Patient N.T.N.(65 years old, in Yen Bai) shared, 4 months ago when she was massaging her face and neck, she discovered her neck floating small notes.Worrying for her health, Ms. N went to the medical examination at the grassroots level but the results were not abnormal.

Recently, Ms. N saw the swollen neck and lymph nodes appeared in other places on her body, so she decided to go to Hanoi.

Assoc.Dr. Hoang Thi Phuong, Head of the Department of Medicine, University of Medicine and Pharmacy - Hanoi National UniversityDirectly examined patients N. The results of the examination recorded the condition on both sides of the neck with uneven size, pain when pressing and mobility.The patient also appears in the armpits and groin.

Ultrasound results show that the neck and armpit area has lymphadenopathy, accompanied by the right mammary tube relaxation.Lung CT scan detects lymphadenopathy in ventricular, neck, chest muscles and armpits on both sides, along with a blurry glass nodules in the lower lobe of the left lung.

With these results, Assoc.Phuong is aimed at the ability to diagnose lymphoma or tuberculosis.

To clarify the cause of the above lymphadenopathy, the patient is indicated for additional tests of anatomical and immune -disabled surgery tests from the neck lymph node sample.Collection of cytotromas for sample poking from neck lymph nodes suspected of having lymphoma.The medical tissue test shows that the biopsy samples are similar to Hodgkin's lymphoma.

Based on clinical and subclinical results, the doctor diagnosed patients with B cell tumors, small cell lymphocytes.The patient was then transferred to the Hematology Oncology Hospital for treatment.

Risk factors of ulymphoma

According to Globocan statistics (Global Cancer Organization) in 2022, Vietnam recorded more than 3,500 lymphoma cases, with over 2,200 deaths, ranked 13th among popular cancer in Vietnam.

Assoc.

- Genetics: families with relatives with blood diseases, or lymphoma, the remaining members will belong to a group of high -risk subjects.

- Age, gender: Elderly people are at higher risk of lymphoma.The disease is common in humans from 65-70 years old, of which men account for the majority.

- Environment: People who are constantly exposed to toxic chemicals such as dyes, pesticides, herbicides, etc. are often prone to lymphoma.

- Immunodeficiency: People with HIV or autoimmune diseases such as rheumatoid arthritis, organ transplant, ... are also considered to be the risk of lymphoma development.

- Infection: Some bacteria have the ability to stimulate the abnormal growth of lymph nodes such as Borrelia Burgdorferi, Chlamydia Psittaci, Campylobacter Jejuni, Helicobacter Pylori, ... or some viruses such as hepatitis C virus, Epstein virus-Barr (EBV), cytomegalo virus (CMV), ... and increases the risk of lymphoma.

In addition, the use of immunosuppressive drugs may also increase the risk of disease.

Doctor Vo Thanh Lai, Medical Surgery Center - Medlatec Medical SystemIt is said that the lymphoma in the early stages usually have no clear symptoms.When the disease progresses, lymph nodes can emerge in many places such as neck, armpits, groin, accompanied by large spleen, anemia.

The disease progresses slowly and has many effective treatments.The purpose of treatment is to control the disease.Most patients have to live with lymphoma for many years.

Cases that are diagnosed at an early stage will have better prognosis and prospects than those who find the disease in the late stage, progressive stage.If not treated promptly, the disease may progress to other forms of blood cancer, have a higher degree of malignancy, faster development and harder treatment.

Dr. Lai recommends that when the body appears abnormal lymph nodes, people should go to specialized medical facilities for examination and diagnosis.