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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Written by Peng Li Bo
Oncology
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Hodgkin's lymphoma symptoms and signs

Actually, whether it is Hodgkin's lymphoma or non-Hodgkin's lymphoma, the symptoms and signs are quite similar. In terms of symptoms, because lymphoma mainly occurs as a lesion in the lymph nodes, it is characterized by superficial, localized enlargement of the lymph nodes. Common locations include the neck, then the armpits, and the groin—areas where lymph nodes are more prevalent. It manifests as a local swelling; simply put, you might feel a lump or a tumor on your neck, which is the most common symptom. Additionally, there are other systemic symptoms including fever, weight loss, night sweats, and itchy skin, among others. As for the physical signs, it mainly refers to palpable superficial lymph node enlargement upon examination.

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Written by Liu Liang
Oncology
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What is lymphoma?

Lymphoma refers to a type of malignant tumor that originates in the lymph nodes or extranodal tissues or organs. It is clinically categorized into two main types: Hodgkin's lymphoma and non-Hodgkin's lymphoma. Furthermore, it can be subdivided into many different pathological types. Among these, diffuse large B-cell lymphoma is the most common type in China, and there are dozens of different pathological types. The pathological type of the lymphoma determines its malignancy level, prognosis, chemotherapy regimen options, and treatment methods, all of which can vary significantly.

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Written by Zhou Zi Hua
Oncology
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Typical symptoms of lymphoma

Typical symptoms of lymphoma include night sweats, fever, and weight loss. This fever often occurs in the afternoon, characterized as a cyclical fever that lasts for several days with irregular patterns. There are fever-free intervals ranging from a few days to several weeks, almost a nonspecific symptom but not commonly seen. Fever, night sweats, and unexplained weight loss of more than 10% within six months, or even emaciation, are considered B symptoms and are associated with a poor prognosis. In addition, skin itching is also not uncommon in late-stage patients.

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Written by Peng Li Bo
Oncology
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What are the symptoms of lymphoma spread?

The symptoms of lymphoma spread depend primarily on its original location. Generally, the most common site of origin is in the neck. Spread means that it has moved to other areas, so it may have spread to the armpits, groin, or popliteal fossa. If there is swelling or a tumor in the lymph nodes in these areas, it manifests as a tumor that can be felt in those specific locations, like in the groin or armpits. Of course, it is possible that it may spread to substantive organs, such as the lungs. If it spreads to the lungs, symptoms might include shortness of breath, coughing, and blood in the sputum.

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Written by Liu Liang
Oncology
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What department should lymphoma go to?

Lymphoma can be treated in the departments of hematology or oncology, where chemotherapy for lymphoma can be conducted by both. In our hospital, radiotherapy is performed in the oncology department, not by the hematology department, which only provides chemotherapy. If lymphoma has not been confirmed and there is only superficial lymph node enlargement clinically, then examinations such as ultrasound or PADCT suggest the possibility of lymphoma. In such cases, patients can visit the general surgery department for a lymph node biopsy to confirm the diagnosis. After confirmation, the patient can register in either the hematology or oncology department for further treatment.