis ndi Hodgkin's lymphoma pogwiritsa ntchito njira yamagulu yokhala ndi matenda a m'mimba. Pol J Radiol . 2013; 78 (3): 15-20.
> Schwenzer NF, Pfannenberg AC. PET / CT, MR, ndi PET / MR mu lymphoma ndi khansa ya melanoma. S emk Nucl Med. 2015; 45 (4): 322-31.