CLASSICAL HODGKIN LYMPHOMA: FROM PAST TO FUTURE-A COMPREHENSIVE REVIEW OF PATHOPHYSIOLOGY AND THERAPEUTIC ADVANCES

Panyala Santhoshini, Gande Apoorva, Aashutosh Sinwal, Ishu, Mudit Bhardwaj, Vaibhav Sinwal, Anushka Kalash
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Abstract

Lymphatic system cancers include Hodgkin lymphoma. The immune system's role in warding off sickness and germs consists of the lymphatic system. Hodgkin lymphoma develops when normally functioning lymphatic cells transform and proliferate uncontrollably. The annual incidence of Hodgkin lymphoma is two to three cases per one hundred thousand individuals. Nodular lymphocyte predominance (NLPHL) and classical Hodgkin lymphoma (cHL) are the two subtypes of Hodgkin lymphoma that are distinguished based on immunohistochemically and visual characteristics. Upon first diagnosis, the majority of individuals with Hodgkin's lymphoma will have supradiaphragmatic lymphadenopathy. Inguinal lymph node involvement is infrequent, however, patients commonly report lymph node involvement in the neck, anterior mediastinal, supraclavicular, and axillary areas. Chemotherapy and radiation therapy are the fundamental components of treatment for classical Hodgkin lymphoma (cHL), although in certain instances of slow-growing non-Hodgkin lymphoma, monitoring may be considered a viable approach. KEYWORDS: Hodgkin lymphoma, Epstein-Barr virus, Nodular lymphocyte predominance, Immunotherapy, Graft-versus-host disease.
经典霍奇金淋巴瘤:从过去到未来--病理生理学和治疗进展的全面回顾
淋巴系统癌症包括霍奇金淋巴瘤。淋巴系统是免疫系统抵御疾病和病菌的重要器官。当正常功能的淋巴细胞发生转变并不受控制地增殖时,就会患上霍奇金淋巴瘤。霍奇金淋巴瘤的年发病率为十万分之二到三。结节性淋巴细胞优势(NLPHL)和典型霍奇金淋巴瘤(cHL)是霍奇金淋巴瘤的两种亚型,根据免疫组化和视觉特征进行区分。初诊时,大多数霍奇金淋巴瘤患者会出现膈上淋巴结病变。腹股沟淋巴结受累的情况并不常见,但患者通常会报告颈部、前纵隔、锁骨上和腋窝淋巴结受累。化疗和放疗是治疗典型霍奇金淋巴瘤(cHL)的基本方法,但在某些生长缓慢的非霍奇金淋巴瘤病例中,监测可能被认为是一种可行的方法。关键词:霍奇金淋巴瘤 Epstein-Barr病毒 结节性淋巴细胞优势 免疫疗法 移植物抗宿主疾病
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