白血病和淋巴瘤的区别是什么？医生说，这几点区分仍然很“清晰”
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">血癌是老<span style="color: black;">大众</span>的一个俗<span style="color: black;">叫作</span>，它<span style="color: black;">便是</span>指血液系统的恶性肿瘤，<span style="color: black;">例如</span><span style="color: black;">咱们</span>说的白血病，<span style="color: black;">便是</span>其中之一，除此之外，像恶性淋巴瘤，多发性骨髓瘤，骨髓增生<span style="color: black;">反常</span><span style="color: black;">综合症</span>等等。今天<span style="color: black;">咱们</span><span style="color: black;">来讲</span>一下白血病和淋巴瘤的<span style="color: black;">重点</span>区别有<span style="color: black;">那些</span>，大致<span style="color: black;">能够</span>分这几个方向来进行区分。</p>
<h2 style="color: black; text-align: left; margin-bottom: 10px;">名字不同，自然概念不同</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">白血病细胞因分化<span style="color: black;">阻碍</span>，增殖过度，凋亡受抑等机制而停滞在细胞<span style="color: black;">生长</span>的不同<span style="color: black;">周期</span>并<span style="color: black;">海量</span>积聚，浸润<span style="color: black;">咱们</span>的组织器官，临床上会有贫血，<span style="color: black;">流血</span>，感染，浸润和高代谢<span style="color: black;">关联</span>症状的特点。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">淋巴瘤是一组原发于淋巴结或其它淋巴造血组织的恶性肿瘤，可<span style="color: black;">出现</span>在身体的任何部位，<span style="color: black;">一般</span>以实体瘤形式生长，属于<span style="color: black;">平常</span>肿瘤之一，临床以<span style="color: black;">没</span>痛性进行性淋巴结肿大，为最<span style="color: black;">平常</span>临床表现，发热，肝脾大<span style="color: black;">亦</span><span style="color: black;">平常</span>，晚期可有恶病质。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">白血病和淋巴瘤是两种概念不同的恶性<span style="color: black;">疾患</span>，白血病<span style="color: black;">病人</span><span style="color: black;">通常</span>只看血液科就够了，淋巴瘤可<span style="color: black;">触及</span>到肿瘤科。</p>
<h2 style="color: black; text-align: left; margin-bottom: 10px;"><span style="color: black;">检测</span>基本相同，<span style="color: black;">然则</span>诊断方式却不同</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">白血病<span style="color: black;">一般</span><span style="color: black;">指的是</span>骨髓或外周血中<span style="color: black;">显现</span>了恶性的血液肿瘤细胞的一种状态，骨髓<span style="color: black;">或</span>外周血的恶性肿瘤细胞超过了20%就<span style="color: black;">叫作</span>之为白血病，<span style="color: black;">咱们</span><span style="color: black;">一般</span>会做骨髓穿刺来确诊是不是白血病。<span style="color: black;">倘若</span>是淋巴细胞就叫淋巴细胞白血病；<span style="color: black;">倘若</span>是粒细胞就叫粒细胞白血病；<span style="color: black;">倘若</span>是NK细胞（机体<span style="color: black;">要紧</span>的免疫细胞，NK细胞不同于T、B细胞，是一类<span style="color: black;">没</span>需预先致敏就能非特异性杀伤肿瘤细胞和病毒感染细胞的淋巴细胞），<span style="color: black;">便是</span>NK细胞白血病。白血病<span style="color: black;">按照</span>病程及分化程度还可分为急性<span style="color: black;">或</span>慢性，相对淋巴瘤的确诊会更加<span style="color: black;">繁杂</span><span style="color: black;">有些</span>。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-fe2d81978c4793f2168ef83606eb9f77_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">淋巴瘤<span style="color: black;">指的是</span>淋巴细胞的恶性肿瘤，<span style="color: black;">一般</span>是以瘤块、肿物<span style="color: black;">或</span>包块起病比较多见，<span style="color: black;">倘若</span>是这种形式，习惯上叫做淋巴瘤，<span style="color: black;">然则</span><span style="color: black;">实质</span>上<span style="color: black;">亦</span><span style="color: black;">能够</span>以白血病的形式起病，<span style="color: black;">便是</span>淋巴细胞白血病，<span style="color: black;">因此呢</span>淋巴瘤广义上<span style="color: black;">包含</span>淋巴细胞白血病，<span style="color: black;">她们</span>会有<span style="color: black;">这般</span>的一种从属关系，确诊淋巴瘤<span style="color: black;">常常</span><span style="color: black;">必须</span>骨穿、病理以及观察<span style="color: black;">病人</span><span style="color: black;">是不是</span>有淋巴结肿大。</p>
<h2 style="color: black; text-align: left; margin-bottom: 10px;">白血病要比淋巴瘤更凶险，<span style="color: black;">由于</span>波及到骨髓</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">白血病从理论上是本身<span style="color: black;">出现</span>于造血干细胞的<span style="color: black;">疾患</span>，它是<span style="color: black;">因为</span>骨髓中的原始幼稚的细胞<span style="color: black;">反常</span>的增生，<span style="color: black;">因此呢</span>被叫做白血病的。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">淋巴瘤<span style="color: black;">通常</span>是不累及骨髓的，<span style="color: black;">因此</span>骨髓上<span style="color: black;">能够</span><span style="color: black;">无</span>改变，<span style="color: black;">然则</span><span style="color: black;">倘若</span>侵及到骨髓的时候<span style="color: black;">能够</span><span style="color: black;">显现</span>淋巴瘤细胞。淋巴瘤细胞和骨髓特有的细胞是不<span style="color: black;">同样</span>的，淋巴瘤的恶性细胞<span style="color: black;">常常</span>是外来的细胞，<span style="color: black;">因此</span>在形态上<span style="color: black;">能够</span>和急性白血病细胞有区别的，<span style="color: black;">倘若</span>说形态上鉴别不出来，<span style="color: black;">能够</span>进一步<span style="color: black;">经过</span>流式的免疫分型，来进一步鉴别细胞的形态，这是从形态上<span style="color: black;">来讲</span>进行鉴别。从临床过程上来看急性白血病发病比较急，<span style="color: black;">通常</span>比淋巴瘤要凶险。</p>
<h2 style="color: black; text-align: left; margin-bottom: 10px;">治疗方式略有不同之处</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">淋巴瘤的话是恶性肿瘤，<span style="color: black;">通常</span>是会<span style="color: black;">必须</span>进行手术改善，后期<span style="color: black;">恰当</span>的进行护理，<span style="color: black;">定时</span>的复查，而白血病是属于恶性的血液<span style="color: black;">疾患</span>，<span style="color: black;">那样</span>这类<span style="color: black;">疾患</span>，是<span style="color: black;">无</span>办法手术治疗的，且治疗白血病方面<span style="color: black;">亦</span>是有难度。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-4aa18a49c62d09ba7bc6a53554348537_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">由于</span><span style="color: black;">她们</span>同属于恶性<span style="color: black;">疾患</span>，<span style="color: black;">因此</span>治疗首选的<span style="color: black;">便是</span>化疗来综合<span style="color: black;">掌控</span>病情发展，<span style="color: black;">然则</span><span style="color: black;">疾患</span>容易反复<span style="color: black;">出现</span>，<span style="color: black;">因此</span><span style="color: black;">必须</span><span style="color: black;">长时间</span>的化疗<span style="color: black;">掌控</span>病情，<span style="color: black;">定时</span>监测血常规的变化以及肿瘤<span style="color: black;">体积</span>。针对不同的<span style="color: black;">状况</span>给予不同的治疗，严重的时候<span style="color: black;">必须</span>输血来治疗，<span style="color: black;">针对</span><span style="color: black;">有些</span>化疗耐受<span style="color: black;">欠好</span>的，还<span style="color: black;">能够</span><span style="color: black;">经过</span><span style="color: black;">有些</span>中西医结合的诊疗方式进行治疗，这<span style="color: black;">亦</span>是国内中西医结合医院存在的价值和<span style="color: black;">道理</span>。</p>
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