Lymphoma is one of the top ten cancers in Hong Kong. According to the 2020 data from the Hospital Authority, there were 1,068 non-Hodgkin’s lymphoma cases and 397 deaths, ranking eighth in terms of incidence and fatality rate. Dr. Wang Shaoming, Honorary Clinical Associate Professor of the Department of Internal Medicine and Therapeutics of the Chinese University of China, said in an interview with TOPick that the symptoms of lymphoma are not obvious, and multiple examinations and tests are needed to confirm whether they have the disease, and biopsy is the only real diagnosis. method.
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Lymphoma can be divided into “Hodgkin’s lymphoma” and “non-Hodgkin’s lymphoma”. Dr. Wang Shaoming said in an interview that 90% of clinical patients are non-Hodgkin’s. Tumors can be classified according to their growth and spread rate, and the type of lymphocytes affected. Low toxicity or chronic lymphomas have fewer symptoms, while highly toxic or acute lymphomas have more severe symptoms. Statistics from the past 20 years show that the number of lymphoma patients is still more than the elderly, and the overall number is slowly increasing, with an annual increase of regarding several percentages.
Dr. Wang Shaoming pointed out that the symptoms of lymphoma are not obvious. In addition to the growth of unknown lymph nodes, unresolved fever and profuse sweating may be signs:
The cause of lymphoma is not obvious, and some may be associated with certain viruses. There is no way to prevent it, and it is not easy to detect it early.
Dr. Wang shared that he met a female patient in her 30s a few years ago. The patient was not in good health and had no obvious symptoms. She had lost a lot of weight and had a fever of unknown cause and sought medical treatment. After examination, it was confirmed that she was suffering from stage 4 lymphoma, with lymph nodes all over her body, and hydromembrane at the same time. The treatment effect was not good, and unfortunately she died following 1 or 2 years.
But terminally ill patients are not without treatment options. Dr. Wang once provided treatment to a mother-in-law in her 70s who had stage 4 lymphoma. The mother-in-law herself thought that she was old and in poor health, and her condition had developed quite seriously when she came to seek medical treatment. The mother-in-law originally insisted on drinking traditional Chinese medicine for conditioning. After some persuasion, she was finally willing to accept the treatment. The recovery process was good, and she recovered following 3 years of treatment. She can continue to take care of herself and take care of her family. Dr. Wang said that it is not impossible for older patients to receive treatment:
Lymphoma cancer can have different treatments in different situations, and it is changing with each passing day. If you want to bring out a positive message, the patient can have many treatment options, and the effect is also good. I hope the patient can be more active.
Dr. Wang also pointed out that the oldest patient ever encountered, a mother-in-law in her 90s, also received chemotherapy.
To determine whether a patient has lymphoma cancer, a patient needs to undergo a number of examinations and tests to confirm the diagnosis, including blood tests, X-ray examinations, computed tomography scans to check for swollen lymph nodes in the body, and biopsy such as MRI, lymphatic imaging examinations It is the truest and only way to diagnose. Patients who are diagnosed with lymphoma at a very early stage can undergo radiotherapy (commonly known as radiotherapy), and the main treatment methods are chemotherapy plus immunotherapy, as well as stem cell or bone marrow transplantation.
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Responsible editor: Chen Haolin
