1. Judgment of systemic symptoms 1. Fever: The fever pattern is mostly irregular. Some patients may have continuous high fever, intermittent low fever, and a small number have periodic fever. 2. Night sweats: sweating at night or after falling asleep. 3. Weight loss: Most patients have clinical diagnosis of weight loss, with a reduction of more than 10% of their original body weight within 6 months. 2. Local symptom examination 1. Lymph node enlargement: including superficial and deep lymph nodes. Its special symptoms are that the enlarged lymph nodes are permeable, painless, hard, and can be moved. In the early stage, they are not adhered to each other, but in the late stage, they can be fused. Anti-inflammatory and anti-tuberculosis treatment is ineffective. Deep lymph nodes are more common in the mediastinum and the abdominal aorta, while superficial lymph nodes are more common in the neck, followed by the armpits and abdominal groove. 2. Local compression symptoms caused by swollen lymph nodes: The focus is on deep lymph nodes, such as enlarged mediastinal lymph nodes, which can compress the esophagus and cause difficulty in swallowing; compress the trachea and cause coughing, chest tightness, difficulty breathing and cyanosis; compress the superior vena cava and cause superior vena cava reversion syndrome. 3. Laboratory Examination 1. Blood test: Use a syringe to draw blood from the arm, and the doctor uses a microscope to observe the red blood cells, white blood cells and platelets. 2. Cell section examination: Use a syringe or surgery to remove cell tissue for testing. 3. Tomography examination: Use a large machine like an X-ray to take pictures from various angles, so that the doctor can see where the lymph cancer is. 4. Spinal puncture and biopsy: Use a fine needle to remove spinal fluid from the spine for testing. This method is only used in special cases. 5. Bone marrow examination: Use a syringe to remove a bone marrow sample near the hip pelvis for testing. 6. In addition, there are MRI, MUGA examination, PET examination, X-ray examination: using radiation to check whether the body organs have cancer and other items. |
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