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Article
Non-Hodgkin's Lymphoma: a Preliminary Morphometric Study
اللمفومة اللاهوجكنية : دراسة تمهيدية بقياس الأشكال

Author: Aiad Abdullah Abdulrazak أياد عبدالله عبدالرزاق
Journal: Al- Anbar Medical Journal مجلة الأنبار الطبية ISSN: PISSN: 27066207 / EISSN: 26643154 Year: 2013 Volume: Vol.11 Issue: 1 Pages: 62-68
Publisher: University of Anbar جامعة الانبار

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Abstract

Background: Assessment of nuclear morphology is crucial for the diagnosis of non-Hodgkin's lymphoma. However, it is often hampered by subjectivity and inter-obsever variation. Objectives: This work is aimed at studying the usefulness of nuclear morphometry as an objective approach to the diagnosis of non-Hodgkin's lymphoma.Material and Methods: Hematoxylin-Eosin stained sections from twenty-eight cases of non-Hodgkin's lymphoma was evaluated for nuclear size, area and perimeter by semi-automated image analysis system.Results: The parameters related to nuclear morphology (nuclear size, area, & perimeter) of neoplastic lymphocytes were significantly higher in large cell lymphoma as compared to small cell, intermediate cell & Burkitt's lymphoma but, not for mixed cell lymphoma. This finding was further substantiated when calculating the overlap index.Conclusion: This study supports the assumption that nuclear morphometry offers a more objective and reproducible diagnostic method for subcategorizing lymphoid tumors than is currently possible by conventional histopathological techniques

هذه الدراسة تدعم الإدعاء بان قياس أشكال النواة يمثل طريقة أكثر موضوعية وقابلة للتكرار لتشخيص وتصنيف الأورام اللمفاوية بالمقارنة مع الطرق التقليدية.الخلفية والأهداف: إن تقييم مورفولوجيا النواة أمر حاسم لتشخيص الأورام اللمفاوية اللاهوجكنية لكن غالبا ما تعوقه اللاموضوعية والاختلاف بين الفاحصين. يهدف هذا البحث إلى دراسة فائدة قياس أشكال الأنوية كنهج موضوعي لتشخيص الأورام اللمفاوية اللاهوجكنية.المواد وطريقة العمل: قيمت شرائح نسيجية مصبغة بالهيماتوكسلين والأيوزين لثماني وعشرين حالة ورم لمفاوي لاهوجكني وتم قياس حجم ومساحة ومحيط الأنوية باستخدام نظام تحليل الصور شبه آلي.النتائج: وجد بأن المعلمات المتعلقة بمورفولوجيا النواة (الحجم والمساحة والمحيط) للخلايا اللمفاوية الورمية أكبر في اللمفومة كبيرة الخلية بالمقارنة مع اللمفومة ذات الخلايا الصغيرة أو المتوسطة ولمفومة بيركت بفارق معتد إحصائيا لكن الفارق لم يكن ذو أهمية عند المقارنة مع لمفومة الخلايا المختلطة ، وتم أثبات هذه النتيجة عند حساب مؤشر التداخل

Keywords

Lymphoma --- Non-Hodgkin --- Morphometry


Article
Non- Hodgkin's Lymphoma; Epidemiology and Presentation

Authors: Zead Ismael Ibrahim --- Allawi N. Hussein --- AbdulSattar I. AL-Kubaysi --- Tariq A. AL-Shujairi --- et al.
Journal: Iraq Joural of Hematology المجلة العراقية لامراض الدم ISSN: 20728069/25432702 Year: 2013 Volume: 2 Issue: 1 Pages: 1-6
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: The non-Hodgkin lymphomas (NHL) of childhood are a diverse collection of diseasesoriginating in the cells and organs of immune system.Objectives: To determine epidemiology and clinicopathological presentations of children with NHLadmitted to Child's Central Teaching Hospital.Methods: A retrospective study was done from 1st of January 2004 to the 31st of December 2009; thepatients with newly diagnosed NHL, age less than 15 years, who were admitted to thepediatric oncology unit in the Child’s Central Teaching Hospital.Results: The total number of patients was 84; the mean age at diagnosis was 6.3years, with a male tofemale ratio of 2:1. Most of patients were presented in stage III&IV (88%).Most commonpresenting features were abdominal distension or a mass in 51%.Burkitt lymphoma andBurkitt like lymphoma were the most common histological subtype (58.33%).Conclusions: The majority of cases were between 5-9 year age group, and the mean age atpresentation was 6.3 years old, with a male to female ratio of 2:1. The most commonpresenting site was the abdomen. The majority of cases were fallen in advanced stages(III&IV). Histopathologically Burkitt's lymphoma was the commonest subtype.


Article
Immunohistochemical and clinicopathological study of non-Hodgkin's lymphoma in Erbil, Kurdistan
دراسة كيميائية مناعية ونباتية لأورام ليمفوما اللاهودجكين في أربيل، كوردستان

Authors: Maysoon Alhaideri --- Rafal Abdul Razaq Al-rawi --- Tara Sirwan Kamil
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2014 Volume: 18 Issue: 2 Pages: 756-762
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objective: Non-Hodgkin lymphoma is a cancer of the lymphatic system. Types of non-Hodgkin lymphoma vary significantly in their severity from indolent to very aggressive. The aim of this study was to investigate the incidence, immunohistochemical expression, clinical and histopathological prognostic factors of patients with non-Hodgkin lymphoma.Methods: A total of 59 patients with non-Hodgkin lymphoma cases were reviewed and investigated at Razgary Teaching Hospital in Erbil city during the period from January, 2011 to January, 2013. Data of patients were tabulated and distributed according to their age, sex, site, immunohistochemical expression and WHO classification.Results: Age of non-Hodgkin lymphoma patients ranged from 2 to 88 years with a mean of 45 year. Around 49% of the patients were of age group over 50 years and 54.2% of pa-tients were male. Immunohistochemical investigation indicated that 71.2% of non-Hodgkin lymphomas were of B cell type, the highest percentage (33.3%) of them was of diffuse large cell type. While the T cell type was found in 20.3%, the highest percentage (33.3%) of them was of Anaplastic lymphoma. CD20 and CD3 showed more consistent and strong expression for B and T cells non-Hodgkin lymphoma, respectively. Results showed high BCL2 expression. Nodal non-Hodgkin lymphoma account for 50.8% of the total cases.Conclusion: Most non-Hodgkin lymphomas were of B cell type and highest percentage is of diffuse large cell type. CD20 and CD3 were more reliable as an indicator of B and T cell lineage, respectively. Most non-Hodgkin lymphomas were of intermediate-high grade. Nodal site represent highest rate for primary non-Hodgkin lymphoma.


Article
Estimation of Interleukin-10 Levels as a Predictive Factor in Iraqi Non-Hodgkin’s Lymphoma Patients

Authors: Hassnien S.AL-Hashemi --- Dr.Zeyad A.Shabib --- Dr.Majed M. Mahammod
Journal: Iraq Joural of Hematology المجلة العراقية لامراض الدم ISSN: 20728069/25432702 Year: 2014 Volume: 3 Issue: 1 Pages: 23-30
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Interleukin-10 (IL-10) is a pleiotropic cytokine produced by type 2 helper cells (TH2), monocytes ,macrophages, and neoplastic B lymphocytes IL-10 production has a strong immunosuppressive effect, and it actsas an effective stimulator for B-cells .IL-10 level increase in Non-Hodgkin lymphoma (NHL) patients ;moreover ,this was associated with poor prognosis .Objectives: to assess the level of interleukin-10 in patients with non-Hodgkin lymphoma and to correlate its level withprognosis.Materials and Methods: The present study was carried out to evaluate IL-10 level in the sera of 46 NHL Iraqi patients,in addition to a control group involving 46 matched apparently healthy subjects using serological method theenzyme-linked immunosorbent assay (ELISA).This study was carried out at the National center of hematologyfrom January to June 2013.Results: there were 31 (67%) patients with age group ≥50 years and 15 (33%) patients with age group <50 years. Themean age of NHL patients was 52.74 years ranging from 17 to 80 years? Moreover, the study noticed a malepredominance and male to female ratio was 1.7:1.When the patients of NHL compared with control, the levels ofinterleukin 10 were markedly increased in patients with NHL (18.67 ± 4.12pg/ml vs. 3.4 ± 0.73pg/ml) (p<0.05).Higher levels of IL-10 were noticed in the advanced stage patients of compared to early stages (33.1 ± 4.5 pg. /mlvs. 13.4 ± 2.7 pg. /ml) (P<0.05).Conclusion: In the highest age of NHL patients was noticed and it might indicate the increasing rates of NHL patientsamong older population. in addition increasing level of IL10 is associated with increasing age range and alsocorrelated positively with aggressive NHL cases that might indicates the predictive pivotal role of this cytokine.


Article
Incidence of non Hodgkin’s lymphoma of head and neck in Baghdad city

Authors: Muna S. Merza منى ميرزا --- Ahlam H. Majeed احلام حميد مجيد
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2005 Volume: 17 Issue: 1 Pages: 35-37
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Malignant lymphomas in the head and neck region are relatively uncommon but may occur as a part of widely disseminated disease or as a primary lesion. This study was carried out in an attempt to evaluate the incidence of Non-Hodgkin's Lymphoma of head and neck in Baghdad city over ten years (1990-1999).Materials and methods: Cases of Non Hodgkin’s Lymphoma of head and neck in Baghdad city were collected and evaluated regarding sex, age, site and histopathological subtype of tumor.Results: Out of the total of (426) cases of Non-Hodgkin's Lymphoma of the body, (137) were showed to affect the head and neck region including 78 males and 59 females.Conclusions: Our findings showed that the principle site affected with Non-Hodgkin's Lymphoma was the cervical lymph nodes followed by the tonsils with the predominant histopathological subtypes was the lymphocytic Lymphoma followed by Reticular cell sarcoma.


Article
Bone Marrow Involvement in Malignant Lymphomas (Non-Hodgkin's)
أورام الغدد اللمفاوية نوع غير هودجكن في خزع نقي العظم

Author: Eman Sadiq Jalal د. إيمان صادق جلال
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2008 Volume: 21 Issue: 4 Pages: 326-330
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Bone marrow biopsies are taken routinely in the initial investigation of patients with non-Hodgkin, s lymphomas to estimate the progression of disease at time of presentation (staging) and to type mode of proliferation (growth pattern) in the bone marrow.Method: Initial pretreatment bone marrow biopsies were taken from twenty-four patients diagnosed by the established criteria on lymph node biopsies as suffering from one of the non-Hodgkin, s lymphomas. All biopsies were examined histologically.Result: Frequency of bone marrow involvement in different types of non-Hodgkin, s lymphomas (at time of initial diagnosis) was found in 75%. In the low grade lymphoma the age incidence was 28-75 years (mean50 years); while for the high grade type it was 6-25 years (mean15years).Conclusion: The results clearly demonstrate that at first presentation over half of the patients with malignant lymphoma have positive bone marrow biopsies indicating disseminated disease, i.e. stage IV. Malignant lymphoma of low grade malignancy more frequently involves the bone marrow than malignant lymphoma of high grade malignancy. Thus, in the bone marrow biopsy the clinician has a tool at his disposal which supplies decision information on the diagnosis and therapy of any given patient with non-Hodgkin, s lymphomas. Keywords: Non-Hodgkin's lymphomas, bone marrow biopsy.

تم الفحص النسيجي لأربع وعشرين عينة من خزع نقي العظم لمرضى أورام الغدد اللمفاوية نوع غير هودجكن لتحديد نوع وكمية المرض في نقي العظم ومعرفة مرحلة المرض وقت التقديم . تبين احتواء خزع نقي العظم للمرض عند اكثر من نصف المرضى المصابين باورام الغدد اللمفاوية نوع غير هودجكن, كما ان احتمالية شمول نقي العظم بالاصابة في ورم الغدد اللمفاوية الخبيث المنخفض الدرجة اكثر بكثير من احتمالية اصابة نخاع العظم بورم الغدد اللمفاوية من خبث الدرجة العالي حيث يصل الى 83% في الحالة الاولى .هذه الملاحظات تشير بشكل حاسم بأن فحص خزع نقي العظم اداة تشخيصية مفيدة للتصنيف النسيجي للمرض ومدى انتشار المرض عند اي مريض مصاب بورم الغدد اللمفاوية نوع غير هودجكن والذي سيؤثر بشكل فاعل على نوع العلاج المستخدم مستقبلا.


Article
BONE MARROW INVOLVEMENT IN NON-HODGKIN'S LYMPHOMA
اصابة نخاع العظم بالورم اللمفاوي اللاهوجكني

Author: Redha A. Hasan رضا علوان حسن
Journal: Misan Journal of Acodemic Studies مجلة ميسان للدراسات الاكاديمية ISSN: 1994697X Year: 2014 Volume: 13 Issue: 25 Pages: 1-14
Publisher: Misan University جامعة ميسان

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Abstract

A prospective study done over a period of 12 months on 30 patients aged 15 to 70 years with initial tissue biopsies of NHL who were seen at the Baghdad Teaching Hospital. Trephine and aspiration BM biopsy were performed with routine evaluation including CBC. All biopsies were classified according to the commonly used classification system, international Working Formulation.Patients are staged according to the Ann-Arbor staging system. Intermediate grade NHL (IGL) comprised the most common type of NHL (43.3%); high grade NHL (HGL) comprised (36.7%); low grade NHL (LGL) comprised the least common type (20.0%).BM was involved in 10 patients out of 30 patients with NHL (33.3%) LGL exhibited a higher incidence of involvement (50.0%) than did patients with IGL (30.8%) and HGL (27.2%),.Hematological abnormalities were observed frequently with and without BM

دراسة مستقبلية اجريت للفترة من بداية شهر اذار سنة 2010 م ولغاية نهاية شهر اذار 2011 م. تم اخذ عينة مؤلفة من ثلاثون مريضا تتراوح اعمارهم ما بين 15-70 سنة مصابين بورم لمفاوي لاهوجكني, ادخلوا الى مستشفى بغداد التعليمي- مدينة الطب- قسم الأمراض الباطنية.أخذت معلومات سريرية دقيقة وتم اجراء فحوصات سريرية ومختبرية دقيقة, كما اجري لهم فحص نسيجي لخزعة نخاع العظم وصنف المرضى الى مراحل مختلفة من المرض وفقا لنظام آن- آربورالعالمي.أظهرت الدراسة النتائج التالية:•وفقا لدرجة شدة المرض :- ( %34,3 ) كـــــانوا ذو درجة متوسطة, (36,7 %) ذو درجة عالية, (20 %) ذو درجة واطئة.•عشرة مرضى من أصل ثلاثين (33,3 %) أصيب نخاع العظم بالخلايا الخبيثة للمرض ومعظمهم كانوا ذو درجة واطئة من الشدة (50 %).


Article
Prognostic Significance of Immunohistochemical Overexpression of P53 And Bcl-2 Proteins in Patients with Non-Hodgkin’sLymphoma

Authors: Farah Amer Albejow --- Hadeel Abdul-Elah Kerbal --- Najlaa Bader Alawadi --- Ahmed Raji Kharulla
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2015 Volume: 12 Issue: 3 Pages: 721-729
Publisher: Babylon University جامعة بابل

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Abstract

Non-Hodgkin's lymphomas are the hematologic malignancy with the most prevalence worldwide, they are generally classified as B-cell or T-cell lymphoma .Theincidence rate of NHL for the total population is 5.16 % according to Iraqi cancer registry (ICR) in 2010.This study was designed to asses’bcl-2 and p53 overexpression in Iraqi patients with NHL and correlation with different prognostic indices (age, sex, stage, grade, and International prognostic index).Samples included in this study represented as 50 formalin-fixed paraffin embedded lymph node blocks of patients with NHL,during the period from September 2013 till November 2014,and these blocks collected from the histopathology laboratories of Al-Hilla Teaching Hospital as well as many private histopathology laboratories in Hilla city, These blocks stained Immunohistochemically for bcl-2 and p53 protein expression by using L-SAB+ staining methods.Results revealed Significant correlation between bcl-2, p53overexpression and different grades of NHL (p-value < 0.05), while there are no significant relationship between bcl-2, p53 and age, sex, stage, and IPI score (p-value > 0.05).In conclusion there are up regulation of P53 protein associated with down regulation of bcl2 protein in patients with high, intermediate to low grades of NHL while no significant association with IPI score& factors.

Keywords

Non-Hodgkin lymphoma --- P53 --- Bcl-2


Article
Salivary Immunoglobulin A Assessment in Lymphoma Patients before and after Chemotherapy

Authors: Mohammed H. Abdulshaheed محمد عبد الشهيد --- Fawaz D. Al-Aswad فواز الاسود --- Haider N. Salh حيدر صالح
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2016 Volume: 28 Issue: 3 Pages: 65-68
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Lymphomas are group of diseases caused by malignant lymphocytes that accumulate in lymph nodesand caused the characteristics lymphadenopathy. Occasionally, they may spill over into blood or infiltrate organsoutside the lymphoid tissue. The major subdivision of lymphomas is into Hodgkin lymphoma and non–Hodgkinlymphoma and this is based on the histologic presence of Reed-Sternberg cells in Hodgkin lymphoma. Salivaryimmunoglobulin A is the prominent immunoglobulin and is considered to be the main specific defense mechanism inoral cavity. The aim of this study was to determine the level of salivary immunoglobulin A in lymphoma patientsbefore and after chemotherapy treatment.Subjects, materials and methods: The study included 25 patients (15 male and 10 female) with non–Hodgkinlymphoma(B-cell type) , 25 patients( 16 male and 9 female ) with Hodgkin lymphoma and 25 (15 male and 10female) healthy control group. Whole un-stimulated saliva was collected to determine the level of salivaryimmunoglobulin A, which measured by Enzyme Link Immunosorbent Assay.Results: The level of salivary immunoglobulin A was significantly higher in pre-treatment patients in comparison withcontrol group, and there was a significant decrease after chemotherapy treatment when compared to their baseline levels in both study groups.Conclusion: The salivary immunoglobulin A was higher in lymphoma patients than control, then its level showedobvious decrease after chemotherapy treatment.


Article
SERUM sFAS IN NON-HODGKIN'S LYMPHOMA
عامل فاس الذائب في مصل دم المرضى المصابين بأورام أللاهودجكن اللمفاوية

Authors: Huda S.Baqer هدى سلمان باقر --- Abbas H.Abdulsalam عباس هاشم عبد السلام --- Subh S. Al-Mudalal صبح سالم المدلل
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2007 Volume: 5 Issue: 3 Pages: 3-12
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background: Lymphomas are a heterogenous group of malignancies of B or T cells that usually originate in the lymph nodes. They are divided into Hodgkin and non-Hodgkin’s lymphomas. Disruption of the physiological balance between cell proliferation and death is a universal feature of all cancers. There has been an increasing interest in the role of apoptosis in tumorogenesis of lymphoma. On the molecular base apoptosis is caused by activation of the caspases through extrinsic and intrinsic pathways. Extrinsic pathway centers on tumor necrosis factor family, where the ligand will bind to the cell surface receptor and this in turn will induce apoptosis. Fas receptor is a member of the TNF/NGF receptor superfamily. Fas family is constituted of the receptor, ligand and soluble form. Soluble Fas will compete with Fas receptor for binding to ligand, thus interfering with Fas-L-mediated apoptosis.Objective: To measure the level of serum sFas in non-Hodgkin lymphoma (NHL) and to determine the correlations of it with certain clinical and hematological parameters and chemotherapy treatment.Patients and Methods: This study included 30 patients with NHL (19 males and 11 females), of them 14 patients were newly diagnosed along with 30 apparently healthy controls were involved in this study. The patients were interviewed with history taking, clinical examination and aspirating blood sample for estimation of serum sFas concentration using sandwich ELISA kit (from Chemicon). Also serum CRP level, plasma LDH level, hemoglobin concentration, platelets count, WBC count and peripheral blood film were all performed using standard techniques.Results: This study revealed that the serum sFas concentration was significantly higher in NHL patients than in healthy controls (p = 0.0001). This increase was significantly higher in pretreated patients and closely related to the pathological grade of NHL (p = 0.0002 and 0.0035 respectively).Conclusions: Serum sFas is a simple, non-invasive and clinically useful laboratory parameter .It maybe used as an auxiliary marker to assess the prognosis and the therapeutic planning in NHL.Keywords: Fas, NHL.

خلفية الدراسة: الأورام اللمفاوية هي مجموعة غير متجانسة من أورام خلايا باء أو تاء والتي عادة تنشأ في العقد اللمفاوية .وهي تقسم الى أورام هودجكن و اللاهودجكن اللمفاوية . إن تمزيق التوازن الفسيولوجي ما بين تكاثر الخلايا و موتها هو صفة لكل الأورام الخبيثة . لقد كان هنالك اهتمام متزايد بدور موت الخلايا المبرمج في تكوين الورم اللمفاوي. بناء على الأساس الجزيئي إن موت لاخلايا المبرمج هو بسبب تنشيط إنزيم الكاسبيز من خلال الطرق الخارجية و الداخلية .الطريق الخارجي يركز على عائلة عامل تنخر الورم، والتي يرتبط فيها الرابط إلى مستقبل سطح الخلية وهذا بدوره سوف يحدث موت الخلايا المبرمج. إن مستقبل فاس هو أحد أعضاء العائلة العليا لمستقبلات عامل تنخر الورم/ عامل نمو العصب. عائلة فاس تتكون من المستقبل والرابط والشكل الذائب . فاس الذائب سوف يتنافس مع مستقبل فاس للارتباط مع الرابط ، وبذلك سوف يتداخل مع موت الخلايا المبرمج الذي يتوسطه فاس الرابط .هدف الدراسة : لقياس مستوى فاس الذائب في مصل دم مرضى أورام أللاهودجكن اللمفية . بالإضافة إلى تقرير العلاقة بين تركيز فاس الذائب في مصل الدم ومؤشرات سريريه محددة، ومؤشرات الدم ، والعلاج الكيماوي لورم اللاهودجكن .المرضى والطرق: شملت الدراسة 30 مريضا" مصابا" بورم اللاهودجكن بضمنهم19 ذكرا" و11 أنثى . من هؤلاء المرضى 14 مريضا"شخصوا حديثا" . بالإضافة هناك 30 شخص سليم استخدموا كمجموعة ضبطية . لقد قوبل المرضى وأخذ منهم تاريخهم المرضي وفحصوا سريريا" وسحبت منهم ومن العينة الضبطية عينة دم لتقدير تركيز فاس الذائب في مصل الدم باستعمال عدة شطيرة ألألايزا من شركة كيميكون. وكذلك مستوى بروتين سى التفاعلي في مصل الدم ومستوى الخميرة المخسفجة للاكتات في بلازما الدم وتركيز الهيموغلوبين وعدد الصفيحات الدموية وعدد خلايا الدم البيضاء وفلم الدم المحيطي وقد نفذت جميعها باستخدام التقنيات المعيارية . النتائج : هذه الدراسة كشفت إن تركيز فاس الذائب كان مرتفعا" بدرجة ذات أهمية إحصائية عند مرضى أورام أللاهودجكن اللمفية مقارنة بالمجموعة الضبطية (0.001) وهذه الزيادة كانت أعلى بدرجة ذات أهمية إحصائية عند المرضى قبل أخذ العلاج ومتعلقة بصورة وطيدة بالدرجة الباثولوجية لورم أللاهودجكن أللمفاوي (0.0002 و0.0035 على التوالي).ألاستنتاج :إن فاس الذائب هو فحص بسيط ، غير إجتياجى وموفر للوقت . ومن الممكن أن يستعمل كمؤشر مختبري مفيد سريريا" عند مرضى أورام أللاهودجكن أللمفية . إن فاس الذائب ممكن يستعمل كمؤشر مساعد لتقيم شدًة الورم والتكهن بمسير المرض وكذلك التخطيط لخطة العلاج عند مرضى أورام أللاهودجكن أللمفية .مفتاح الكلمات : فاس ، اللاهودجكن

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