\u6dcb\u5df4\u7624\u662f\u4e2d\u56fd\u6700\u5e38\u89c1\u7684\u6076\u6027\u80bf\u7624\u4e4b\u4e00\uff0c\u5176\u75c5\u7406\u5206\u7c7b\u5341\u5206\u590d\u6742\uff0c\u9700\u8981\u5f62\u6001\u5b66\u3001\u514d\u75ab\u7ec4\u7ec7\u5316\u5b66\u3001\u6d41\u5f0f\u7ec6\u80de\u672f\u3001\u5206\u5b50\u9057\u4f20\u5b66\u7b49\u591a\u79cd\u68c0\u67e5\u540c\u65f6\u8fdb\u884c\uff0c\u8fd8\u8981\u7ed3\u5408\u60a3\u8005\u7684\u4e34\u5e8a\u8868\u73b0\uff0c\u4f8b\u5982\u75c7\u72b6\u3001\u5f71\u50cf\u68c0\u67e5\u7b49\u7efc\u5408\u5224\u65ad\u3002\u4e3a\u6253\u9020\u5168\u65b0\u680f\u76ee\u300c\u6dcb\u5df4\u7624\u75c5\u4f8b\u5b9e\u6218\u5206\u6790\u300d\uff0c\u8861\u9053\u533b\u5b66\u65b0\u5a92\u4f53\u7279\u9080\u8861\u9053\u75c5\u7406\uff08\u4e0a\u6d77\u4e2d\u5fc3\uff09\u4e1a\u52a1\u4e3b\u4efb\u6768\u9053\u534e\u533b\u751f\u62c5\u4efb\u4e13\u680f\u4f5c\u8005\u3002\u6768\u4e3b\u4efb\u5c06\u9009\u53d6\u4e34\u5e8a\u4f18\u79c0\u6dcb\u5df4\u7624\u75c5\u4f8b\u8fdb\u884c\u5206\u6790\u548c\u8ba8\u8bba\uff0c\u5e2e\u52a9\u8bfb\u8005\u9ad8\u6548\u5b66\u4e60\uff0c\u8fdb\u4e00\u6b65\u63d0\u9ad8\u4e34\u5e8a\u8bca\u65ad\u6c34\u5e73\u3002<\/p>\n
\u4f5c\u8005\uff1a<\/p>\n<\/p>\n
\u4e0a\u6d77\u8861\u9053\u533b\u5b66\u75c5\u7406\u8bca\u65ad\u4e2d\u5fc3\u5b9e\u9a8c\u5ba4<\/p>\n
\u4e1a\u52a1\u4e3b\u4efb \u6768\u9053\u534e \u4e3b\u4efb\u533b\u5e08<\/p>\n
\u5408\u4f5c\u4e13\u5bb6\uff1a<\/p>\n<\/p>\n
\u4e0a\u6d77\u8861\u9053\u533b\u5b66\u75c5\u7406\u8bca\u65ad\u4e2d\u5fc3\u5b9e\u9a8c\u5ba4<\/p>\n
\u884c\u653f\u4e3b\u4efb \u987e\u658c \u526f\u4e3b\u4efb\u533b\u5e08<\/p>\n
01<\/p>\n
\u75c5\u53f2\u4ecb\u7ecd<\/p>\n
\u80c3\u58c1\u589e\u539a<\/p>\n
\u6027\u522b\uff1a\u7537\u6027<\/p>\n
\u5e74\u9f84\uff1a48\u5c81<\/p>\n
\u53d6\u6750\u90e8\u4f4d\uff1a\u80c3\u4f53\u4e0a\u90e8\u5927\u5f2f\u53ca\u8fd1\u8d32\u95e8\u9ecf\u819c\uff0c\u6d3b\u68c0\u3002<\/p>\n
\u75c5\u53f2\uff1a\u8179\u80c01\u6708\uff0c\u884c\u80c3\u80a0\u955c\u68c0\u67e5\u3002<\/p>\n
\u5185\u955c\u68c0\u67e5\uff1a\u663e\u793a\u8d32\u95e8\u3001\u80c3\u5e95\u3001\u80c3\u4f53\u4e0b\u90e8\u9ecf\u819c\u5145\u8840\uff0c\u76b1\u58c1\u589e\u539a\u3001\u50f5\u786c\uff0c\u4e0a\u90e8\u5927\u5f2f\u4fa7\u89c1\u4e0d\u89c4\u5219\u6e83\u75a1\uff0c\u80c3\u4f53\u4e0a\u90e8\u8fd1\u8d32\u95e8\u89c1\u5de8\u5927\u4e0d\u89c4\u5219\u6e83\u75a1\uff0c\u5e95\u7c97\u7cd9\u3002<\/p>\n<\/p>\n
\u4e34\u5e8a\u8bca\u65ad\uff1a\u80c3\u4f53\u591a\u53d1\u6e83\u75a1\uff0c\u6076\u6027\u80bf\u7624\uff1f<\/p>\n
\u5927\u4f53\u6240\u89c1\uff1a<\/p>\n
1.\u80c3\u4f53\u4e0a\u90e8\u5927\u5f2f\uff1a\u7070\u767d\u8272\u7ec4\u7ec73\u5757\uff0c\u76f4\u5f840.05-0.2cm\u3002<\/p>\n
2.\u80c3\u4f53\u4e0a\u90e8\u8fd1\u8d32\u95e8\uff1a\u7070\u767d\u8272\u7ec4\u7ec74\u5757\uff0c\u76f4\u5f840.1-0.2cm\uff0c\u5168\u53d6\u3002<\/p>\n
\u5f71\u50cf\u68c0\u67e5\uff1aPET\/CT\u663e\u793a\u80c3\u58c1\u5f25\u6f2b\u4e0d\u5747\u5300\u589e\u539a\u5e76FDG\u6444\u53d6\u660e\u663e\u589e\u9ad8\uff1b\u6a2a\u7ed3\u80a0\u53ca\u56de\u76f2\u90e8\u3001\u56de\u80a0\u672b\u6bb5\u80a0\u58c1\u5c40\u90e8\u589e\u539a\u3002\u80a0\u7cfb\u819c\u3001\u8179\u76c6\u8154\u53ca\u8179\u819c\u540e\u591a\u53d1\u6dcb\u5df4\u7ed3\u80bf\u5927\u4f34FDG\u4ee3\u8c22\u589e\u9ad8\u3002<\/p>\n<\/p>\n
02<\/p>\n
\u955c\u4e0b\u5f62\u6001<\/p>\n<\/p>\n<\/p>\n<\/p>\n
\u4f4e\u500d\u955c\uff1a\u7c7b\u4f3c\u8089\u82bd\u7ec4\u7ec7\uff0c\u9664\u6dcb\u5df4\u7ec6\u80de\u5916\uff0c\u8fd8\u6709\u8f83\u591a\u4e2d\u6027\u7c92\u7ec6\u80de\u3001\u6d46\u7ec6\u80de\u548c\u7ec4\u7ec7\u7ec6\u80de\u6d78\u6da6\u3002\u9ecf\u819c\u5c11\u6570\u6dcb\u5df4\u7ec6\u80de\u6d78\u6da6\u7c7b\u4f3c\u6162\u6027\u708e\u75c7\u6539\u53d8\u3002\u4f46\u5185\u955c\u68c0\u67e5\u548cPET\/CT\u63d0\u793a\u6076\u6027\u80bf\u7624\u3002\u9700\u8981\u9ad8\u500d\u955c\u4ed4\u7ec6\u68c0\u67e5\u5206\u6790\u3002<\/p>\n<\/p>\n<\/p>\n<\/p>\n
\u9ad8\u500d\u955c\uff1a\u7ec6\u80de\u5bc6\u96c6\u533a\u53ef\u89c1\u975e\u5178\u578b\u6dcb\u5df4\u6837\u7ec6\u80de\uff0c\u7ec6\u80de\u5927\u5c0f\u4e0d\u7b49\uff0c\u8f83\u591a\u7ec6\u80de\u4f53\u79ef\u8f83\u5927\uff0c\u7ec6\u80de\u6838\u5f62\u6001\u4e0d\u89c4\u5219\uff0c\u6838\u67d3\u8272\u8d28\u6df1\uff0c\u6838\u5206\u88c2\u8c61\u6613\u89c1\uff0c\u5e76\u67e5\u89c1\u975e\u5178\u578b\u6838\u5206\u88c2\u8c61\u3002\u8f83\u591a\u53cd\u5e94\u6027\u5c0f\u6dcb\u5df4\u7ec6\u80de\uff0c\u6d46\u7ec6\u80de\u3001\u4e2d\u6027\u7c92\u7ec6\u80de\u3001\u7ec4\u7ec7\u7ec6\u80de\u53ca\u55dc\u9178\u6027\u7c92\u7ec6\u80de\u3002\u9ecf\u819c\u817a\u4f53\u4e4b\u95f4\u4e5f\u53ef\u89c1\u5c11\u91cf\u975e\u5178\u578b\u6dcb\u5df4\u6837\u7ec6\u80de\u6d78\u6da6\u3002<\/p>\n
03<\/p>\n
\u514d\u75ab\u7ec4\u5316<\/p>\n<\/p>\n
Ki-67<\/p>\n<\/p>\n
CK<\/p>\n<\/p>\n
CD3<\/p>\n<\/p>\n
CD7<\/p>\n<\/p>\n
CD4<\/p>\n<\/p>\n
CD8<\/p>\n<\/p>\n
P53<\/p>\n<\/p>\n
PAX-5<\/p>\n
\u514d\u75ab\u7ec4\u5316\u7ed3\u679c\uff1a\u80bf\u7624\u7ec6\u80de<\/p>\n
AE1\/AE3(-)\uff0cCD3(+)\uff0cCD20(-)\uff0cCD56(-)\uff0cKi-67(60%+)\uff0cINSM1(-)\uff0cCD4(+)\uff0cCD8(\u5c11\u6570+)\uff0cPAX-5(-)\uff0cCD30(-)\uff0cBcl-2(\u5c11\u6570\u5f31+)\uff0cCD23(-)\uff0cPerforin(-)\uff0cTIA-1(-)\uff0cGranzymeB(+)\uff0cP53(+\u7a81\u53d8\u578b)\uff0cCD5(+)\uff0cCD7(+)\uff0cCD2(+)\u3002<\/p>\n
\u5206\u5b50\u91cd\u6392\uff1aT\u7ec6\u80de\u91cd\u6392\uff08TCRB+TCRG\uff09(\u9633\u6027)\u3002<\/p>\n
EB\u75c5\u6bd2\u539f\u4f4d\u6742\u4ea4\u68c0\u6d4b\u7ed3\u679c\uff1aEBER\uff08\uff0d\uff09\u3002<\/p>\n
04<\/p>\n
\u75c5\u7406\u8bca\u65ad\uff1a<\/p>\n
\u5916\u5468T\u7ec6\u80de\u6dcb\u5df4\u7624\uff0c\u975e\u7279\u6b8a\u7c7b\u578b<\/p>\n
\u8ba8\u8bba\uff1a\u8bca\u65ad\u4e0e\u9274\u522b\u8bca\u65ad<\/p>\n
\u8bca\u65ad\u4f9d\u636e\uff1a<\/p>\n
\u9ad8\u5ea6\u5f02\u578b\u7684\u6dcb\u5df4\u7ec6\u80de\u5f25\u6f2b\u6027\u6d78\u6da6\uff0c\u5f02\u5e38\u514d\u75ab\u8868\u578b\uff08CD4+\/CD8-\uff0c\u6210\u719f\u8f85\u52a9T\u7ec6\u80de\u8868\u578b\uff09\uff0cT\u7ec6\u80de\u53d7\u4f53\u57fa\u56e0\u514b\u9686\u6027\u91cd\u6392\uff0c\u4e34\u5e8a\u68c0\u67e5\u663e\u793a\u80c3\u58c1\u5f25\u6f2b\u6027\u589e\u751f\u4f34\u5168\u8eab\u591a\u53d1\u6027\u6dcb\u5df4\u7ed3\u80bf\u5927\u3002\u7531\u4e8e\u80bf\u7624\u7ec6\u80de\u6d78\u6da6\u80c3\u9ecf\u819c\u7ee7\u53d1\u6e83\u75a1\uff0c\u5f62\u6210\u8089\u82bd\u7ec4\u7ec7\uff0c\u5927\u91cf\u4e2d\u6027\u7c92\u7ec6\u80de\u3001\u7ec4\u7ec7\u7ec6\u80de\u548c\u5c0f\u6dcb\u5df4\u7ec6\u80de\u6d78\u6da6\uff0c\u4f4e\u500d\u955c\u96be\u4ee5\u53d1\u73b0\u975e\u5178\u578b\u6dcb\u5df4\u6837\u7ec6\u80de\u3002\u8be6\u7ec6\u5168\u9762\u7684\u955c\u4e0b\u89c2\u5bdf\u548c\u4e34\u5e8a\u8d44\u6599\u5206\u6790\u662f\u4e0e\u975e\u80bf\u7624\u6027\u75c5\u53d8\u76f8\u9274\u522b\u7684\u5173\u952e\u3002<\/p>\n
\u5916\u5468T\u7ec6\u80de\u6dcb\u5df4\u7624\uff0c\u975e\u7279\u6307\u578b\uff08PTCL\uff0cNOS\uff09\uff0c\u662f\u4e00\u7ec4\u76f8\u5f53\u5e38\u89c1\u7684\u3001\u4e0d\u7b26\u5408\u5176\u4ed6T\u7ec6\u80de\u548cNK\u7ec6\u80de\u6dcb\u5df4\u7624\u8bca\u65ad\u6807\u51c6\u7684\u5916\u5468T\u7ec6\u80de\u6dcb\u5df4\u7624\u3002\u591a\u6570\u53d1\u751f\u5728\u6dcb\u5df4\u7ed3\uff0c\u5c11\u6570\u53d1\u751f\u5728\u7ed3\u5916\u6dcb\u5df4\u5668\u5b98\u6216\u7ec4\u7ec7\u3002\u5f62\u6001\u5b66\u8c31\u7cfb\u975e\u5e38\u5e7f\uff0c\u5e38\u4f34\u6709\u591a\u5f62\u6027\u708e\u6027\u80cc\u666f\uff0c\u53ef\u89c1\u5c0f\u6dcb\u5df4\u7ec6\u80de\u3001\u55dc\u9178\u6027\u7c92\u7ec6\u80de\u3001B\u6dcb\u5df4\u7ec6\u80de\u3001\u6d46\u7ec6\u80de\u53ca\u5927\u91cf\u7684\u4e0a\u76ae\u6837\u7ec4\u7ec7\u7ec6\u80de\u3002\u5f53\u708e\u75c7\u7ec6\u80de\u975e\u5e38\u663e\u8457\u65f6\uff0c\u96be\u4ee5\u53d1\u73b0\u5f02\u578b\u80bf\u7624\u7ec6\u80de\u3002CD3\u514d\u75ab\u7ec4\u5316\u67d3\u8272\u6709\u52a9\u4e8e\u663e\u793aT\u7ec6\u80de\u53ca\u5176\u5f02\u578b\u6027\u3002\u7624\u7ec6\u80de\u5448\u5f25\u6563\u5206\u5e03\uff0c\u591a\u5f62\u6027\u660e\u663e\uff0c\u4e2d\u81f3\u5927\u7684\u5f02\u578b\u7ec6\u80de\uff0c\u7ec6\u80de\u6838\u4e0d\u89c4\u5219\uff0c\u6838\u67d3\u8272\u8d28\u589e\u591a\u6216\u6ce1\u72b6\u6838\uff0c\u6838\u4ec1\u660e\u663e\uff0c\u6838\u5206\u88c2\u8c61\u591a\u89c1\uff0c\u5e38\u6709\u900f\u660e\u7ec6\u80de\u6216 R-S\u6837\u7ec6\u80de\uff0c\u4f46\u4e0d\u662f\u771f\u6b63\u7684R-S\u7ec6\u80de\u3002\u55dc\u9178\u6027\u7c92\u7ec6\u80de\u53ef\u4e3a\u75c5\u7406\u533b\u751f\u8003\u8651T\u7ec6\u80de\u6dcb\u5df4\u7624\u63d0\u4f9b\u8bca\u65ad\u7ebf\u7d22\u3002\u53ef\u89c1\u574f\u6b7b\uff0c\u901a\u5e38\u4e3a\u7076\u6027\uff0c\u800c\u975e\u5927\u7247\u6216\u5730\u56fe\u72b6\u3002\u5c0f\u8840\u7ba1\u5185\u76ae\u7ec6\u80de\u80a5\u5927\u3002<\/p>\n
PTCL\uff0cNOS\u7684\u514d\u75ab\u8868\u578b\u5448\u591a\u6837\u6027\u3001 \u5f02\u8d28\u6027\u3002\u80bf\u7624\u7ec6\u80de\u8868\u8fbe\u6210\u719fT\u7ec6\u80de\u76f8\u5173\u6297\u539f\uff0c\u5982 CD2\u3001CD3\u3001CD4\u3001CD8\uff0c\u5176\u4e2d\u8f83\u53ef\u9760\u7684\u6807\u8bb0\u662fCD3\u9633\u6027\uff1b\u4e5f\u53ef\u8868\u8fbe\u975e\u7279\u5f02\u6027T\u7ec6\u80de\u76f8\u5173\u6297\u539f\uff0c\u5982CD45RO \u53caCD43\uff0c\u4ea6\u8868\u8fbeCD56\u3001CD57\u3002\u90e8\u5206\u75c5\u4f8b\uff085%\uff5e11%\uff09\u4e0eEBV\u6709\u5173\u3002\u80bf\u7624\u7ec6\u80de\u53ef\u6709\u4e0d\u540c\u7a0b\u5ea6CD30\u8868\u8fbe\uff0c\u5bb9\u6613\u4e0e\u540c\u6837\u8868\u8fbeCD30\u7684ALK-\u95f4\u53d8\u6027\u5927\u7ec6\u80de\u6dcb\u5df4\u7624(ALCL)\u6df7\u6dc6\uff0c\u6cbb\u7597\u4e0a\u53ef\u4ee5\u7528\u76f8\u5173\u9776\u5411\u836f\u7269\u3002\u591a\u6570\u75c5\u4f8b\u5b58\u5728\u4e00\u79cd\u6216\u591a\u79cdT\u7ec6\u80de\u6297\u539f\u7684\u4e22\u5931\uff0c\u591a\u89c1\u4e8e\u53d1\u751f\u5728\u6dcb\u5df4\u7ed3\u5185\u7684CD4+\/CD8-\u75c5\u4f8b\uff1bCD7\u4e22\u5931\u7684\u8f83\u591a\uff0c\u5176\u6b21\u662fCD5\u3001CD2\uff1bCD4\/CD8\u53cc\u9634\u6027\u6216\u53cc\u9633\u6027\u65f6\u5e38\u53ef\u89c1\u300260%\u75c5\u4f8bCD52\u9634\u6027\uff0c\u5076\u89c1CD20\u548cCD79a\u7684\u5f02\u5e38\u8868\u8fbe\u3002\u8be5\u80bf\u7624\u901a\u5e38\u589e\u751f\u6d3b\u8dc3\uff0cKi-67\u589e\u6b96\u6307\u6570\u8f83\u9ad8\uff0c\u53ef\u8fbe70%\u3002<\/p>\n
\u9274\u522b\u8bca\u65ad\uff1a<\/p>\n
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[2] \u9648\u521a\uff0c\u674e\u5c0f\u79cb\u4e3b\u8bd1.\u8840\u6db2\u75c5\u7406\u5b66:\u7b2c2\u7248[M].\u51fa\u7248\u793e\u4eba\u6c11\u536b\u751f.\u5317\u4eac,2022.<\/p>\n
[3] \u5cb3\u632f\u8425,\u8d75\u6c38\u82b3,\u97e9\u745c\u7b49.\u80c3\u539f\u53d1\u6027\u7ed3\u5916\u9f3b\u578bNK\/T\u7ec6\u80de\u6dcb\u5df4\u76241\u4f8b[J].\u8bca\u65ad\u75c5\u7406\u5b66\u6742\u5fd7,2021,28(5):410-412. <\/p>\n<\/p>\n
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