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2012年9月22日 星期六

Lymphoma Cancer Symptoms in Women - Be Aware - Stay Alive


Lymphoma symptoms and especially lymphoma cancer symptoms in women are easy to be missed. It is so, because they can be taken for standard discomfort, to which we women are so familiar with by the default of being female.

Lymphoma is a form of cancer of the lymphocytes, a type of white blood cell.

Because our knowledge about this disease is so limited, it comes to be even more dangerous.

Let me share with you what my friend told me about her condition. "At first, I started losing weight. I was so glad to see it happen; we all know how hard it is to lose weight in our age (after 50). The next - somewhat unusual for me condition - was heavy sweating, especially at night. I didn't think twice about this though, it was winter time, I was probably too hot in general from the combination of keeping the house warm and using a heavy comforter, so I thought. You know, we always find an answer if and when we want to. Another day I noticed, my skin was itching; I had an explanation here as well; it must have been something wrong with the soap. Another incident of lymphoma symptoms I did not recognize, another unpremeditated excuse minimizing the seriousness of the situation. It was not until I noticed blood while coughing, when I decided to see my doctor".

Why this story? To help you recognize the limited knowledge about the lymphoma symptoms leading to a very late diagnosis, diagnosis at a very advanced stage of cancer. Should the lymphoma cancer symptoms have been diagnosed early, the condition could be put in regression, if not totally cured. It is not the ignorance though. The difficulty in recognizing lymphoma cancer symptoms is coming from the fact that the same symptoms are very "common" to other, not necessarily serious conditions.

Let's concentrate on lymphoma symptoms in women. What are they?

First and most common of all are the swollen lymph nodes, caused by the lymphoma cancer cells. This can be noticed mainly in the armpits, neck and groin. The nodes are quickly noticeable because of their location near to the skin surface and not so due to pain.

The next symptom is a rapid and unintentional loss of weight. Fever and night sweats, fatigue as well as problems with breathing continue the list. Since these symptoms very closely resemble infection symptoms, a lot of patients are being incorrectly treated for such instead of the true cause - lymphoma.

Mentioned here are only the few lymphoma symptoms in women. There are at least fifteen of them, which women can easily neglect, because we are so used to different kinds of discomforts being women. The list continues with abdominal pain, headaches, weakness and swelling of arms and legs, bowel obstruction, shortness of breath, coughing.

In conclusion, our strong recommendation is to see an oncologist if such symptoms stay unchanged (hopefully not getting any worse) for two - three weeks. It is in the patient's best interest to check it out. With a series of tests the presence or absence of lymphoma can be easily diagnosed; the sooner the diagnosis, the better chances of survival. And - if there is nothing wrong, the peace of mind gained after such visit is just priceless.




Be am amazed with the value of experience that comes from a simple heart to heart conversation. Yes, when the words are missing, hearts talk.
Breathe in the magnificence of life and breathe out the passion for love so others can be poisoned with it.
http://lifelonghomebiz.com





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2012年9月20日 星期四

What is Lymphoma Cancer?


The lymphatic system is comprised of the lymph, lymph vessels, lymph nodes, bone marrow, spleen, and liver. The lymph is the fluid that circulates in the lymphatic system and travels through the body via lymph vessels. The fluid contains lymphocytes - produced by the bone marrow and spleen -that fight pathogens. These cells filter the blood and collect the microorganisms inside lymph nodes. You'll notice that during infections, you will have a palpable node in your neck, under your arms, breasts, and groin. When the pathogens are overwhelmed, toxins and byproducts produced by these cells are then filtered in the liver to be eliminated.

In lymphoma cancer, the problem lies in the lymphocytes, specifically the B-lymphocytes and T-lymphocytes. Hodgkin's lymphoma is a type of lymphoma cancer where the B-lymphocytes have the presence of Reed-Sternberg cells under morphological studies. Non-Hodgkin's lymphoma, on the other hand, is a type of lymphoma that occurs without the presence of Reed-Sternberg cells. The malignant cells increase in number and size, resulting to a pooling of cells inside a lymph node. The lymph node formed will be rubbery, painless, and does not show any signs of disappearing. Lymphoma cancer is also noted with night sweats, unexplained weight loss, and unexplained fever. There are patients diagnosed with lymphoma but still live for more than 5 to 10 years, making this one of the most curable forms of cancer known to man. Biopsy of the tumor is the definitive way in diagnosing lymphoma. Imaging tests such as X-Ray, CT-Scan, and MRI along with blood tests are done in order to stage the severity of lymphoma cancer.

Treatment of lymphoma cancer can be a form or mix of radiation therapy and chemotherapy. Radiation therapy is done during the early stage, and applied only on a local area where the malignancy is noted. When the malignancy has spread in adjacent and distal parts of the body, chemotherapy is used along with immune-stimulants and corticosteroids such as prednisone. Surviving lymphoma is highly dependent on the stage when the lymphoma was diagnosed and the application of appropriate treatment. Always maintain your regular check up to see if your treatment is appropriate for you, and to monitor how the lymphoma cancer is progressing.




Need to learn more about Lymphoma? Be sure to check out Lymphoma Symptoms which contains in-depth information on Lymphoma Cancer, symptoms, treatment, diagnosis, causes and much more.





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2012年9月18日 星期二

Cancer and Common Questions About Lymphoma


If you or a family member has just been diagnosed with lymphoma, there probably are many questions you have. You will get all those answered eventually, however you first should know a little bit about cancer itself. Here we answer some of the questions to help you understand better what is going on inside your body.

What is a Cancer? Cancer is a condition in which certain of your body's cells become abnormal and grow uncontrollably, beyond the ability of your body to destroy these rogue cells. Your natural body defenses become insufficient to fight off this rapid growth of cells. Typically these cells then group together in a mass form called a tumor.

Your body is comprised of millions of cells, all working together in balance within your body for it's proper function. Blood cells, for example function in homeostasis; your body must have red blood cells, white blood cells, and platelets for you to live and breathe. These cells each have a life span and age in your body. When they near the end of their life span they are destroyed, and new cells form to replace the lost ones. The process takes place continually, but for some this process doesn't work properly. Cells may be formed too soon and not reach maturity, or be destroyed prematurely. When this happens cancer can be the root cause of the process not functioning as it should.

What is Lymphoma? Lymphoma is cancer of the lymphatic system. What occurs is that lymphocytes are not maturing as they should, and are not becoming normal white blood cells. When such abnormal cells start taking over they will replicate faster than normal white blood cells and live longer than normal lymphocytes. They are able develop in many parts of your body, such as the spleen, lymph nodes, bone marrow, and blood. There are two major types of cancer of the lymphatic system; Hodgkin's Lymphoma and Non-Hodgkin's Lymphoma, others exists as well but these are the main two.

What is a Lymphocyte? White blood cells which help the body fight off infections and other foreign entities in your body. Lymphocytes are manufactured in the bone marrow, spleen, and lymph nodes, and flow through your body in the lymph system. You have two main types of lymphocytes.

B-lymphocytes grow into plasma cells which make proteins known as antibodies. T-lymphocytes help destroy your body's own cells when they become infected. They assist in you fighting off viral infections that medications don't seem to take of. T cells help fight off cancer as well. Once these cells have done their jobs the survivors develop into memory cells stored in the lymph nodes. They remain, and if that particular antigen reappears they help fight if off again. This is how vaccines can work in our body.

How is Lymphoma treated? The various types of lymphoma are treated differently. Your physician will be better able to inform you which course of treatment is available for you. The majority of cancers are treated with immunotherapy, chemotherapy, and radiation. The objective is to get rid of the abnormal cells and to allow new healthy cells to develop in their place. A number of treatments are sometimes needed to reach this goal and help you recover.




Cancer can be a difficult thing to understand. For more on Hodgkin's Lymphoma and it's diagnosis visit http://www.fountia.com





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2012年9月17日 星期一

What Is Lymphatic Cancer (Lymphoma) and Its Treatment Effects?


Lymphoma is the cancer of lymph nodes. Like all cancers, it is the uncontrolled growth of cells in the vicinity of lymph nodes. Lymph nodes can be viewed as stopping points of lymphatic system. Lymphatic system basically carries fighting soldiers to whatever areas of your body whenever the body area is invaded or requires help to fight foreign intruders. The lymphatic system is a network of 'highways' starting from below the chin to the back of the neck, to underneath the armpits and then to the groin area and connects to the spinal cord.

Lymphoma develops as lumps at the node areas, typically behind the neck, armpits and groin areas. Not all lymphomas grow in detectable areas. Once a lump develops careful monitoring is required. Whenever a lump occurs, it can be caused by

1) viral infection, which can be easily cured by a course of antibiotics and usually last only a week or two,

2) Tuberculosis, which detected at early stages can easily be cured, and which will require more specialized medical care and treatment,

3) Cancer, which can only be confirmed by a biopsy. If there are several lumps that have been growing for some time, it is vital to get the lumps checked out by a Hematologist. Hematologists are specialized doctors dealing with blood disorders. Lymphoma is considered as a blood disorder. For other types of cancer, one would go to an oncologist.

Other noticeable signs are cold sweats at night, lost of appetite, drastic weight loss and lethargy. Sometimes these signs do not appear as in my case except for the lumps on base of the neck.

Like many other cancers, lymphomas are quite complicated and have different types and subtypes but generally lymphoma can be divided into two broad categories, namely Hodgkins and Non-Hodgkins. Hodgkins lymphoma is much more curable and the prognosis is very good.

Conventional treatment applies for Lymphoma - surgery and radiation - if the cancer is fairly isolated typically only in stage 1 (more on staging later). Chemotherapy followed by radiation for cancer that is not so widespread in the body. If the cancer is in a fairly advanced stage as in stage 3 and 4, then a full course of Chemotherapy treatment is required, as was in my case.

Staging in lymphoma is different from other types of cancer. Stage 1 is cancer found on one part in one section of the body either above or below the diaphragm. If the cancer has appeared in more than one place on same side of the diaphragm, then it has gone to stage 2. Stage 3 means the cancer has spread to the abdomen and groin areas above and below the diaphragm. Stage 4 means that the cancer has been detected in the bone marrow. Stage 3 is already considered advanced stage.

Once a biopsy has confirmed that a tumour is cancerous, a CT scan is usually performed to stage the cancer. In lymphomas, a bone marrow tap is usually done to check if the bone marrow carries the cancer as well. CT scans are also performed at regular intervals during Chemotherapy to determine the treatment's efficacy. If the current treatment is not effective, doctors will switch to another Chemotherapy regimen. At the end of the treatment, a final CT scan and PET scan are conducted to confirm absence of cancerous cells. The words "No cancerous cells detected" are the sweetest words one can ask for.

Chemotherapy treatment can last between six to eight months and a month more to recuperate from the onslaught of Chemotherapy. Most people will give up work to focus on the treatment. As in my case, Chemotherapy was once every two weeks. The first week immediately after Chemotherapy is the worst.

Most of the time, I was too weak to keep awake. As time passed, strength returned and by the second week, I could manage a short walk. After that the whole process starts all over again.

Towards the end of the Chemotherapy, the body would have been pretty badly savaged by the Chemo poison. One often lands up feeling very different after Chemotherapy, and it takes months to get back toany normalcy. The speed of recovery from Chemotherapy really depends on one's physical and mental strength.

Chemotherapy, as it is often called - "It is a marathon"




Th Ong has fought cancer and won. He shares his story and his research to prevent cancer in the first place. He gives his book OnTopOfCancer for Free on the internet at http://ontopofcancer.blogspot.com





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2012年9月15日 星期六

How to Diagnose and Treat Lymphoma Cancer?


The lymph system is a tubular structure branching out to all the parts of the body and is vital to fight infections. Lymph is a colorless fluid that contains white blood cells (lymphocytes) and is carried by the lymph system.

There are various types of lymphoma cancers and hence, answering a question, how to diagnose and treat lymphoma is a great challenge. The most common type of lymphoma and the term that is used interchangeably is Hodgkins disease and the rest of the types are known as non-Hodgkin's lymphoma.

Diagnosis:

Although, there are several symptoms of lymphoma cancer, but they may be similar to any other illness, making it difficult to suspect the diagnosis of lymphoma.

Some symptoms are:


Swelling of the lymph nodes
Fatigue feeling
Weight loss
Recurrent fever
Night sweats

Once a patient experiences symptoms, he/she may consult a physician, who may carry out the diagnostic procedure to confirm the disease. The diagnosis will be based upon:


Thorough physical examination of the patient
Inquiry about the complete personal and family history
Physically examining the lymph nodes for any abnormalities present
Biopsy test to confirm about the malignancy present in the lymph nodes
Chest x-ray to verify any enlargement of the lymph nodes in the chest
Magnetic Resonance Imaging(MRI) or Computer Tomography (CT) scan
Ultrasound examination

After the diagnosis is done and the lymphoma cancer is confirmed, then the patient may further undergo a few tests to detect the exact stage of the disease.

Cancer Treatment:


Radiation Therapy - Powerful x-rays or any such radiations may be used to treat the lymphoma cancer. The radiations are directed to kill the abnormal cancerous cells either by internal or external radiation therapy. However, pregnant women are not eligible for radiation therapy until delivery.

Chemotherapy - This therapy uses anti-cancer drugs to destroy the malignant cells in the lymph system. The therapy may be administered through mouth, intravenously or placing directly into the cerebrospinal fluid. Although, chemotherapy may be observed in pregnant women, close watch is required to see any danger to the fetus.

Vaccine Therapy - This is a new treatment technique used to treat lymphoma. This technique aims at strengthening body's immunity to fight the cancerous cells. The medications used are directed to restore the immune system and boost its defense against the malignancies.

High-dose chemotherapy in combination with stem cell transplant is another treatment option lately being considered. The technique is to replace the destroyed blood-forming stem cells in the patient with the donor stem cells.

Lymphoma cancer is type of cancer that affects the lymph system of the body. There are around 35 and more types of this cancer. Hence, how to diagnose and treat lymphoma cancer is a challenge for medical professionals. Like any other cancer, early detection and prompt treatment are vital.




For more detail read on lymphoma cancer or Lymphoma Cancer Causes





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2012年9月11日 星期二

Canine Lymphoma (Dog Cancer)


This article will discuss generally about dog's cancer that also known as Canine Lymphoma. This dog's cancer (also called lymphosarcoma) is the most common type of cancer to affect dogs. It is a condition in which cancer cells can grow anywhere there is lymph tissue. Therefore, the cancer cells can grow in almost any organ in your dog's body and will eventually cause one of them to fail.

Canine Lymphoma represents a common neoplasia of dogs affecting the entire lymphatic system including the spleen, thymus and liver. Its may occur in dogs of any age but is seen more frequently in dogs over 5 years of age. One in four dogs will get cancer at some time in their lives. This statistic appears to be conservative compared to the cancer incidence in ferrets and cats.

This dog's cancer mostly infected in American dogs, and fortunately, it is very treatable. It is about 50% of dogs with canine lymphoma can be put into remission. Most lymphomas respond very well to modern therapy, by using a combination of chemotherapy (sometimes radiation, although not very often).

Treatment for this cancer is relatively effective, but can also get expensive. Chemotherapy is a preferred method of treatment for canine lymphoma. Most dogs that undergo this treatment go into remission. Dogs that have one remission can usually go into remission a second time. However, the second remission usually lasts half as long as the first. Most dogs undergoing treatment for this cancer can survive one to two more years after diagnosis. The chemotherapy drugs can be given orally at home or as an injection at the vet's office. Dogs that are in stage 5 of canine lymphoma, the stage where bone marrow is affected, don't respond well to chemotherapy drugs.




Canine Lymphoma Blog is a website that providing more information about symptoms and treatment of this dog's cancer.

Aina Hazirah, an independent writer.





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2012年9月10日 星期一

Aspartame and the Increased Risks of Lymphoma Cancer


According to the findings of a recent study conducted by the Cancer Research Center of the European Foundation of Oncology and Environmental Sciences in Bologna, Italy, the frequent use of aspartame considerably increases the risks of developing lymphoma cancers and leukemia. Although the long-term study was conducted exclusively on female rats, without involving the active participation of any human subjects, the results are still very conclusive: aspartame is a clear carcinogenic agent that has a major contribution in the occurrence and evolution of lymphoma. A very popular chemical sweetener used as a replacement for sugar-based sweeteners, aspartame is no longer considered to be harmless.

The Italian research team that has conducted the study on the effects of aspartame on long-term use has stated that this chemical sweetener should be completely withdrawn from the market, as it greatly increases the risks of cancerous diseases. In present, aspartame is extensively used worldwide, being a common chemical component of chewing gum, sweet beverages and a wide range of other products.

Another series of studies have confirmed the strong carcinogenic potential of aspartame, revealing the fact that the chemical actually damages DNA, increasing the risks of cancer and degenerative brain diseases on long-term use. According to the findings, this commonly used product facilitates the development of tumors at various levels of the body, being a serious risk factor for brain cancers. The theories on the pronounced carcinogenic potential of aspartame have been recently supported by statistic reports: the incidence of brain tumors among animals exposed to prolonged doses of aspartame has increased over 47 times. The strong carcinogenic character of aspartame is due to the variety of toxins it contains. Medical scientists have stated that aspartame was also known to be a very unsafe chemical in the past; despite this fact, aspartame has been further promoted as harmless for commercial reasons.

The continuously increasing incidence of brain cancers among the global population is also considered to be related with the frequent use of aspartame-based products. Oncologists have stated that nowadays the incidence of brain tumors is considerably higher than it was a few decades ago, before aspartame products became available on the market. Furthermore, the increased frequency of various rare lymphoma subtypes such as reticulum cell sarcoma, microglioma and histiocytic lymphoma in the last few years has also been influenced by the use of aspartame.

Although exposure to aspartame can be considered a serious risk factor of lymphoma and other similar malignant diseases, the exact way aspartame triggers the occurrence of such disorders is still unknown. It is believed that aspartame directly interferes in the genetic structure of the body, causing genetic anomalies that later lead to production of cancerous cells. However, further studies are needed in order to provide cancer specialists with additional data on aspartame and its malignant effects on the human body.




So, if you want to find out more about symptoms of lymphoma or even about lymphoma cancer please visit this link http://www.lymphoma-center.com





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2012年9月2日 星期日

Microscopes and Hodgkin's Lymphoma - Understanding the Pathophysiology of a Common Cancer


First off What is Lymphoma?

We have to first define what lymphoma is before discussing Hodgkin's disease. Lymphoma is a cancer that develops from cells in the body known as "lymphocytes." Lympocytes are a subcategory of white blood cells. There are two different types of lymphocytes: B-cells and T-cells. Almost all lymphomas, including Hodgkin's disease, stem from B-cells.

In Hodgkin's lymphoma a B-cell, for unknown reasons, becomes cancerous. The cell then makes many many clones of itself. These cells bundle together to form a solid tumor known as a lymphoma. There are several hypotheses for why these cells become cancerous in Hodgkin's. One belief is that infection with Epstein-Barr virus (EBV, the same virus that causes infectious mononucleosis) can cause the cells to turn malignant in genetically susceptible people. Other theories are that certain genetic translocations may be the underlying factor. As of yet, no particular theory has significant supporting data to call it the "cause." In fact, there may be multiple unrelated causes.

Types

There are different subcategories of Hodgkin's lymphoma. They are based on several microscopic characteristics, and are important in determining prognosis. The features the pathologist is looking for are the number of Reed-Sternberg cells, as well as the number of lymphocytes present in the biospy specimen. A Reed-Sternberg cell is a funny shaped cell with two nuclei that looks like owl's eyes.

The first subcategory, and most common type, is nodular sclerosing Hodgkin's lymphoma. In this type there are very few Reed-Sternberg cells with a moderate number of lymphocytes. It commonly occurs in younger individuals, and with treatment, the prognosis is excellent.

The second subcategory is mixed cellularity Hodgkin's lymphoma. This type has many Reed-Sternberg cells and a moderate number of lymphocytes when viewed under the microscope. It has an intermediate prognosis.

The third subcategory is lymphocyte predominant Hodgkin's. It has very few Reed-Sternberg cells and many lymphocytes. It occurs most commonly in males less than 35 years of age. It is also one of the few types that is not associated with Epstein-Barr virus infection.

The last subcategory is lymphocyte depleted. It is the rarest form of Hodgkin's lymphoma. It typically affects older males. Unfortunately it has the worst prognosis of the four types.




Visit http://www.virtualmedstudent.com for more information.





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Lung Cancer and Lymphoma - DNA Analysis and Molecular Genetics


DNA analysis (i.e., molecular genetics) can be used in evaluating lung cancer, and can reliably separate lung tumors into their morphologic categories of squamous, large cell, small cell, and adenocarcinoma. Gene expression profiling (GEP) may have even more utility in the assessment of patients with non-small cell lung cancers (NSCLCs) and similar histology.

Several investigators have attempted to subclassify these tumors by correlating GEP patterns with clinicopathologic variables.

A series that included 41 lung adenocarcinomas identified three prognostically separate subgroups. The genes involved in this classification included thyroid transcription factor, hepsin, cathepsin L, vascular endothelial growth factor C (VEGF-C), and the intercellular adhesion molecule-1 (ICAM-1).

In another report of 139 lung adenocarcinomas defined four distinct subclasses. Tumors expressing neuroendocrine-type genes had a significantly less favorable survival than those lacking such characteristics. The genes that defined the neuroendocrine cluster adenocarcinomas included dopa decarboxylase, achaete-scute homolog 1, and the serine protease kallikrein 11.

Others used GEP to predict outcome from surgery in 67 patients with resected stage I adenocarcinoma. A specific group of genes distinguished high-risk from lower risk groups, with significantly different survival. Among the 50 genes comprising the risk index were erbB2, VEGF, S100P, cytokeratin 7 and 18, and fas-associated death domain protein.

In another series of 125 patients from Taiwan with surgically resected NSCLC, 16 genes were identified that correlated with increased or decreased survival. Further RT-PCR validation assay confirmed the microarray findings and showed that survival was significantly associated with five of the 16 genes (DUSP6, MMD, STAT1, ERBB3, and LCK). The five-gene signature was further validated in microarray data from patients of Western population and was an independent predictor of recurrence and overall survival for patients with surgical resection of NSCLC without any adjuvant therapy. This GEP profile is being used to select high risk patients for adjuvant chemotherapy in prospective clinical trials.

Lymphoma - Gene expression profiling (GEP) by means of DNA microarrays is an evolving approach to classification, diagnosis, and prognostication of Non-Hodgkin's Lymphoma (NHL).

As an example, diffuse large B-cell lymphoma (DLBCL) is a clinically heterogeneous disease in which approximately 40 percent of patients with advanced stage disease respond well to combination chemotherapy and are long-term survivors. Using GEP, DLBCL has been subclassified into three distinct molecular subgroups, germinal center B-cell-like (GCB), activated B-cell-like (ABC), and other (type 3), that appear to be derived from different stages of B-cell differentiation, utilize different oncogenic mechanisms, and differ clinically in their ability to be cured by multiagent chemotherapy.

Patients whose tumors express genes characteristic of germinal center B cells (GCB) have a significantly better outcome from chemotherapy than those whose gene expression is more typical of activated B cells (ABC). In one series for example, a clustering algorithm applied to 58 patients with DLBCL receiving cyclophosphamide, doxorubicin, vincristine and prednisone (CHOP) chemotherapy separated patients into two groups with very different five-year overall survival rates (70 versus 12 percent).

Although most of the early studies used fresh frozen tissue sections, similar results have been reported with GEP performed on formalin-fixed, paraffin-embedded material. No formal head-to-head comparisons of GEP from fresh versus archived materials have yet been performed.

GEP has also been used to develop a more precise molecular diagnosis of primary mediastinal B-cell lymphoma, a clinically unfavorable entity that cannot be reliably distinguished from other types of diffuse large B-cell lymphoma. These tumors do poorly with CHOP chemotherapy alone and may need more aggressive therapy than used for standard DLBCL.

Finally, GEP has the potential to reveal new therapeutic molecular targets. As an example, the ABC subtype of DLBCL is characterized by constitutive activation of the nuclear factor kappaB (NF-kappaB) signaling pathway; interference with this pathway selectively kills these lymphoma cells. The ubiquitin-proteasomal pathway and the NF-kappaB axis are intimately involved in the control of apoptosis. Inhibitors of this pathway (eg, proteasome inhibitors) can induce apoptosis in human leukemia cells that ectopically express the antiapoptotic protein Bcl-2. One such agent, the synthetic dipeptide boronic acid bortezomib, is a potent promoter of apoptosis in several human tumor cell types.

Summary - The rapidly evolving field of DNA microarray analysis and gene expression profiling has wide-ranging implications for the molecular classification of tumors, refinement of prognostic estimates, and prediction of response to therapy. Despite its exciting potential and significant recent advances, this field remains relatively new, and it is premature to conclude that microarray data can be used as a sole means of classifying cancers or predicting outcomes of treatment.

Among the specific challenges that must be met are the need for larger studies with appropriate validation, standardization of methods and establishment of guidelines for the conduct and reporting of studies, and the formation of repositories and registries where research institutions may deposit data for comparison with independent works involving the same malignant disorder. Finally, DNA microarray-based tests must demonstrate utility in prospectively designed clinical trials before this technology is considered a routine part of clinical evaluation. These studies may eventually establish a new treatment paradigm in personalized cancer therapy in the future.




Dr. Richard Graydon, http://www.medauthor.com, trained as an Oncologist, holding both M.D. and PhD degrees, andspecializes in molecular genetics and cancer research. His education and experience have provided him analytical and clinical skills for keen insight into diagnosis, treatment, and care of cancer patients. See http://www.medauthor.com for further information





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2012年9月1日 星期六

Hodgkin's Lymphoma, The White Cell Cancer


Many types of cancer are known our days, but Hodgkin's disease is one that can be cured if the medical advice and treatment is followed properly. Hodgkin's disease, named after the physician that identified it, is cancer of the lymphoid tissue. First of all this disease affects the immune defense system, leading to a weak organisms', unable to fight infectious particles found in human bodies.

In some cases lymphoma develops in organs like stomach or intestines, but mostly in the lymph nodes or the lymphatic tissue.

Two types of lymphoma are known: Hodgkin's and non Hodgkin's lymphoma. Hodgkin's disease affects especially old people that are over 60. The malignant cells developed by Hodgkin's disease are also known as Reed Sternberg cells.

Hodgkin's lymphoma is a disease that affects people with weak immune system, and people exposed to the virus called Epstein Barr. It affects people of any age, but most of the cases are seen at old men past 60.

Enlarged lymph nodes and unexpected weight loss are first symptoms for Hodgkin's lymphoma, and for the confirmation of the disease the possible patients should go to a physician. The procedure of illness determination involves a microscopic watch at a sample of the lymph node tissue.

Depending on the stage when it was discovered, this disease can need a complex or a less complex treatment in order to guarantee patients recovery or even life. In advanced stages lymphoma can be discovered not only in lymph nodes, but almost anywhere including patches of lymphatic tissue or, as I said before, in organs like stomach or intestines.

Lymph nodes are located in different parts of the body including the neck, the chest and groin, and the armpit.

Lymphocytes are divided in two groups: B cells and T cells, each one of these groups with different functions.

The B cells or B lymphocytes are meant to produce immune cells. When an infection is found the B cells change in plasma cells that stick to the infection and secretes antibiotics.

The T cells or T lymphocytes come to destroy antigens or infected cells.

The B and T cells are part of the normal lymphocytes, but the cause for Hodgkin's lymphoma the malignant or lymphoma lymphocytes. These cells can divide slowly or rapidly. Either way they cause lymph nodes or other organs to enlarge, depending on their position.

The lymph glands or any other organ, even if we talk about the stomach or intestines, are surely going to be affected by a large group of malignant lymphocytes, making unpleasant consequences unavoidable.




For more resources about lymphoma or even about cutaneous t cell lymphoma please review this page http://www.lymphoma-center.com/cutaneous-t-cell-lymphoma.htm





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2012年8月15日 星期三

Canine Lymphoma (Dog Cancer)


This article will discuss generally about dog's cancer that also known as Canine Lymphoma. This dog's cancer (also called lymphosarcoma) is the most common type of cancer to affect dogs. It is a condition in which cancer cells can grow anywhere there is lymph tissue. Therefore, the cancer cells can grow in almost any organ in your dog's body and will eventually cause one of them to fail.

Canine Lymphoma represents a common neoplasia of dogs affecting the entire lymphatic system including the spleen, thymus and liver. Its may occur in dogs of any age but is seen more frequently in dogs over 5 years of age. One in four dogs will get cancer at some time in their lives. This statistic appears to be conservative compared to the cancer incidence in ferrets and cats.

This dog's cancer mostly infected in American dogs, and fortunately, it is very treatable. It is about 50% of dogs with canine lymphoma can be put into remission. Most lymphomas respond very well to modern therapy, by using a combination of chemotherapy (sometimes radiation, although not very often).

Treatment for this cancer is relatively effective, but can also get expensive. Chemotherapy is a preferred method of treatment for canine lymphoma. Most dogs that undergo this treatment go into remission. Dogs that have one remission can usually go into remission a second time. However, the second remission usually lasts half as long as the first. Most dogs undergoing treatment for this cancer can survive one to two more years after diagnosis. The chemotherapy drugs can be given orally at home or as an injection at the vet's office. Dogs that are in stage 5 of canine lymphoma, the stage where bone marrow is affected, don't respond well to chemotherapy drugs.




Canine Lymphoma Blog is a website that providing more information about symptoms and treatment of this dog's cancer.

Aina Hazirah, an independent writer.





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2012年8月14日 星期二

Lymphoma Cancer Symptoms in Women - Be Aware - Stay Alive


Lymphoma symptoms and especially lymphoma cancer symptoms in women are easy to be missed. It is so, because they can be taken for standard discomfort, to which we women are so familiar with by the default of being female.

Lymphoma is a form of cancer of the lymphocytes, a type of white blood cell.

Because our knowledge about this disease is so limited, it comes to be even more dangerous.

Let me share with you what my friend told me about her condition. "At first, I started losing weight. I was so glad to see it happen; we all know how hard it is to lose weight in our age (after 50). The next - somewhat unusual for me condition - was heavy sweating, especially at night. I didn't think twice about this though, it was winter time, I was probably too hot in general from the combination of keeping the house warm and using a heavy comforter, so I thought. You know, we always find an answer if and when we want to. Another day I noticed, my skin was itching; I had an explanation here as well; it must have been something wrong with the soap. Another incident of lymphoma symptoms I did not recognize, another unpremeditated excuse minimizing the seriousness of the situation. It was not until I noticed blood while coughing, when I decided to see my doctor".

Why this story? To help you recognize the limited knowledge about the lymphoma symptoms leading to a very late diagnosis, diagnosis at a very advanced stage of cancer. Should the lymphoma cancer symptoms have been diagnosed early, the condition could be put in regression, if not totally cured. It is not the ignorance though. The difficulty in recognizing lymphoma cancer symptoms is coming from the fact that the same symptoms are very "common" to other, not necessarily serious conditions.

Let's concentrate on lymphoma symptoms in women. What are they?

First and most common of all are the swollen lymph nodes, caused by the lymphoma cancer cells. This can be noticed mainly in the armpits, neck and groin. The nodes are quickly noticeable because of their location near to the skin surface and not so due to pain.

The next symptom is a rapid and unintentional loss of weight. Fever and night sweats, fatigue as well as problems with breathing continue the list. Since these symptoms very closely resemble infection symptoms, a lot of patients are being incorrectly treated for such instead of the true cause - lymphoma.

Mentioned here are only the few lymphoma symptoms in women. There are at least fifteen of them, which women can easily neglect, because we are so used to different kinds of discomforts being women. The list continues with abdominal pain, headaches, weakness and swelling of arms and legs, bowel obstruction, shortness of breath, coughing.

In conclusion, our strong recommendation is to see an oncologist if such symptoms stay unchanged (hopefully not getting any worse) for two - three weeks. It is in the patient's best interest to check it out. With a series of tests the presence or absence of lymphoma can be easily diagnosed; the sooner the diagnosis, the better chances of survival. And - if there is nothing wrong, the peace of mind gained after such visit is just priceless.




Be am amazed with the value of experience that comes from a simple heart to heart conversation. Yes, when the words are missing, hearts talk.
Breathe in the magnificence of life and breathe out the passion for love so others can be poisoned with it.
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2012年8月12日 星期日

How to Diagnose and Treat Lymphoma Cancer?


The lymph system is a tubular structure branching out to all the parts of the body and is vital to fight infections. Lymph is a colorless fluid that contains white blood cells (lymphocytes) and is carried by the lymph system.

There are various types of lymphoma cancers and hence, answering a question, how to diagnose and treat lymphoma is a great challenge. The most common type of lymphoma and the term that is used interchangeably is Hodgkins disease and the rest of the types are known as non-Hodgkin's lymphoma.

Diagnosis:

Although, there are several symptoms of lymphoma cancer, but they may be similar to any other illness, making it difficult to suspect the diagnosis of lymphoma.

Some symptoms are:


Swelling of the lymph nodes
Fatigue feeling
Weight loss
Recurrent fever
Night sweats

Once a patient experiences symptoms, he/she may consult a physician, who may carry out the diagnostic procedure to confirm the disease. The diagnosis will be based upon:


Thorough physical examination of the patient
Inquiry about the complete personal and family history
Physically examining the lymph nodes for any abnormalities present
Biopsy test to confirm about the malignancy present in the lymph nodes
Chest x-ray to verify any enlargement of the lymph nodes in the chest
Magnetic Resonance Imaging(MRI) or Computer Tomography (CT) scan
Ultrasound examination

After the diagnosis is done and the lymphoma cancer is confirmed, then the patient may further undergo a few tests to detect the exact stage of the disease.

Cancer Treatment:


Radiation Therapy - Powerful x-rays or any such radiations may be used to treat the lymphoma cancer. The radiations are directed to kill the abnormal cancerous cells either by internal or external radiation therapy. However, pregnant women are not eligible for radiation therapy until delivery.

Chemotherapy - This therapy uses anti-cancer drugs to destroy the malignant cells in the lymph system. The therapy may be administered through mouth, intravenously or placing directly into the cerebrospinal fluid. Although, chemotherapy may be observed in pregnant women, close watch is required to see any danger to the fetus.

Vaccine Therapy - This is a new treatment technique used to treat lymphoma. This technique aims at strengthening body's immunity to fight the cancerous cells. The medications used are directed to restore the immune system and boost its defense against the malignancies.

High-dose chemotherapy in combination with stem cell transplant is another treatment option lately being considered. The technique is to replace the destroyed blood-forming stem cells in the patient with the donor stem cells.

Lymphoma cancer is type of cancer that affects the lymph system of the body. There are around 35 and more types of this cancer. Hence, how to diagnose and treat lymphoma cancer is a challenge for medical professionals. Like any other cancer, early detection and prompt treatment are vital.




For more detail read on lymphoma cancer or Lymphoma Cancer Causes





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2012年8月11日 星期六

What is Lymphoma Cancer?


The lymphatic system is comprised of the lymph, lymph vessels, lymph nodes, bone marrow, spleen, and liver. The lymph is the fluid that circulates in the lymphatic system and travels through the body via lymph vessels. The fluid contains lymphocytes - produced by the bone marrow and spleen -that fight pathogens. These cells filter the blood and collect the microorganisms inside lymph nodes. You'll notice that during infections, you will have a palpable node in your neck, under your arms, breasts, and groin. When the pathogens are overwhelmed, toxins and byproducts produced by these cells are then filtered in the liver to be eliminated.

In lymphoma cancer, the problem lies in the lymphocytes, specifically the B-lymphocytes and T-lymphocytes. Hodgkin's lymphoma is a type of lymphoma cancer where the B-lymphocytes have the presence of Reed-Sternberg cells under morphological studies. Non-Hodgkin's lymphoma, on the other hand, is a type of lymphoma that occurs without the presence of Reed-Sternberg cells. The malignant cells increase in number and size, resulting to a pooling of cells inside a lymph node. The lymph node formed will be rubbery, painless, and does not show any signs of disappearing. Lymphoma cancer is also noted with night sweats, unexplained weight loss, and unexplained fever. There are patients diagnosed with lymphoma but still live for more than 5 to 10 years, making this one of the most curable forms of cancer known to man. Biopsy of the tumor is the definitive way in diagnosing lymphoma. Imaging tests such as X-Ray, CT-Scan, and MRI along with blood tests are done in order to stage the severity of lymphoma cancer.

Treatment of lymphoma cancer can be a form or mix of radiation therapy and chemotherapy. Radiation therapy is done during the early stage, and applied only on a local area where the malignancy is noted. When the malignancy has spread in adjacent and distal parts of the body, chemotherapy is used along with immune-stimulants and corticosteroids such as prednisone. Surviving lymphoma is highly dependent on the stage when the lymphoma was diagnosed and the application of appropriate treatment. Always maintain your regular check up to see if your treatment is appropriate for you, and to monitor how the lymphoma cancer is progressing.




Need to learn more about Lymphoma? Be sure to check out Lymphoma Symptoms which contains in-depth information on Lymphoma Cancer, symptoms, treatment, diagnosis, causes and much more.





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2012年8月8日 星期三

Cancer and Common Questions About Lymphoma


If you or a family member has just been diagnosed with lymphoma, there probably are many questions you have. You will get all those answered eventually, however you first should know a little bit about cancer itself. Here we answer some of the questions to help you understand better what is going on inside your body.

What is a Cancer? Cancer is a condition in which certain of your body's cells become abnormal and grow uncontrollably, beyond the ability of your body to destroy these rogue cells. Your natural body defenses become insufficient to fight off this rapid growth of cells. Typically these cells then group together in a mass form called a tumor.

Your body is comprised of millions of cells, all working together in balance within your body for it's proper function. Blood cells, for example function in homeostasis; your body must have red blood cells, white blood cells, and platelets for you to live and breathe. These cells each have a life span and age in your body. When they near the end of their life span they are destroyed, and new cells form to replace the lost ones. The process takes place continually, but for some this process doesn't work properly. Cells may be formed too soon and not reach maturity, or be destroyed prematurely. When this happens cancer can be the root cause of the process not functioning as it should.

What is Lymphoma? Lymphoma is cancer of the lymphatic system. What occurs is that lymphocytes are not maturing as they should, and are not becoming normal white blood cells. When such abnormal cells start taking over they will replicate faster than normal white blood cells and live longer than normal lymphocytes. They are able develop in many parts of your body, such as the spleen, lymph nodes, bone marrow, and blood. There are two major types of cancer of the lymphatic system; Hodgkin's Lymphoma and Non-Hodgkin's Lymphoma, others exists as well but these are the main two.

What is a Lymphocyte? White blood cells which help the body fight off infections and other foreign entities in your body. Lymphocytes are manufactured in the bone marrow, spleen, and lymph nodes, and flow through your body in the lymph system. You have two main types of lymphocytes.

B-lymphocytes grow into plasma cells which make proteins known as antibodies. T-lymphocytes help destroy your body's own cells when they become infected. They assist in you fighting off viral infections that medications don't seem to take of. T cells help fight off cancer as well. Once these cells have done their jobs the survivors develop into memory cells stored in the lymph nodes. They remain, and if that particular antigen reappears they help fight if off again. This is how vaccines can work in our body.

How is Lymphoma treated? The various types of lymphoma are treated differently. Your physician will be better able to inform you which course of treatment is available for you. The majority of cancers are treated with immunotherapy, chemotherapy, and radiation. The objective is to get rid of the abnormal cells and to allow new healthy cells to develop in their place. A number of treatments are sometimes needed to reach this goal and help you recover.




Cancer can be a difficult thing to understand. For more on Hodgkin's Lymphoma and it's diagnosis visit http://www.fountia.com





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2012年8月7日 星期二

Aspartame and the Increased Risks of Lymphoma Cancer


According to the findings of a recent study conducted by the Cancer Research Center of the European Foundation of Oncology and Environmental Sciences in Bologna, Italy, the frequent use of aspartame considerably increases the risks of developing lymphoma cancers and leukemia. Although the long-term study was conducted exclusively on female rats, without involving the active participation of any human subjects, the results are still very conclusive: aspartame is a clear carcinogenic agent that has a major contribution in the occurrence and evolution of lymphoma. A very popular chemical sweetener used as a replacement for sugar-based sweeteners, aspartame is no longer considered to be harmless.

The Italian research team that has conducted the study on the effects of aspartame on long-term use has stated that this chemical sweetener should be completely withdrawn from the market, as it greatly increases the risks of cancerous diseases. In present, aspartame is extensively used worldwide, being a common chemical component of chewing gum, sweet beverages and a wide range of other products.

Another series of studies have confirmed the strong carcinogenic potential of aspartame, revealing the fact that the chemical actually damages DNA, increasing the risks of cancer and degenerative brain diseases on long-term use. According to the findings, this commonly used product facilitates the development of tumors at various levels of the body, being a serious risk factor for brain cancers. The theories on the pronounced carcinogenic potential of aspartame have been recently supported by statistic reports: the incidence of brain tumors among animals exposed to prolonged doses of aspartame has increased over 47 times. The strong carcinogenic character of aspartame is due to the variety of toxins it contains. Medical scientists have stated that aspartame was also known to be a very unsafe chemical in the past; despite this fact, aspartame has been further promoted as harmless for commercial reasons.

The continuously increasing incidence of brain cancers among the global population is also considered to be related with the frequent use of aspartame-based products. Oncologists have stated that nowadays the incidence of brain tumors is considerably higher than it was a few decades ago, before aspartame products became available on the market. Furthermore, the increased frequency of various rare lymphoma subtypes such as reticulum cell sarcoma, microglioma and histiocytic lymphoma in the last few years has also been influenced by the use of aspartame.

Although exposure to aspartame can be considered a serious risk factor of lymphoma and other similar malignant diseases, the exact way aspartame triggers the occurrence of such disorders is still unknown. It is believed that aspartame directly interferes in the genetic structure of the body, causing genetic anomalies that later lead to production of cancerous cells. However, further studies are needed in order to provide cancer specialists with additional data on aspartame and its malignant effects on the human body.




So, if you want to find out more about symptoms of lymphoma or even about lymphoma cancer please visit this link http://www.lymphoma-center.com





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2012年8月1日 星期三

What Is Lymphatic Cancer (Lymphoma) and Its Treatment Effects?


Lymphoma is the cancer of lymph nodes. Like all cancers, it is the uncontrolled growth of cells in the vicinity of lymph nodes. Lymph nodes can be viewed as stopping points of lymphatic system. Lymphatic system basically carries fighting soldiers to whatever areas of your body whenever the body area is invaded or requires help to fight foreign intruders. The lymphatic system is a network of 'highways' starting from below the chin to the back of the neck, to underneath the armpits and then to the groin area and connects to the spinal cord.

Lymphoma develops as lumps at the node areas, typically behind the neck, armpits and groin areas. Not all lymphomas grow in detectable areas. Once a lump develops careful monitoring is required. Whenever a lump occurs, it can be caused by

1) viral infection, which can be easily cured by a course of antibiotics and usually last only a week or two,

2) Tuberculosis, which detected at early stages can easily be cured, and which will require more specialized medical care and treatment,

3) Cancer, which can only be confirmed by a biopsy. If there are several lumps that have been growing for some time, it is vital to get the lumps checked out by a Hematologist. Hematologists are specialized doctors dealing with blood disorders. Lymphoma is considered as a blood disorder. For other types of cancer, one would go to an oncologist.

Other noticeable signs are cold sweats at night, lost of appetite, drastic weight loss and lethargy. Sometimes these signs do not appear as in my case except for the lumps on base of the neck.

Like many other cancers, lymphomas are quite complicated and have different types and subtypes but generally lymphoma can be divided into two broad categories, namely Hodgkins and Non-Hodgkins. Hodgkins lymphoma is much more curable and the prognosis is very good.

Conventional treatment applies for Lymphoma - surgery and radiation - if the cancer is fairly isolated typically only in stage 1 (more on staging later). Chemotherapy followed by radiation for cancer that is not so widespread in the body. If the cancer is in a fairly advanced stage as in stage 3 and 4, then a full course of Chemotherapy treatment is required, as was in my case.

Staging in lymphoma is different from other types of cancer. Stage 1 is cancer found on one part in one section of the body either above or below the diaphragm. If the cancer has appeared in more than one place on same side of the diaphragm, then it has gone to stage 2. Stage 3 means the cancer has spread to the abdomen and groin areas above and below the diaphragm. Stage 4 means that the cancer has been detected in the bone marrow. Stage 3 is already considered advanced stage.

Once a biopsy has confirmed that a tumour is cancerous, a CT scan is usually performed to stage the cancer. In lymphomas, a bone marrow tap is usually done to check if the bone marrow carries the cancer as well. CT scans are also performed at regular intervals during Chemotherapy to determine the treatment's efficacy. If the current treatment is not effective, doctors will switch to another Chemotherapy regimen. At the end of the treatment, a final CT scan and PET scan are conducted to confirm absence of cancerous cells. The words "No cancerous cells detected" are the sweetest words one can ask for.

Chemotherapy treatment can last between six to eight months and a month more to recuperate from the onslaught of Chemotherapy. Most people will give up work to focus on the treatment. As in my case, Chemotherapy was once every two weeks. The first week immediately after Chemotherapy is the worst.

Most of the time, I was too weak to keep awake. As time passed, strength returned and by the second week, I could manage a short walk. After that the whole process starts all over again.

Towards the end of the Chemotherapy, the body would have been pretty badly savaged by the Chemo poison. One often lands up feeling very different after Chemotherapy, and it takes months to get back toany normalcy. The speed of recovery from Chemotherapy really depends on one's physical and mental strength.

Chemotherapy, as it is often called - "It is a marathon"




Th Ong has fought cancer and won. He shares his story and his research to prevent cancer in the first place. He gives his book OnTopOfCancer for Free on the internet at http://ontopofcancer.blogspot.com





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2012年7月21日 星期六

Microscopes and Hodgkin's Lymphoma - Understanding the Pathophysiology of a Common Cancer


First off What is Lymphoma?

We have to first define what lymphoma is before discussing Hodgkin's disease. Lymphoma is a cancer that develops from cells in the body known as "lymphocytes." Lympocytes are a subcategory of white blood cells. There are two different types of lymphocytes: B-cells and T-cells. Almost all lymphomas, including Hodgkin's disease, stem from B-cells.

In Hodgkin's lymphoma a B-cell, for unknown reasons, becomes cancerous. The cell then makes many many clones of itself. These cells bundle together to form a solid tumor known as a lymphoma. There are several hypotheses for why these cells become cancerous in Hodgkin's. One belief is that infection with Epstein-Barr virus (EBV, the same virus that causes infectious mononucleosis) can cause the cells to turn malignant in genetically susceptible people. Other theories are that certain genetic translocations may be the underlying factor. As of yet, no particular theory has significant supporting data to call it the "cause." In fact, there may be multiple unrelated causes.

Types

There are different subcategories of Hodgkin's lymphoma. They are based on several microscopic characteristics, and are important in determining prognosis. The features the pathologist is looking for are the number of Reed-Sternberg cells, as well as the number of lymphocytes present in the biospy specimen. A Reed-Sternberg cell is a funny shaped cell with two nuclei that looks like owl's eyes.

The first subcategory, and most common type, is nodular sclerosing Hodgkin's lymphoma. In this type there are very few Reed-Sternberg cells with a moderate number of lymphocytes. It commonly occurs in younger individuals, and with treatment, the prognosis is excellent.

The second subcategory is mixed cellularity Hodgkin's lymphoma. This type has many Reed-Sternberg cells and a moderate number of lymphocytes when viewed under the microscope. It has an intermediate prognosis.

The third subcategory is lymphocyte predominant Hodgkin's. It has very few Reed-Sternberg cells and many lymphocytes. It occurs most commonly in males less than 35 years of age. It is also one of the few types that is not associated with Epstein-Barr virus infection.

The last subcategory is lymphocyte depleted. It is the rarest form of Hodgkin's lymphoma. It typically affects older males. Unfortunately it has the worst prognosis of the four types.




Visit http://www.virtualmedstudent.com for more information.





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2012年7月15日 星期日

Lung Cancer and Lymphoma - DNA Analysis and Molecular Genetics


DNA analysis (i.e., molecular genetics) can be used in evaluating lung cancer, and can reliably separate lung tumors into their morphologic categories of squamous, large cell, small cell, and adenocarcinoma. Gene expression profiling (GEP) may have even more utility in the assessment of patients with non-small cell lung cancers (NSCLCs) and similar histology.

Several investigators have attempted to subclassify these tumors by correlating GEP patterns with clinicopathologic variables.

A series that included 41 lung adenocarcinomas identified three prognostically separate subgroups. The genes involved in this classification included thyroid transcription factor, hepsin, cathepsin L, vascular endothelial growth factor C (VEGF-C), and the intercellular adhesion molecule-1 (ICAM-1).

In another report of 139 lung adenocarcinomas defined four distinct subclasses. Tumors expressing neuroendocrine-type genes had a significantly less favorable survival than those lacking such characteristics. The genes that defined the neuroendocrine cluster adenocarcinomas included dopa decarboxylase, achaete-scute homolog 1, and the serine protease kallikrein 11.

Others used GEP to predict outcome from surgery in 67 patients with resected stage I adenocarcinoma. A specific group of genes distinguished high-risk from lower risk groups, with significantly different survival. Among the 50 genes comprising the risk index were erbB2, VEGF, S100P, cytokeratin 7 and 18, and fas-associated death domain protein.

In another series of 125 patients from Taiwan with surgically resected NSCLC, 16 genes were identified that correlated with increased or decreased survival. Further RT-PCR validation assay confirmed the microarray findings and showed that survival was significantly associated with five of the 16 genes (DUSP6, MMD, STAT1, ERBB3, and LCK). The five-gene signature was further validated in microarray data from patients of Western population and was an independent predictor of recurrence and overall survival for patients with surgical resection of NSCLC without any adjuvant therapy. This GEP profile is being used to select high risk patients for adjuvant chemotherapy in prospective clinical trials.

Lymphoma - Gene expression profiling (GEP) by means of DNA microarrays is an evolving approach to classification, diagnosis, and prognostication of Non-Hodgkin's Lymphoma (NHL).

As an example, diffuse large B-cell lymphoma (DLBCL) is a clinically heterogeneous disease in which approximately 40 percent of patients with advanced stage disease respond well to combination chemotherapy and are long-term survivors. Using GEP, DLBCL has been subclassified into three distinct molecular subgroups, germinal center B-cell-like (GCB), activated B-cell-like (ABC), and other (type 3), that appear to be derived from different stages of B-cell differentiation, utilize different oncogenic mechanisms, and differ clinically in their ability to be cured by multiagent chemotherapy.

Patients whose tumors express genes characteristic of germinal center B cells (GCB) have a significantly better outcome from chemotherapy than those whose gene expression is more typical of activated B cells (ABC). In one series for example, a clustering algorithm applied to 58 patients with DLBCL receiving cyclophosphamide, doxorubicin, vincristine and prednisone (CHOP) chemotherapy separated patients into two groups with very different five-year overall survival rates (70 versus 12 percent).

Although most of the early studies used fresh frozen tissue sections, similar results have been reported with GEP performed on formalin-fixed, paraffin-embedded material. No formal head-to-head comparisons of GEP from fresh versus archived materials have yet been performed.

GEP has also been used to develop a more precise molecular diagnosis of primary mediastinal B-cell lymphoma, a clinically unfavorable entity that cannot be reliably distinguished from other types of diffuse large B-cell lymphoma. These tumors do poorly with CHOP chemotherapy alone and may need more aggressive therapy than used for standard DLBCL.

Finally, GEP has the potential to reveal new therapeutic molecular targets. As an example, the ABC subtype of DLBCL is characterized by constitutive activation of the nuclear factor kappaB (NF-kappaB) signaling pathway; interference with this pathway selectively kills these lymphoma cells. The ubiquitin-proteasomal pathway and the NF-kappaB axis are intimately involved in the control of apoptosis. Inhibitors of this pathway (eg, proteasome inhibitors) can induce apoptosis in human leukemia cells that ectopically express the antiapoptotic protein Bcl-2. One such agent, the synthetic dipeptide boronic acid bortezomib, is a potent promoter of apoptosis in several human tumor cell types.

Summary - The rapidly evolving field of DNA microarray analysis and gene expression profiling has wide-ranging implications for the molecular classification of tumors, refinement of prognostic estimates, and prediction of response to therapy. Despite its exciting potential and significant recent advances, this field remains relatively new, and it is premature to conclude that microarray data can be used as a sole means of classifying cancers or predicting outcomes of treatment.

Among the specific challenges that must be met are the need for larger studies with appropriate validation, standardization of methods and establishment of guidelines for the conduct and reporting of studies, and the formation of repositories and registries where research institutions may deposit data for comparison with independent works involving the same malignant disorder. Finally, DNA microarray-based tests must demonstrate utility in prospectively designed clinical trials before this technology is considered a routine part of clinical evaluation. These studies may eventually establish a new treatment paradigm in personalized cancer therapy in the future.




Dr. Richard Graydon, http://www.medauthor.com, trained as an Oncologist, holding both M.D. and PhD degrees, andspecializes in molecular genetics and cancer research. His education and experience have provided him analytical and clinical skills for keen insight into diagnosis, treatment, and care of cancer patients. See http://www.medauthor.com for further information





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2012年7月10日 星期二

Hodgkin's Lymphoma, The White Cell Cancer


Many types of cancer are known our days, but Hodgkin's disease is one that can be cured if the medical advice and treatment is followed properly. Hodgkin's disease, named after the physician that identified it, is cancer of the lymphoid tissue. First of all this disease affects the immune defense system, leading to a weak organisms', unable to fight infectious particles found in human bodies.

In some cases lymphoma develops in organs like stomach or intestines, but mostly in the lymph nodes or the lymphatic tissue.

Two types of lymphoma are known: Hodgkin's and non Hodgkin's lymphoma. Hodgkin's disease affects especially old people that are over 60. The malignant cells developed by Hodgkin's disease are also known as Reed Sternberg cells.

Hodgkin's lymphoma is a disease that affects people with weak immune system, and people exposed to the virus called Epstein Barr. It affects people of any age, but most of the cases are seen at old men past 60.

Enlarged lymph nodes and unexpected weight loss are first symptoms for Hodgkin's lymphoma, and for the confirmation of the disease the possible patients should go to a physician. The procedure of illness determination involves a microscopic watch at a sample of the lymph node tissue.

Depending on the stage when it was discovered, this disease can need a complex or a less complex treatment in order to guarantee patients recovery or even life. In advanced stages lymphoma can be discovered not only in lymph nodes, but almost anywhere including patches of lymphatic tissue or, as I said before, in organs like stomach or intestines.

Lymph nodes are located in different parts of the body including the neck, the chest and groin, and the armpit.

Lymphocytes are divided in two groups: B cells and T cells, each one of these groups with different functions.

The B cells or B lymphocytes are meant to produce immune cells. When an infection is found the B cells change in plasma cells that stick to the infection and secretes antibiotics.

The T cells or T lymphocytes come to destroy antigens or infected cells.

The B and T cells are part of the normal lymphocytes, but the cause for Hodgkin's lymphoma the malignant or lymphoma lymphocytes. These cells can divide slowly or rapidly. Either way they cause lymph nodes or other organs to enlarge, depending on their position.

The lymph glands or any other organ, even if we talk about the stomach or intestines, are surely going to be affected by a large group of malignant lymphocytes, making unpleasant consequences unavoidable.




For more resources about lymphoma or even about cutaneous t cell lymphoma please review this page http://www.lymphoma-center.com/cutaneous-t-cell-lymphoma.htm





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