Therapeutic and Diagnostic Procedures to be Followed in Linfomas and Leukemia

• Autor(a) principal: Vieira, Antonio Pinto
• Data de Publicação: 2023
• Outros Autores: Rebello, Emmanuel, Abbud, Jacyr Antonio
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Brasileira de Cancerologia (Online)
• Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/4038
• topic: Doença de Hodgkin/diagnóstico; Doença de Hodgkin/terapia; Linfoma não Hodgkin; Leucemia/diagnóstico; Leucemia/terapia; Eletroforese; Exame de Medula Óssea; Hodgkin Disease/diagnosis; Hodgkin Disease/therapy; Lymphoma, Non-Hodgkin; Leukemia/diagnosis; Leukemia/therapy; Electrophoresis; Bone Marrow Examination; Enfermedad de Hodgkin/diagnóstico; Enfermedad de Hodgkin/terapia; Linfoma no Hodgkin; Leucemia/diagnóstico; Leucemia/terapia; Electroforesis; Examen de la Médula Ósea

The authors consider the following diseases as lymphomas — Bryll Symmers — (macrofolicular lymphoma), Hodgkin's disease, retículum-cell sarcoma and Iymphosarcoma. Classifications for Iymphoma and leukemia are given. Besides the classical semiotic means for diagnosis other auxiliary examinations are analvysed such as pathological examination, hematological findings and radiological examination. Among these diagnostic means electrophoresis and boné marrow aspiration are described with greater detail because they represent nowdays a subject of great interest. The different bone marrow findings on lymphomas and leukemia are described. The electrophoretic curve is studied in detail. In this work two types of instruments were used: a) Kern LK 30, Tiselius type which gives electrophoresis with very small amount of serum and b) Wieland-Fischer's apparatus, in which the protein mollecules migration is made over filter paper. Electrophoretic values are also given in the different types of lIymphomas and leukemia. The authors also give the following treatment table of their own: I Treatment by irradiation. II Chimiotherapic treatment. III Surgical treatment. IV Complemenctary treatment. Irradiation treatment is studied in regard to the different radio-active isotopes and also the different roentgenterapeutic tecniques employed in these diseases. Chemiotherapeutic treatment is divided in 4 groups: radiomimetic substances, cytotoxic substances, antimetabolic substances and hormones. In this chapter the doses of the most important drugs used to treat such illnesses are given. As a complementary treatment the authors discuss and give their own experience regarding, exosanguineo transfusion, blood transfusion and antibiotics. Prognosis is given in detail. They refer to several cases of chronic granulocitic leukemia, lymphosarcoma reticulum-cell sarcoma and Hodgkin's disease treated by X-Ray and chemiotherapy with a survival of over 5 years. Numerous photographis, X-ray pictures of patients and also microphotografic findings are given in the article.