flow cytometry of core biosy CD5-结果，瘤细胞应该是CD5-，是有利的表型。

     病理免疫组化结果复杂些，细胞成分可能不太均一, CD23+ 可能是正常B细胞表达的，也有小的可能是那里局部瘤细胞表达的。但CD23表达与否在follicular lymphoma 意义并不太大。前边说的是cyclin D1-预后较好，你是cyclin D1阴性，所以结合临床分期，细胞标志和病理分型，你都是follicular lymphoma 早期，预后应该较好类型的。

    我没接触过Gerson Therapy的患者，没有任何经验。不知你是否都读了和充分理解的他们的方法。饮食方面如果没有特殊毒性和异常，倒是可以耐受， 其中好像要经常用咖啡灌洗肠道。不知你能否接受和承受的了。需要充分咨询后在做选择

   不知道您是在哪级医院看病的？那位π小姐的建议也是挺好，MSKCC，MD Anderson，和Nebraska 医学中心的LYMPHOMA group 都有丰富经验， 如果有机会去那里诊治或咨询，会有好处的。

下面是一些与早期治疗疗相关的信息供参考;

Historically, radiation therapy has been the primary mode of treatment for patients with stage I – IIA Hodgkin’s disease with a high rate of cure. Researchers at Pre*****yterian Hospital in New York evaluated 94 patients with stage I and IIA Hodgkin’s lymphoma. All of these patients had the extent, or stage, of their lymphoma determined by x-rays and scans. Their treatment consisted of radiation therapy to areas affected by the lymphoma that were detected by these tests. Ten percent of these patients relapsed (the cancer returned) within an average of 38 months after treatment. However, all of the patients who had relapsed were treated with chemotherapy and radiation and achieved complete disappearance of their cancer. All patients involved in this study are currently alive without Hodgkin’s lymphoma. These findings indicate that careful clinical staging and initial treatment with radiation therapy alone is a viable treatment option for patients with early stage Hodgkin’s lymphoma. Treatment with chemotherapy for patients who relapse allows the majority of patients to be cured. More recently, combinations of low-dose chemotherapy and radiation have also been used as primary treatment modalities, which may reduce some of the side effects of radiation therapy.

Some risk factors involved in receiving radiation therapy include, but are not limited to, the occurrence of secondary cancers, sterility, skin burns and cataracts. However, researchers from New York have recently reported promising results of patients with clinically staged Hodgkin’s lymphoma treated initially with radiation therapy alone.

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• 非常感谢为我打了这么多字，您真是好人！ -三大作风- ♂ (0 bytes) () 12/01/2011 postreply 22:56:35