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Mantle Cell Lymphoma

Examined under the microscope, the Mantle diagnosed more frequently in women. This
cell lymphoma appears as an expansion of type of cancer has the shortest average
the mantle zone area of the lymph survival of all lymphomas.
nodes.It is represented by a homogenous Nowadays the cause of MCL is unknown. It
population of malignant small lymphoid has many symptoms that appears in other
cells, which are cancerous cells that lymphomas too. Patients generally
travel from the bone marrow to the lymph complain of fatigue, low grade fevers,
nodes and spleen. They are different from night sweats, weight loss, anemia,
the normal lymphocytes, they are not rashes, digestive disturbances, chronic
mature properly. Mantle cell lymphoma is sinus irritation, recurrent infections,
a rare type of Non- hodgkin's lymphoma. sore throat, shortness of breath, muscle
The lymphocytes are white blood cells and bone aches and edema. A more specific
produced by the immune system of the symptom is the spleen enlargement. This
human body. Regarding their origin, there clinical aspect is present especially in
are two types of immune cells, the B the nodular type of MCL. An early stage
cells which are made in the bone marrow is the swollen lymph nodes. At the
and the T cells which are made in the beginning this has no explanation because
thymus. After they are made they are the general health of the patient is
eliminated in the lymph which is a clear good. Anemia is another syptom that
liquid that bathes tissues and circulates characterizes MCL, but it is a mild type
in the lymphatic system. The lymphatic of anemia. Some patients can also report
system in the place where occur the lower back pain and burning pain in the
cancers known as lymphomas. If the B legs and testicles. In an advanced stage
cells are affected there can be a of the MCL the lymph nodes increase in
Non-Hodgkin's lymphoma which include volume, the general health is compromised
follicular lymphomas, small non-cleaved and the symptoms become more pronounced.
cell lymphomas (Burkitt's lymphomas), In the end stage the MCL spreads to the
marginal zone lymphomas (MALT lymphomas), central nervous system and appear the
small lymphocyte lymphomas, large cell neurological symptoms.
lymphomas. In this category of diseases As MCL is very similar to several other
is included the mantle cell lymphomas lymphoma types, imunologic tests are
too. recommended for a correct diagnosis. One
At the beginning, the MCL cells develops of this kind of tests is
in limited areas. Regarding this aspect Immunophenotyping which determine what
there are three subsets of MCL cells: the kind of surface molecules are present on
mantle zone type, the nodular type and cells, and which is the exact type of
the blastic or immature type. In the most lymphoma, from a tissue sample.
cases these various types develop When the diagnosis is sure it must be
together and the diagnoses are of mixed known that mantle cell lymphoma has
mantle and nodular type. During the already spread into many other tissues
development of the MCL the non-cancerous such as the lymph nodes, spleen, bone
mantle centers also become invaded by marrow or to the ring of adenoid,
cancerous cells. In about 20% of these palatine and lingual tonsils at the back
cases, the cells become larger and they of the mouth or even to the
are imature ones. gastrointestinal tract. If the MCL spread
As it is initially slow-growing, this to the colon it is diagnosed as multiple
type of cancer it was first believed to lymphomatous polyposis.
be a low-grade cancer, but the average The treatment for MCL is established
survival rate it was substantially depending on the type of MCL and it
shortened. Because of the mixed nature of stage.
MCL cells, specialists tend to give this There is no standard treatment for MCL
disease a new classification. The patients. The patients diagnosed with MCL
presence of the blastic type of cells is have been treated with surgery,
considered as a high-grade cancer because radiation, single drug or combination
it spreads at about the rate of other chemotherapy and stem cell transplants.
lymphomas belonging to that category. It The most common chemotherapy regimens for
is very important to describe the precise treating MCL includes the drugs:
nature of these cells, because this may Cyclophosphamide (cytoxan, neosar),
help specialists involved in the study of adriamycin (doxorubicin or
MCL to get to an agreement. Hydroxydoxorubicin), vincristine
Mantle cell lymphoma affects persons with (Oncovin), and Prednisone and it is
ages between 50 - 70 years and it is called CHOP.




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