pilot tonsil lymphoma case of complete remission flying.docVIP

 PAGE \* MERGEFORMAT 6 pilot tonsil lymphoma case of complete remission flying Of: Mo Zhi-Feng Shi Liya Wang Xiang [Keywords:] the pilot of tonsils lymphoma 1 Clinical data 1.1 General Information Patients, male, 44 years old, J-5 pilot, flight time 3 300 h, main cause of sore throat, pharyngeal foreign body sensation 2 more than a month, the gradual emergence of a net is not swallowing, slurred speech, hit the left side of the neck of a painless mass in the admission. examination: blood pressure 14.7/10.7 kPa, heart rate 70 times / min, heart and lungs normal. specialist examination: No throat congestion, the right tonsil size of grade , no congestion, no surface discharge, the left tonsil grade size, pale pink, rough surface, the left lingual tonsil was larger, about 3 cm 2 cm 1.5 cm size, pale pink, rough surface, quality, fixed, and the epiglottis edge flush, covering the left side of the epiglottis Valley, covering the right side of the midline shift part of the epiglottis folds spoon, cover the left pyriform peep was unclear. bilateral vocal cord without congestion and new creatures, good movement, the left lower jaw can reach about 1.5 cm 2 a cm size of the lymph nodes, in the sternocleidomastoid muscle on the left front of the neck can reach one of about 3 cm 2 cm lymph node size, quality, activities, no tenderness. B-Neck: the neck and submandibular lymph nodes more than . CT examination: the left side of the left oropharyngeal tumor and neck lymph nodes. left tonsillectomy pathology report: the left tonsil diffuse non-Hodgkin’s B cell lymphoma, immunohistochemistry: LCA, CD20 and Bcl-2 were (+), CD68 (+), CD3 (-). Clinical diagnosis: left tonsil diffuse non-Hodgkin’s B cell lymphoma stage . 1.2 Treatment Treatment plan after diagnosis were: chemotherapy - radiotherapy - chemotherapy treatment. First CHOP chemotherapy with CTX (cyclophosphamide), VDS (vindesine), E-ADM (epirubicin), prednisone-line 2 cycles of chemotherapy, e