新发非霍奇金淋巴瘤患者抗磷脂抗体的发生率

S. Buruiana
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摘要

非霍奇金淋巴瘤(NHL)是一组组织学和生物学上不均匀的淋巴组织B细胞和T细胞肿瘤,其病因完全不明。抗磷脂抗体(aPL)是由于血小板膜磷脂被误读而产生的抗体。众所周知,抗磷脂抗体是引起止血生理过程紊乱的一般危险因素。新发非霍奇金淋巴瘤患者中抗磷脂抗体的发生率取决于年龄、性别、非霍奇金淋巴瘤的类型、疾病发病的特殊性、疾病传播的程度,这是很有趣的。根据我们的研究结果,我们发现原发性非霍奇金淋巴瘤患者aPL的发病率为14.8%,多见于男性和50岁以上的人群。aPL抗体的阳性取决于恶性淋巴瘤的免疫组织化学类型、肿瘤过程的播散程度,与NHL肿瘤病灶的位置(淋巴结或结外)无关。aPL抗体类型发生率不均匀,狼疮抗凝血药明显占优势。该研究允许评估非霍奇金淋巴瘤原发性患者抗磷脂抗体的发生率。
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Incidence of antiphospholipid antibodies in new patients with non-Hodgkin lymphoma
Non-Hodgkin’s lymphoma (NHL) presents a group of histologically and biologically inhomogeneous B and T cell neoplasms of lymphoid tissue with a completely unidentified etiology. Antiphospholipid antibodies (aPL) are antibodies produced as a result of misinterpretation of platelet membrane phospholipids. It is well known that antiphospholipid antibodies are general risk factors that induce the disorder of the physiological process of hemostasis. Respectively, it is interesting to appreciate the incidence of antiphospholipid antibodies in new non-Hodgkin lymphomas patients depending on age, sex, type of non-Hodgkin’s lymphoma, the peculiarities of the onset of the disease, the degree of disease spread. According to the results of our study, we found a 14.8% incidence of aPL in primary patients with non-Hodgkin’s lymphoma, more frequently in men and people older than 50 years. The positivity of aPL antibodies depended on the immunohistochemical type of malignant lymphoma, the degree of dissemination of the tumor process and independent of the location of the tumor focus (nodal or extranodal) of NHL. The incidence of aPL antibody types was uneven with the obvious predominance of lupus anticoagulant. Th is study allowed the evaluation of the incidence of antiphospholipid antibodies in primary patients with non-Hodgkin’s lymphoma.
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