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암의 병기

  • 요약병기(SEER)
    • 요약병기란
    • 요약병기범주
    • 일반적인 지침
    • 세부 지침
    • 병기결정법
  • 협력병기(CS)
    • 협력병기란
    • 일반 지침
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  • 그외 병기
    • AJCC Staging System
    • 결장과 직장병기
    • 전립선 병기
    • 부인과 병기
    • 흑색종 병기
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    • 간 병기

림프종 병기

림프종 병기에 대해 상세하게 안내합니다.

home > 암의병기 > 그외병기 > 림프종 병기

Ann Arbor staging

Ann Arbor staging 은 림프종의 병기를 위해 주로 사용되고, AJCC Manual for Staging of Cancer에서 정의된 체계이다. 처음에는 Hodgkin’s 질병을 위해 개발된 이 병기 체계는 나중에 Non-Hodgkin’s 질병을 포함하도록 확장되었다.
Hodgkin’s disease에서 extranodal 은 드물고 전신증상은 흔하며 예후에 중요한 영향을 미친다. 이 체계는 Hodgkin’s disease에는 유용하지만, non-Hodgkin’s lymphoma에는 덜 유용하다

림프종병기
Stage Definition
I Involvement of a single lymph node region or lymphoid structure(e,g., spleen, thymus, Waldeyer’s ring)
II Involvement of two or more lymph node regions on the same side of the diaphragm(the mediastinum is a single site; hilar lymph nodes should be considered “ lateralized”and, when involved on both sides, constitute stage ll disease)
III Involvement of lymph node regions of lymphoid structures on both sides of the diaphragm
III1 Subdiaphragmatic involvement limited to spleen, splenic hilar nodes, celiac nodes, or portal nodes
III2 Subdiaphragmatic involvement includes paraaotic, iliac, or mesenteric nodes plus structures in lll
IV Involvement of extranodal site(s) beyond that designated as “E”
More than one extranodal deposit at any location
Any involvement of liver or bone marrow
A No symptoms
B Unexplained weight loss of >10% of the body weight during the 6 months before staging investigation
Unexplained, persistent, of recurrent fever with temperatures > 38℃ during the previous month
Recurrent drenching night sweats during the previous month
E Localized, solitary involvement of extralymphatic tissue, excluding liver and bone marrow

Diaphragm level:one lymph node region or one organ-two or more lymph node regions on same side of diaphragm-two or more lymph node regions above and below the diaphragm-Multiple organs with or without lymph node involvement