What is lymphoma Ki-67?

Written by Peng Li Bo
Oncology
Updated on December 22, 2024
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Lymphoma Ki67, also known as the proliferation index, is one of the indicators in immunohistochemistry performed after the pathological diagnosis of lymphoma. If this proliferation index is higher, it indicates that the activity of the tumor is stronger, and its proliferation is more active, thus the tumor should be given sufficient attention. Of course, active treatment should be pursued. Therefore, Ki67 reflects the activity of a tumor; if the index is very high, greater than 90%, it sometimes implies that the tumor can grow very rapidly, or not only grows significantly but might also spread to many places.

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How to check for lymphoma?

Patients with lymphoma generally present with painless enlargement of superficial lymph nodes as their initial symptom, most commonly in areas such as the neck, above the collarbone, and the groin. For diagnostic purposes, it is best, if possible, to conduct a whole-body PADCT scan as this helps in the staging of lymphoma at the initial visit. A definitive diagnosis requires the complete excisional biopsy of the affected superficial lymph node, followed by a pathological examination. An excisional biopsy is a method for confirming the diagnosis of lymphoma.

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What to check for malignant lymphoma?

The examination of lymphoma first requires routine blood tests and blood smears. When aggressive lymphoma invades the bone marrow, anemia, decreased white blood cells, and platelets may occur, and lymphoma cells can appear in peripheral blood; therefore, bone marrow smears and biopsies are necessary. Additionally, blood biochemistry is important, as an increase in lactate dehydrogenase is associated with tumor burden and is an indicator of poor prognosis. Furthermore, Hodgkin's lymphoma may involve the central nervous system, so patients with symptoms of central nervous system involvement need to undergo cerebrospinal fluid examination. The most important aspect of lymphoma is the histopathological examination. Based on the histopathological examination, the pathological staging is determined, and genetic rearrangement can also be performed.

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Is lymphoma contagious?

Lymphoma is not contagious, as it is not an infectious disease but a tumoral disease. Therefore, it is not contagious, and when seeking medical treatment for lymphoma, patients do not go to the department of infectious diseases. Typically, treatment is conducted in the oncology department or in the hematology department specializing in lymphoma. Thus, lymphoma is not contagious because it is not caused by an infectious pathogen. It is a solid tumor that is tangible and visible.

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Can people with lymphoma eat lamb?

Patients with lymphoma do not have any specific dietary restrictions, unlike traditional Chinese medicine, which refers to certain "heaty" foods that should be avoided. In Western medicine, as long as the diet is nutritionally balanced, including meat, protein, vegetables, and fruits, it fulfills the requirements of a balanced and comprehensive nutrition. The aim is to enhance the patient's immune system. There are no specific foods that are forbidden, so foods like lamb and beef can be consumed by lymphoma patients.

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Written by Peng Li Bo
Oncology
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Lymphoma has what manifestations?

The symptoms of lymphoma, simply put, are that some people feel a lump on their neck or in their armpit; it starts as a sudden appearance of a swelling that gets larger over time, sometimes not just one, but multiple lumps clustered together. This is indeed the most common symptom, where one can feel something on their neck, including under the jaw or the chin, noticing suddenly a nodule has formed, whether it's the size of a chicken egg or otherwise. That's one aspect. The second involves systemic symptoms, which primarily include fever, night sweats, and weight loss. These three symptoms are quite common.