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1、LymphomaZhongshanHospital,FudanUniversityZouShanhuaDefinition:AgroupofneoplasticdiseasesoflymphoidtissuesClassification:Hodgkin′sDisease,HD(Hodgkin′sLymphoma)NonHodgkin′sLymphoma,NHL)GeneralConsiderationsClinicalFeatures:Painless,progressivelymphadenectasisFever,weightloss,nightswea
2、t;cachexiaHepatosplenomegalyEpidemiology:Incidence:incities/inthecountry;male/female;ageHD8~11%;NHL90%GeneralConsiderationsVirulogy:EBvirus→Burkittlymphoma,HDHumanT-cellLymphotropicVirustype1,HTLV-1→AdultT-celllymphoma/leukemia,ATLHTLV-2→MycosisFungoidesHelicobacterPylori→MALTlymphom
3、aKaposisarcoma-associatedherpesvirus→primarybodycavitylymphomaEtiologyandPathogenesisImmuneStatesofHost:Immunodeficiency/immunosuppressionMechanism:Antigenicstimulation→lymphadenosis(modulation↓)→infiniteproliferation→lymphomaEtiologyandPathogenesisClassificationofLymphomaHD:Reed-Ste
4、rnberg(R-S)CellClassificationofLymphomaRyeClassification,1966LymphocytepredominanceNodularsclerosisMixedcellularityLymphocytedepletionClassificationofLymphomaWHOClassification,2001NodularlymphocytepredominanceHodgkin'slymphomaClassicalHodgkin'slymphomaLymphocyte-richclassicalHodgkin'
5、slymphomaNodularsclerosisHodgkin'slymphomaMixedcellularityHodgkin'slymphomaLymphocytedepletionHodgkin'slymphomaClassificationofLymphomaNHL:ClassificationofLymphomaNHL:IWF,1982REAL,1994WHO,2001WorkingFormulationLow-gradelymphomaA.smalllymphocytic,consistentwithchroniclymphocyticleukem
6、iaplasmacytoidB.follicular,predominantlysmallcleavedcelldiffuseareassclerosisC.follicular,mixedsmallcleavedandlargecelldiffuseareassclerosisWorkingFormulationIntermediate-gradlymphomaD.follicular,predominantlylargecelldiffuseareassclerosisE.diffuse,smallcleavedcellsclerosisF.diffuse,
7、mixedsmallandlargecellsclerosisepithelioidcellcomponentG.diffuse,largecellcleavedcellnoncleavedcellsclerosisWorkingFormulationHigh-gradelymphomaH.mmunoblastic,largecellplasmacytoidclearcellpolymorphousepithelioidcellcomponentI.lymphoblastic,convolutedornonconvolutedcellJ.smallnonclea
8、vedcell,Burk