Pathological Diagnosis
Round cell tumor obliterating the lymph node,most likely lymphoplasmacytic lymphoma(LPL),punched specimen,neck。
Comments
Based on the histopathological findings,the neoplastic cells may originate from lymphocytic cells,likely of plasmacytoid type,lymphoplasmacytic lymphoma(LPL) is characteristically of B-cell type。It is not clear whether the neck region is primary site or metastasized site。A guarded to poor prognosis is anticipated。A whole body checkup and close follow up are necessary to determine whether the tumor has spread systemically。
以上是部份報告~
治療計畫=1.vincristine injection 0.65mg IV+cyclophosphamide tablets50mg
2.doxorubicin30mg IV<1>
prednisone 40mg PO<固定口服>
我家拉布拉多10歲~前兩週發現脖子左右各有一大一小腫塊~帶去切片~報告如上!!!<目前只有脖子有腫塊>
目前他生活一切正常~只是發現呼吸音有變大且打呼聲如雷~醫生有開3天類固醇藥~吃完的確有改善!!但今天沒吃就又發作了!!
我現在不知該怎麼做決定~醫生只建議做化療~沒做2-3M~有做6-8M~但最終還是會往生!!
我個人是不太想做化療!!畢竟化療也是有副作用到時身體會變虛弱~雖然可以把腫瘤壓下來~但後期好像也是會有抗藥性!!
我想說就採症狀治療~不能用藥物治療嗎???但又怕病情會不會變化很快~真的很怕他痛苦不舒服~我現在真的好矛盾喔!!!
可以給我一些建議嗎????