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淋巴癌晚期是淋巴结?A一个疾病 , 其特征是正常构造的淋巴结被破坏掉 , 代之以型态上不成熟的淋巴球的增殖。淋巴癌主源于身上的淋巴结 , 包括颈部、腋下、腹股沟的淋巴结 , 以及在身体内部、胸部纵隔腔或腹部主动脉两侧的淋巴结 , 一直到腹股沟的淋巴结。但它亦可发生于淋巴结以外的淋巴组织 , 这即所谓的淋巴结外的淋巴癌。譬如起源于胃肠道、骨头或甲状腺、头颈、鼻咽等淋巴组织出来的恶 性淋巴癌。 晚期淋巴癌主要可分为两种 , 一是何杰金氏疾病（ Hodgkin's disease ）以及非何杰金氏淋巴瘤（ Non-Hodgkin's Lymphoma 简写 NHL ）。这两种疾病在东西方国家 , 比例不同 , 在外国何杰金氏比非何杰金氏淋巴癌的比例靠近。 但是在包括日本、亚洲各国以及台湾、中国大陆等东方国家都是以非何杰金氏疾 病比何杰金氏疾病多得多。 淋巴系统的功能 整个淋巴系统是由淋巴细胞、淋巴管、淋巴结及一些非淋巴结的淋巴组织或器官（如扁桃腺、脾脏及胸腺）所构成 的。淋巴腺的主要功能是过滤并对抗外来入侵的病毒及细菌，另外也制造淋巴球。淋巴球属于白血球的一种，它负 责身体的免疫功能，当身体某一部份有病毒侵入时，该部位附近的淋巴腺（结）内的淋巴球便会运用免疫功能，对 抗外来之病菌以保护身体。 淋巴癌的成因 当淋巴组织内的淋巴球变成癌细胞时，则形成淋巴瘤。加不加「恶性」两个字其实指的都是同一种疾病，亦即都是 恶性肿瘤，我们主要介绍的是非何杰金氏淋巴瘤，以下简称为淋巴瘤。淋巴瘤的发生原因尚未确定，仅能大略指出 如下： 防卫系统的缺失 病毒感染 放射线或药物的使用 遗传 淋巴癌的症状 淋巴癌的症状大都表征在淋巴腺的肿大 , 当这个淋巴腺肿大表现在颈部、腹股沟、腋下的淋巴结肿大 ,可以从检查上摸得到。其它身体内部的淋巴腺就无法摸得到。 在淋巴结外的淋巴癌部位 , 譬如胃肠道 , 可能以肠阻塞及腹泻来表现 ,鼻咽及头颈、则以鼻咽的症状或扁桃腺肿大来表现 , 也有其它淋巴结以外的表现 ,比如说胸水、腹水或骨头痛、眼睛肿等的表征、其中以淋巴腺肿大最常见。所谓的 " 淋巴腺肿大 ", 是否即显示一个恶性癌症疾病 , 需要很小心去区分 , 因为一些比较没有危险性的疾病 , 比如淋巴结发炎或其它感染 ,亦可能造成淋巴腺的肿大 , 所以我们第一个在对付淋巴腺肿大时 , 必须仔细检查区分淋巴腺的大小、硬度、皮肤病变 , 并从病人的临床过程 ,淋巴结肿大的持续时间、大小、硬度的变化 及包括体重减轻 , 无缘无故发烧或夜间盗汗 , 还有皮肤发痒等症状去判断它究竟属于何种原因。 治疗淋巴癌的型态及诊断 淋巴癌主要可分为两种 , 何杰金氏疾病（ Hodgkin's disease ）以及非何杰金氏淋巴癌（ Non-Hodgkin'sLymphoma 简写 NHL) 。这两种婴 U 自有许多的分类 , 它们的分类是以淋巴球的分布及种类加以分类 ,不同病理分类及分期有完全不同的预后 , 所以要得到正确的组织学检查 , 首先要有切片 , 并血液病理专家看过后给临床医师讯息 ,确认为何种淋巴癌。在淋巴癌的恶性度上又有低度、中度、 高度的分类 , 不同恶性度的淋巴癌有不同的治疗。 淋巴癌的检查 检查红血球、血小板、白血球 肝脏功能、肾脏功能、碱酸 、骨髓抽取及切片 放射线检查 (X 光、淋巴摄影 - 胸部、腹部、骨盆腔 ) 淋巴癌的治疗 可分成四期 : 第一期到第二期可采局部放射线治疗 , 包括主动脉两旁的淋巴结或是影响所及的淋巴结及胸部纵隔腔的淋巴结。 第三及四期需采全身化学治疗。特殊部位 , 则可能需要电疗及化学治疗并行。 依照每一期又可以分成是否体重减轻、发烧、夜间盗汗可分为 A 期与 B 期。 一般而言恶性度较低以及属于第一、二期局部淋巴癌的病人，适合做放射线钴六十。而恶性度高且又属于第二至第 四期的病人，因病情恶化较快，而且容易散布全身，故以化学治疗为主。钴六十照射依病情需照射六 至八周 ，而化学治疗一般为每三到四周打一次，总共打六至八次化疗。 对极高恶性度的病患，每周打一次化疗， 每隔周使用不同的药物六至八种，以期减少抗药性，以密集治疗的方 式提高治愈的机会。混合放射治疗及化学治疗，适用于鼻腔淋巴瘤及肿瘤大的病人。另外及侵犯脊椎及脑部之淋巴 瘤也多采混合性治疗方式。 总结 整体而言，低恶性度高期别的淋巴瘤治疗不易根治，但一般而言，整体存活率比高恶性度的淋巴瘤高，五年平均存活率约为 70% 。而较具侵袭性的高恶性度淋巴瘤以期数来分，第Ⅰ期五年存活率约为 80% ，但第Ⅱ、Ⅲ期则约为 40% ，第Ⅳ期约为 20% ，一般而言，高恶性度淋巴瘤经由化学治疗仍可让 40% 以上的病人可达到长时间的存活。中、高恶性度淋巴瘤虽然疾病的进展比较快，但它对化学治疗反应比较好，反而 有较高的机会治愈。治疗期间必须定期回诊追踪以及身体检查，平日仍要注意是否有新的淋巴肿块出现。特别要注 意自己的淋巴肿块是否突然很快变大，因为低恶性度的淋巴瘤有可能转型为高恶性度侵袭性的淋巴瘤，就必须接受 化疗了。完成治疗疗程后，必须每个月回诊检查血液检查及追踪，以确定有否复发，若是有复发则必须接受其它的 治疗。淋巴癌知识：
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Our Xi’an Flights arrive to Xi’an at noon. In Xi’an, the buildings are larger and generally nicer. The shops alternated between modern shops you would expect in any American city and streets filled with vendors selling very similar or identical items. From the way we went in to Xi’an Jiatong University, where are our Xi’an Hotels. The campus, though, is really very beautiful and quite large. Our rooms are larger than I expected, and include a bathroom with a sink, a western-style toilet, and a “shower.” Our first China city travelexcursion to Xi’an, I am ashamed to say, was to Wal-Mart! To get essential supplies like shampoo, toilet paper, soap, and in some people’s cases, a stockpile of desserts. Xi’an was all under constructions just like the rural, mountain villages. We ate dinner at the small Muslim café on campus. Three of us split a noodle plate, a huge dumpling plate, 3 potato falafel kabobs, and 3 cold drinks for only 6 yuan, or about a dollar (have that cost was for the cold drinks). It’s painful seeing how cheap everything is after eating at that hotel for a week and paying 6 or 7 dollars a meal for lunch and dinner (30-40 yuan) and 2 or 3 dollars for breakfast. We found a coffee shop on campus as well, but it didn’t open until officially 9:30 am, and even at 10 am it wasn’t open. We will be here for the next month and leave to Beijing by thechina domestic flightsthen. I think the two months China Tourswill have a great time .
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