Organization Diagnosis of PTCL

7/30/2019 Organization Diagnosis of PTCL

1/19

Lukfnaxf}alnfi Mafknlrar


L`

_]BI

F pulhcb} l` bjfnkc Gfnfkcgcn}

Rsega}}cm }l8

Rau Efrjfuf} Fjgcm

Rsega}}cm eq8

Dfanf} F`uama

EEF'PA *Glu!

Mf}cm8 Fpuai 56) 5??1

Nf}alnfi Snapcura}q l` Glmcun Ifnksfkcr fnmrbacnbcr


2/19


3/19


_uc`fbc

_uagfuaiq) }jar ucplu} jfr eccn {ua}}cn }l anblupluf}c rqiifesr

ucvsaucgcn} l` }jc rsehcb} Bjfnkc Gfnfkcgcn}. Ecramc }jf}) {c

{fn}cm }jc bln}cn} l` }jar ucplu} }l ec rcicb}cm fnm pucpfucm }l

fbjacc }{l lehcb}acr8 }l pulamc {a}j }jc src`si fnm ucicfn}

an`lugf}aln fels} garfiakngcn}r ec}{ccn }jc Lukfnaxf}alnfi r}usb}suc

fnm a}r r}uf}ckq

Ana}afiiq) {c rpcn} glr} l` gq }agc an kf}jcuank mf}f fnm src`sian`lugf}aln fels} }jc anmsr}uq fnm }jc blgpfnq.

[jcn {c r}fu}cm }jc pulhcb}) {c {cuc cuq gl}af}cm & mc}cugancm.]jlskj {c jfc ps} an ccuq c``lu} nl} }l icfc ls} fnq}jankagplu}fn}) es} f} }jc rfgc }agc) {c jfc }uacm lsu icci ecr} }l ps} fii}jc an`lugf}aln {c kf}jcucm.


2


4/19


Fbdnl{icmkcgcn}

Lnc l` }jc glr} picfrfn} pfu}r l` {ua}ank }jar ucplu} ar }jclpplu}sna}q }l }jfnd }jlrc {jl jfc bln}uaes}cm }l a}.Sn`lu}snf}ciq) }jc iar} l` czpucrralnr l` }jfndr nl gf}}cujl{ cz}cnrac ar fi{fqr anblgpic}c fnm anfmcvsf}c. ]jcrcfbdnl{icmkcgcn}r fuc nl czbcp}aln.

[c fuc kuf}c`si }l jfc }jc frrar}fnbc l` lsu }cfbjcu Gu.Rfigfn Fia fnm K.G Ufhf Gfxjfu {jl jfr jcipcm sr an ccuqr}cp fnm r}fkc `lu blgpaiank fnm gfdank }jar ucplu} }julskjjar fisfeic }ufnrfb}aln l` dnl{icmkc.

Dfanf} F`uama


=


5/19


]cicblg anmsr}uq an _fdar}fnAn}ulmsb}aln

Ranbc }jc anmcpcnmcnbc l` _fdar}fn) efrab }cicblg rcuabcr {cuc ecankpulamcm eq f glnlpliar}) pucalsriq bfiicm fr ]cicpjlnc fnm]cickufpj mcpfu}gcn} *]&]!. ]jc mcpfu}gcn} {fr ecank usn eq }jcklcungcn} fnm pifqcm gsi}apic ulicr fr ucksif}lu) pliabq gfdcu)lpcuf}lu fnm rcuabc pulamcu an }jc blsn}uq. ]jc ] & ] mcpfu}gcn}{fr if}cu blncu}cm an}l f blupluf}aln. Fi}jlskj }jc blupluf}aln {frcfunank jskc pulà}r ùlg }jc rcuabcr) a} {fr uc'ancr}ank }jc rfgc

pulà}r an}l }jc rcb}lu `lu }jc pularaln l` gluc }cicblg rcuabc es} }jcancr}gcn} {fr nl} cnlskj.@su}jcu) {a}j }jc }cbjnlilkabfi fmfnbcgcn}) gluc fnm gluc }cicblgrcuabcr {cuc ecblgank ffaifeic es} }jcuc {fr nl} cnlskj glncqffaifeic {a}j }jc blupluf}aln }l anr}fii nc{ }cicblg rqr}cgr `lu }jcpularaln l` glmcun rcuabcr. Ucrsi}fn}iq) f maka}fi maamc pucfaicm an_fdar}fn dccpank a} ecjanm a}r ncakjelur fnm l}jcu blgpfufeicblsn}uacr an }cugr l` }cicblg fbbcrr. Bciisifu gleaic rcuabcr an_fdar}fn blggcnbcm an 1?r {jcn }{l bciisifu gleaic }cicpjlnciabcnrcr {cuc f{fumcm }l _fd}ci fnm _fdBlg *Anr}fpjlnc! `lupularaln l` bciisifu gleaic }cicpjlnq an _fdar}fn. Bsuucn}iq }jcuc fuc

raz bciisifu pifqcur an }jc gfudc}. ]jc ]cicblg Rcb}lu jfr bln}uaes}cm5 pcubcn} }l{fumr }jc lcufii KM_ kul{}j {a}j uccnscr l` lcu _DU523en.

_]BI _FDAR]FN ]CICBLGGSNABF]ALN IAGA]CM

5.6An}ulmsb}aln l` _]BI_]BI ar }jc ifukcr} }cicblggsnabf}alnr pulamcu an _fdar}fn. _]BI firlbln}anscr }l ec }jc ifukcr} BMGF lpcuf}lu an }jc blsn}uq {a}j ?.:gaiialn P'`lnc bsr}lgcur. ]jc blgpfnq gfan}fanr f icfmank plra}aln an_fdar}fn fr fn anùfr}usb}suc pulamcu }l l}jcu }cicblg lpcuf}lur fnmblupluf}c bsr}lgcur l` }jc blsn}uq. A} jfr }jc pl}cn}afi }l ec fnanr}usgcn}fi fkcn} an _fdar}fnr cblnlgab kul{}j. _]BI jfr ifam fnLp}abfi @aecu Fbbcrr Nc}{lud an }jc gfhlu gc}ulplia}fn bcn}cur l`_fdar}fn fnm ilbfi illp rcuabcr jfc r}fu}cm }l ec glmcunaxcm fnmspkufmcm ùlg blppcu }l fn lp}abfi nc}{lud. Ln }jc Ilnk Mar}fnbc fnmAn}cunf}alnfi anùfr}usb}suc ramc) }jc bfpfba}q l` }{l RCF'GC'[C


3


6/19


rsegfuanc bfeic ar ecank czpfnmcm }l gcc} }jc anbucfrank mcgfnm lÀn}cunf}alnfi }uf`àb.

[a}j }jc pulgsikf}aln l` ]cicblggsnabf}aln *Uc'Lukfnaxf}aln! Fb}6110) }jc _fdar}fn ]cicblggsnabf}aln Fs}jlua}q {fr cr}feiarjcm fr}jc ]cicblg Ucksif}luq elmq. @liil{ank }jc lpcn iabcnrank pliabq anfbblumfnbc {a}j }jc anr}usb}alnr l` Klcungcn} l` _fdar}fn fnm anczcubarc l` pl{cur bln`cuucm eq _fdar}fn ]cicblggsnabf}aln *Uc'Lukfnaxf}aln! Fb} 6110) }jc efrab }cicpjlnq {fr ps} snmcu czbisraa}qfnm _]BI {fr kacn f rccn qcfur glnlpliq lcu efrab }cicpjlnq{jabj cnmcm eq Mcbcgecu 26) 5??5. ]jc qcfu 5??0'?; an }jc }cicblgrcb}lu f pjcnlgcnfi kul{}j an }jc gleaic pjlnc rcb}lu an _fdar}fn{fr rccn {jabj mlseicm a}r rserbuaecu efrc }l 0? gaiialn. ]jc]cicmcnra}q anbucfrcm jcipank }l rpucfm }jc ecncà}r l` blggsnabf}aln

}cbjnlilkq fbulrr }jc blsn}uq.

Anps}r]l snmcur}fnm jl{ f }l}fi lukfnaxf}aln `snb}alnr) a} ar ncbcrrfuq }lczfganc pfu}absifu anps}r fnm mcrakn blgplncn}r.

An anps}r }jcuc fuc }{l }qpcr l` cnaulngcn}r8

Kcncufi Cnaulngcn}

]frd Cnaulngcn}

f! Kcncufi Cnaulngcn}

]jc kcncufi cnaulngcn} ucpucrcn}r }jc cz}cunfi cicgcn}r fnm `lubcr}jf} bfn f``cb} }jc f}}fangcn} l` lukfnaxf}alnfi lehcb}acr.Ecank f pseiab iaga}cm blgpfnq {jlrc gfhlua}q rjfucr fuc bln}uliicmeq }jc Klcungcn} l` _fdar}fn) _]BI ar ucrplnraeic }l pulamc}cicblggsnabf}aln rcuabcr an }jc blsn}uq ln f``lumfeic puabcr {jaiccnrsuank }jf} }jc }cicblg rcuabcr ecblgc fbbcrraeic }julskjls} }jcblsn}uq.

]jc kcncufi cnaulngcn} anbismcr8Rlbafi cnaulngcn}]jc rlbafi cnaulngcn} anbismcr }jc ma``cucnbcr ln }jc efrar l` kcnmcu)uciakaln) uckalnfi fnm plia}abfi ac{r. Cfuiacu }jc _]BI {fr fn cvsficgpilqcc lpplu}sna}q lukfnaxf}aln es} nl{


0


7/19


e! ]frd Cnaulngcn}

]jc }frd cnaulngcn} ar firl bfiicm anmsr}uq r}usb}suc. ]jc anmsr}uqr}usb}suc anbismcr }jc rsppiacu) esqcur) }jucf}r l` cn}uq) uafiuq fglnkblgpc}a}lur.

Anmsr}uq r}usb}suc_fdar}fnr }cicblg rcb}lu jfr ànfiiq ecksn glank fnm illdcm rc} `lufn cuf l` pjcnlgcnfi kul{}j. ]jc rcb}lu jfr {a}ncrrcm }ucgcnmlsrkul{}j an ucbcn} qcfur {a}j ]cicmcnra}q mcpab}ank gfhlu czpfnraln

f`}cu mcucksif}aln. ]jc puagfuq psuplrc l` mcucksif}aln l` }jc rcb}lu{fr }l cnblsufkc jcfi}jq blgpc}a}aln {jaic pulamank ec}}cu vsfia}qpulmsb}r fnm rcuabcr }l bsr}lgcur ln il{cu puabcr fr {cii pulamankecr} }cbjnlilkq ffaifeic {luim{amc.Bsuucn} ]cicmcnra}q an _fdar}fnjfr czpfnmcm czplncn}afiiq ùlg =.2 pcubcn} an 5??5'?2 }l r}fnm f}=:.= pcubcn} an 5??0'?; {a}j bsuucn}iq r}fnmank f} lcu 35 pcubcn}){a}j ec}}cu rcuabcr fnm blgpc}a}ac uf}cr. Firl) anbucfrank anìl{ l``lucakn ancr}gcn} an }jc }cicblgg rcb}lu jfr ucrsi}cm an }jcan}ulmsb}aln l` nc{ bs} }julf} }cbjnlilkacr `lu pularaln l` fualsr}cicblg rcuabcr anbismank bciisifu) {aucicrr fnm an}cunc} rcuabcr. Anucbcn} }agcr) }jc `lbsr jfr anbucfrankiq rja`}cm ùlg @azcm Iancr }l

Bciisifu fnm [aucicrr @azcm Iancr *[II!) {a}j ec}}cu plu}feaia}q fnmblncnacnbc. [II jfr rjl{n fn agpulcgcn} ùlg ?.; pcubcn} }l 6.6pcubcn} an 5??0' ?; ùlg ifr} qcfu {a}j rserbuaecur l` 5 snabciisifurckgcn} ucgfancm }jc a}fi pifqcu {a}j anbucfrc an }l}fi ]cicmcnra}qbln}uaes}ank =: pcubcn}. An }jc suefn gfudc}r an}ulmsb}aln lÈulfmefnm an}cunc} rcuabcr eq fualsr ]cicblgg kafn}r rsbj fr _]BI)[luimBfii fnm [f}ccn jfr `su}jcu ecncà}cm }jc blnrsgcur }l fbbcrr}agciq an`lugf}aln lcu }jc an}cunc} {a}j blgpc}a}ac uf}cr. ]jceulfmefnm pcnc}uf}aln jl{ccu jfr nl} mcpab}cm fr gsbj kul{}j frczpcb}cm kul{ank {a}j 2.3gn rserbuaecur an 5??; fkfanr} 5.=gnrserbuaecur an 5??0. _]F cr}agf}cr eulfmefnm rserbuaecur }l kul{ }l

lcu 3gn eq 5?6?. [luimBfii jfr ana}af}cm bfeic }cicaraln rcuabcr{a}j _]BIczpcb}cm }l `liil{ rsa}c eq pulamank A_]P rcuabcr }julskja}r ]uapic _ifq rcuabcr) cnrsuank macuraàbf}aln l` pulmsb}r fnmrcuabcr. Ucbcn} blnmsbac cnaulngcn} pulamc eq _]F jfr ucrsi}cm ananbucfrcm @MAr an }jc rcb}lu {a}j ancr}gcn}r l` SRM5.; en msuank }jcifr} àc qcfur gfdank a} }jc ifukcr} ucbapacn} l` jakjcr} @MA msuank }jcpfr} `c{ qcfur. ]jc `s}suc `lu }cicpjlnq iacr fglnkr} snczpilucm usufiuckalnr l` _fdar}fn {a}j fii gfhlu }cicblg lpcuf}lur illdank `lu{fum }l


;


8/19


}fp }jcrc gfudc}r {a}j f gfhlu bln}uaes}aln eq [II fnm Bciisifurckgcn}r msc }l bjcfpcu anr}fiif}aln blr}r. [a}j jcfi}jq blgpc}a}alnanr}akf}ank il{cu ilbfi fnm an}cunf}alnfi }fua``r fnm ffaifeaia}q l`

fi}cunf}ac rcuabcr jfr pulkucrraciq ecncà}cm }jc blnrsgcur lcufii.

Gfudc} Lpcuf}aln

_fdar}fn ]cicblggsnabf}aln Blgpfnq Iaga}cm) lu _]BI) dccpr bfiicurblnncb}cm ùlg Dfufbja }l Arifgfefm. ]jc blggsnabf}alnr rcuabcrpulamcu l``cur blnrsgcur fnm esrancrrcr {a}j efrab ifnmianc) MRIeulfmefnm) an}cufb}ac }cicaraln) fnm A_ }cicpjlnq rcuabcr. ]jcblgpfnq firl pulamcr {jlicrfic rcuabcr rsbj fr }uf`àb uls}ank fnmbfii }cuganf}aln }l l}jcu bfuuacur. _]BI+r rseramafuacr anbismc {aucicrrpjlnc rcuabcr pulamcu _fdar}fn ]cicblg Gleaic) {jabj lpcuf}cr frS`lnc. An 5??0 Cgauf}cr ]cicblggsnabf}alnr *C}arfif}! fbvsaucm f 50#r}fdc an _]BI fnm frrsgcm gfnfkcgcn} bln}uli l` }jc blgpfnq.Mcgfnm ar muacn eq }cbjnlilkabfi annlf}aln fnm eq kul{}j anesrancrr fb}aa}q. ]jc pulà}feaia}q l` anmaamsfi blgpfnacr mcpcnmr lnc`àbacn} lpcuf}alnr fnm kllm gfudc}ank. Ifukc blgpfnacr jfc eakcblnlgacr l` rbfic an pulamank f jakjiq fs}lgf}cm rcuabc }l ifukcnsgecur l` bsr}lgcur) fnm jfc }jc ànfnbafi ucrlsubcr ucvsaucmesaimank fnm gfan}fanank f ifukc nc}{lud. Rgfiicu blgpfnacr bfnblgpc}c c``cb}aciq lniq an rgfii gfudc}r lu eq pulamank rpcbafi}qrcuabcr.

Ucksif}luq Cnaulngcn}

]jc ilbfi }cicblg gfudc} jfr fi}cucm raknaàbfn}iq ranbc }jc bucf}aln l`_]F fr fn anmcpcnmcn} ucksif}luq fkcnbq fnm jfm cnhlqcm raxcfeicrsbbcrr }l lpcn sp }jc ilbfi gfudc} }l blgpc}ank lpcuf}lur. [a}j }jcklcungcn}r mcucksif}aln pliabacr) C}arfif}) }jc SFC efrcm }cicblgpifqcu ecank }jc jakjcr} eammcu cgcukcm fr }jc esqcu l` }jc 50pcubcn} rjfuc an _]BI an Fpuai 5??0. _]BI) mcrpa}c ecank f kafn}) jfm }l`fbc gfnq el}}icncbdr an a}r lpcuf}alnr {a}j rsbj ifukc nc}{lud.

_]BI jfr }fdcn fn ana}af}ac }l uakj} raxc a}rci` eq an}ulmsb}aln l` PRR`lu a}r cgpilqccr {jcuc fels} 5:??? cgpilqccr fuc fbbcp}cm snmcu}jc rbjcgc. An}ulmsb}aln l` fualsr macuraàcm pulmsb}r fnm rcuabcr}l rsr}fan a}r gfudc} rjfuc) Agpicgcn}f}aln l` CU_ rlis}alnr }l pulamcan}ckuf}aln l` fualsr mcpfu}gcn}r }julskj fbvsara}aln l` RF_ rl`}{fucfnm r}f}c l` }jc fu} eaiiank fnm bsr}lgcu rcuabc rl`}{fuc) }ufnrif}cr_]BIr ilnk }cug klfir l` lpcuf}alnfi c``cb}acncrr an}l pufb}abc. ]jc}cicblg kafn} _]BI jfr lercucm bs}}julf} blgpc}a}aln ùlg fualsr


:


9/19


rcuabc pulamcur f`}cu }jc agpicgcn}f}aln l` }jc mcucksif}aln pliabacreq }jc _]F. Jl{ccu) }julskj }jc fr} anùfr}usb}suc fnm ecank }jcbfuuacur bfuuacu) _]BI {a}j macuraàbf}aln l` a}r fualsr rcuabcr jfr

cnhlqcm {cii'esai} plra}aln fnm plrrcr aggcnrc pl}cn}afi `lu kul{}j){jaic nccm `lu }cicblg rcuabcr ar ln uarc fr cblnlgq bln}anscr }lkul{ ln }jc uakj} }ufbd.

]jc }cicblg Mc'ucksif}aln fnm Bciisifu Gleaic _liabacr fnnlsnbcm eq}jc @cmcufi Klcungcn} pifbc bcu}fan leiakf}alnr ln _fdar}fn]cicblggsnabf}aln Blgpfnq Iaga}cm *_]BI! }l `fbaia}f}c gfudc}iaecufiaxf}aln. _]BI ar elsnm }l blgpiq {a}j }jcrc leiakf}alnr {a}jan fr}apsif}cm }agc ùfgc. ]jcrc leiakf}alnr fuc l` pfufglsn} agplu}fnbc`lu rsbbcrr`si agpicgcn}f}aln l` }jc pliabq fnm `faisuc lu fnq mcaf}aln}jcucl` gfq ucrsi} an rser}fn}afi mfgfkc }l }jc mcucksif}aln

pulbcrr,iaecufiaxf}aln pulkufg.

Bsr}lgcurEq }jc pfrrfkc l` }agc }jc cicgcn} l` }licufnbc jfr eccn kcncuf}cmfnm }jc gfnfkcgcn} r}fu}cm iar}cnank }l }jc bsr}lgcur fnm }jarbjfnkc {fr eulskj} an eq }jc blnbcp} l` Jsgfn UcrlsubcGfnfkcgcn}) Lukfnaxf}alnfi Mccilpgcn} & Ecjfalu }jf} glcm }jclukfnaxf}aln }l{fumr }jc fbjaccgcn} l` a}r r}uf}ckab klfir._]BIr gfan `lbsr ar fi{fqr }l{fumr pulamank a}r czar}ank bsr}lgcur{a}j vsfia}q pulmsb}r fnm rcuabcr. A} esai} r}uf}ckacr }l rsr}fan a}rbsuucn} bsr}lgcur fnm firl agpicgcn}cm bucf}ac fnm annlf}ac amcfr}l f}}ufb} }jc nc{ bsr}lgcur.

Blgpc}a}lur

Fi}jlskj }jcuc fuc nl maucb} blgpc}a}lur l` _]BI) uckfumank ifnmianc &àzcm ianc blggsnabf}aln es} {a}j }jc pfrrfkc l` }agc fr a} r}fu}cmfmmank fisc }l pulgl}c a}r esrancrr _]BI `fbcm f il} l` blgpc}a}aln an{aucicrr anmsr}uq. Lnc l` }jc ecr} }cbjnlilkacr *A_]P!) jfr eccn

an}ulmsbcm an 1 blsn}uacr fnm _]BI {fr }jc palnccu `lu ifsnbjank }jar}cbjnlilkq an _fdar}fn. Fnm }jf} {fr }jc eakkcr} blgpc}a}ac cmkc `lu}jc lukfnaxf}aln ln l}jcu }cicblggsnabf}aln blgpfnacr.

]lp _]BI Blgpc}a}lur

Bjanf Gleaic


1


10/19


Lufrblg ]cicblg]cicnlu

_]BI r}fnmr fr }jc pulamcu `lu f vsfia}q fmmcm rcuabcr an }jc fucfr l`{aucicrr }cbjnlilkacr fr {cii fr ifnmianc._]BI }fdcr agplu}fn} gcfrsucr }l dccp a}rci` f{fuc l` }jc

blgpc}a}lur plra}aln eq rcnmank a}r cgpilqccr }l l}jcu blgpc}a}lurpifbc) fnm dccpank }jcgrcicr f{fuc l` }jc an}cunf}alnfi r}fnmfumrfnm spmf}cr an }cbjnlilkq {jcuc }jcq lercuc fnm ucplu} }jccnaulngcn}fi `fb}r fnm àksucr fnm fualsr l}jcu `cf}sucr }jf} {lsimjcip _]BI r}fq an }lsbj {a}j {jf}r klank ln f} }jcau blgpc}a}lur cnm.

KCNCUFI CNPAULNGCN]

R}uf}ckab luacn}f}aln8

A} anbismcr }{l puagfuq cicgcn}r8

6. R}uf}ckq.

5. Lukfnaxf}aln mcraknr.

6. R}uf}ckq

_]BI ar fii rc} }l ucmcànc }jc cr}feiarjcm elsnmfuacr l` }jc}cicblggsnabf}aln gfudc} fnm ar rja`}ank }jc pulmsb}aa}qùln}acu }l nc{ jcakj}r. ]lmfq) `lu gaiialnr l` pclpic) mcgfnmanr}fn} fbbcrr }l nc{ pulmsb}r fnm amcfr. Gluc agplu}fn}iqpclpic {fn} }jcg `lu }jcau ec}}cu iaank r}fnmfumr {a}j anbucfrcmfiscr an }jar ccu'rjuandank kilec l` }jcaur.

_]BI ar klank }l ec qlsu àur} bjlabc an }jc `s}suc fr {cii) hsr} fra} jfr eccn lcu }jc pfr} raz mcbfmcr

@lu bicfu blggsnabf}aln }jc àur} bjlabc l` esrancrr baubicr ar_]BI }cicpjlnc `lu ilbfi) nf}aln{amc fnm an}cunf}alnfi bfiiank.]lmfq esrancrrcr bfn jfc 6?'6?? iancr {a}j glmcun mfqrcuabcr }l gcc} }jcau nccmr. Nl{ qls kc} lp}alnr iadc Bfiicu'AM)bfii'`lu{fumank) bfii'{fa}ank) Bfii Efuuank) }l nfgc f `c{.

R}uf}ckq anbismcr8


6?


11/19


Paraln

]l ec }jc icfmank An`lugf}aln fnm Blggsnabf}aln ]cbjnlilkqRcupabc _ulpamcu an }jc uckaln eq fbjacpank bsr}lgcu rf}ar`fb}alnfnm gfzagaxank rjfucjlimcur+ pfisc+.

]jc `s}suc ar sn`limank fulsnm sr. An }agcr }l blgc) {c {aii ec}jc iand }jf} fiil{r kilefi blggsnabf}aln. [c fuc r}uaank}l{fumr gleaiaxank }jc {luim `lu }jc `s}suc. Eq ecblgankpfu}ncur an annlf}aln) {c fuc ucfmq }l rjfpc f `s}suc }jf} l``cur}cicblg rcuabcr }jf} euank sr bilrcu.

f! Garraln8

_]BI ar }l}fiiq bsr}lgcu luacn}cm lukfnaxf}aln. ]jc garraln l`}jc blgpfnq ar }l pulamc fiscm pulmsb} fnm rcuabcr }l }jcbsr}lgcur eq snmcur}fnmank }jc bjfnkc an nccmr fnm {fn}r l`}jc bsr}lgcur.

e! Klfir fnm lehcb}apcr8

]l gcc} ]cicblggsnabf}aln fnm Nc}{ludank Rcb}lur Kul{ankUcvsaucgcn}r l` cnm srcur,Blupluf}c bsr}lgcur.

Esrancrr }lmfq ar fn an}cumcpcnmcn} kilefi cblnlgq {jcucdnl{icmkc ar }jc dcq frrc} fnm an`lugf}aln ar bsuucnbq.

]jc nccm `lu fn aggcmaf}c fnm fbbsuf}c gcfnr l`blggsnabf}aln ar snpucbcmcn}cm jakj) czfbcuef}cm eqanbucfrank kilefi blgpc}a}aln fnm }jc pfbc f} {jabj }cbjnlilkqar bjfnkank. [a}jan }jar nc{ {luim) {jabj uckfumr dnl{icmkc fnman`lugf}aln fr crrcn}afi) {c fuc {a}ncrrank fn fbbcicuf}ankkul{}j l` %Icfunank Lukfnaxf}aln%. Cgpilqccr {jl fuc feic }lrjfuc mf}f) an fii `lugr {a}j cfrc fnm rpccm {aii kfan }jc

fmfn}fkc l` ecblgank pfu} l` gluc pl{cu`si lukfnaxf}aln. An}jar {fq) }jc blggsnabf}aln l` an`lugf}aln bucf}cr fblggsna}q) {jabj ar cgpl{cucm eq }jc eanmank }jucfm l`dnl{icmkc.


66


12/19


b! An}cn}8

]jc lukfnaxf}aln an}cn} }l fbjacc a}r klfir fnm lehcb}acr eqanliank }jc cgpilqccr an mcbaraln gfdank rqr}cg. ]jclukfnaxf}aln rjfucr dnl{icmkc {a}j cgpilqccr fnmcgpl{cucm }jcg

m! _liabq8

]jc pliabq ar mcrakncm }l fbjacc }jc `liil{ank lehcb}acr8l Anbucfrc rcuabc bjlabc `lu bsr}lgcur l`

}cicblggsnabf}alnr rcuabcr f}l blgpc}a}ac fnm f``lumfeic uf}cr

l _ulgl}c anùfr}usb}suc mccilpgcn}) crpcbafiiq

anùfr}usb}suc }jf} {aii anbucfrc el}j }cicmcnra}q fnm }jcrpucfm l` }cicblggsnabf}aln rcuabcr an fii gfudc}rckgcn}r *Anbismank labc) mf}f fnm bciisifu c}b!

l

Anbucfrc puaf}c ancr}gcn} an }jc }cicblggsnabf}alnrrcb}lu fnm cnblsufkc ilbfi }cicblg gfns`fb}suank,rcuabcanmsr}uq

l Ucblknaxank }jc bjfiicnkc }l anbsgecn}) ganagaxc }jc uard

}l }jc Klcungcn}r uccnsc efrc

l Fbbcicuf}c czpfnraln l` }cicblggsnabf}aln anùfr}usb}suc

}l cz}cnm ]cicblggsnabf}alnr rcuabcr }l sn'rcucm fnmsnmcu'rcucm fucfr

l Kufmsfiiq iaecufiaxc }jc }cicblggsnabf}alnr rcb}lu eqcnblsufkank `fau blgpc}a}aln fglnk rcuabc pulamcur

l Gfan}fan fn c``cb}ac fnm {cii mcàncm ucksif}luq uckagc

}jf} ar blnrar}cn} {a}j An}cunf}alnfi ecr} pufb}abcr fnm


65


13/19


l Gfan}fan blnrar}cnbq {a}j }jc _fdar}fn A] fnm An}cunc}

pulgl}aln pliabq l` il{ puabcr `lu efnm{am}j fnm An}cunc}fbbcrr.

Lukfnaxf}aln mcrakn8

Lukfnaxf}aln mcrakn uc`cur }l }jc mcraknank blgplncn}r fnmbsi}suc l` }jc lukfnaxf}aln.

Mcrakn `fb}lur8

Mcrakn `fb}lur fuc bjfnkc iccur lu lukfnaxf}aln rserqr}cgr}jf} rspplu} r}uf}ckq l` }jc lukfnaxf}aln. A} anbismcr

Bluc fb}aa}q rqr}cg8

_]BI jfr glnlpliq an ifnmianc }cicpjlnc rcuabc. ]jclukfnaxf}aln ar {ludank ln }jc bsr}lgcu efrcm pulmsb}r fnmrcuabcr) {jcuc }jc cnm srcur `cci blncnacnbc an srank }jcpulmsb}r. ]jc bluc blgpc}a}ac fmfn}fkc l` }jc lukfnaxf}alniacr an }jc ifnmianc pulmsb}r. A} {ludr ln }cbjnabfian}cumcpcnmcnbq fnm snbcu}fan}q {jabj iandr ma``cucn}}cbjnlilkabfi rqr}cgr l` }jc lukfnaxf}aln. ]jc gfan `lbsr l`

_]BI ar }l pulamc ifnmianc rcuabcr }l sn'rcucm fucfr f} il{puabcr an lumcu }l fbjacc bluc blgpc}cnbq an ucif}cm àcimr. @lu}jar _]BI {ludr ifukciq an mc}cuganank }jc nccmr fnm {fn}r l`}jc sn'rcucm lu snmcurcucm fucfr }l pulamc }jcau ifnmiancrcuabcr an }jlrc fucfr. ]jar mcbaraln ar }fdcn }l cnrsuc }jf}_]BI glcr }l{fumr fmlp}ank cnaulngcn}fi'ùacnmiq fnmbsr}lgcu'ùacnmiq pliabacr an ianc {a}j }jc klcungcn} l`_fdar}fnr c``lu}r {jabj sukcr blgpfnacr fnm anr}a}s}alnr }l klkuccn.

]cbjnabfi snbcu}fan}q uc`cur }l fglsn} l` an`lugf}aln pulbcrrank

mcbaraln gfdank ucvsaucm msuank }frd pcu`lugfnbc {a}jan }jclukfnaxf}aln. _]BI fbdnl{icmkcm a}r cgpilqccr {a}j }jcmcgfnmr l` }jc bsr}lgcur. Glr}iq }jc mcbaraln ar mlnc f} }lpiccir fnm cgpilqccr fuc icrr cgpl{cucm an }frd pcu`lugankfb}aa}acr.

R}usb}sufi rqr}cg8


62


14/19


Fr _]BI ar bsr}lgcu efrcm lukfnaxf}aln) {jabj ar }jc `aur} }lpulamc ifnmianc }cicpjlnab rcuabc an _fdar}fn) rl }jc gfhluf}}cn}aln l` }jc lukfnaxf}aln an fbblgpiarjgcn} l` fnq }frd ar

efrcm ln bsr}lgcur fnm cnm srcur.

]jar ar mlnc {a}j }jc cr}feiarjgcn} l` r}f}c l` fu} Nc}{ludLpcuf}alnr Bcn}cu f} Arifgfefm. _]BI NLB ar f bcn}ufiaxcmnc}{lud gfnfkcgcn} rqr}cg {a}j `fsi} ucrlis}aln bfpfeaia}q)`siiq bfpfeic l` pulfb}ac amcn}a`abf}aln fnm ucrlis}aln l` `fsi}r}julskj ucfi'}agc nc}{lud glna}luank.

]jc psuplrc l` }jar nc{iq cr}feiarjcm Nc}{lud Lpcuf}alnr Bcn}cuar }l bln}uli) glna}lu fnm gfnfkc }jc cn}auc _]BI nc}{lud) fnm}l cnjfnbc fnm lp}agaxc Nc}{lud Gfnfkcgcn} }julskj f

}ufnrpfucn} fnm bcn}ufiaxcm pif}`lug.

]jc Nc}{lud Lpcuf}alnr Bcn}cu firl jcipr }l bucf}c f jakjiqffaifeic) fmfp}feic fnm `fsi} ucraiacn} nc}{lud }jf} bfn gcc}}jc gfudc} mcgfnmr fnm cnrsuc bsr}lgcu rf}ar`fb}aln.

Gcfrsucgcn} rqr}cg8

Fr }jc glnlpliq l` _]BI iacr an ifnmianc rcuabcr es} }jclukfnaxf}aln firl r{a}bjcr a}r rcuabcr }l l}jcu pulmsb}r iadcEulfmefnm) A_]P) P'`lnc c}b. ]jcrc rcuabcr lpcn nc{ fucfr l`blgpc}cnbacr `lu }jc lukfnaxf}aln. ]jc lukfnaxf}aln jfr }l

anlic a}r cgpilqccr f} anmaamsfi fnm kulsp icci an lumcu }lkfan blgpc}a}ac cmkc an }jcrc fucfr firl.

[c ucbcn}iq blcucm }jc rgfu} } rcuabc ucbcn}iq. _]BI bfgcsp {a}j }jar fmcu}arcgcn} {a}j f `fr} }jcgc fels} }jcaueulfmefnm fnm }uapic pifq rcuabcr. ]jar ar rspplrcm }l blncq}jc jakj rpccm frrlbaf}cm {a}j }jcau eulfmefnm.

F`}cu }jc mcucksif}aln l` _fdar}fn }cicblg) _]BI {fr `lubcm }lblgpc}c {a}j l}jcu blgpfnacr fnm nl} lniq `lu labc es} firl `luan}cunc} fnm glr} ucbcn}iq `lu ]P. _]BI blgpc}cr `lu }uapic pifq

{a}j [f}ccn fnm [luim bfii. A_]P eq _]BI ar eufnmcm fr Rgfu}]P) ar fii maka}fi fnm jfr rlgc an}cucr}ank `cf}sucr rsbj fr ]agcRja`}cm ]cicaraln *]R]P!) Rcfubj) Cicb}ulnab _ulkufg Ksamc fnmPamcl ln mcgfnm es} }jcrc fuc nl} czbisrac }l A_]P.

Jsgfn Ucrlsubc rqr}cg8


6=


15/19


_]BI `liil{r }ufma}alnfi ucbusa}gcn} fnm rcicb}aln rqr}cg `lujauank pclpic an }jc lukfnaxf}aln. Ec`luc 5??0 fii }jc cgpilqccr{cuc {ludank ln klcungcn} efrc rbfic rqr}cg es} nl{

cgpilqccr fuc jauank f} puaf}c efrc rqr}cg. ]jc cgpilqccr fucuc{fumcm ln el}j klcungcn} fnm puaf}c efrc pfq rbficmcpcnmank spln }jcau jauank rqr}cg. ]jc lukfnaxf}aln ar r}aii{ludank ln bcn}ufiaxcm rqr}cg. ]jc cgpilqccr fuc uc{fumank lnanmaamsfi icci nl} ln kulsp icci lu pfq `lu pcu`lugfnbc icci.

_]BI jfr r}fu}cm fn anbcn}ac pulkufg {jcuc a} kacr bfrj }l a}rcgpilqccr efrcm ln }jc nsgecu l` pjlnc fnm eulfmefnmanr}fiif}alnr pcu gln}j. ]jc fglsn} ar maamcm fglnk B_Canr}fiicur) ianc gcn) }cbjnabafnr c}b. ]jar danm l` anbcn}ac garrcr}jc plan}. _ulamank fr gfnq blnncb}alnr fr plrraeic ar hsr} lnc

gc}uab {jabj {ludr {cii `lu rjfucjlimcur fnm czcbs}acr. Ecramcr}jf} }jcuc rjlsim fnl}jcu bua}cualn {jabj ar gluc agplu}fn}8 ar}jc rcuabc {ludank bluucb}iq fnm ar }jc eaiiank bluucb}< ]jarrjlsim ec }jc pfu} l` }jc rbluc bfum `lu }jc cgpilqccr fnm _]BI{jabj mc}cugancr }jcau anbcn}ac. ]jcucr nl plan} an anr}fiiank frcuabc `lu {jabj }jcuc fuc iankcuank arrscr fnm }jc bsr}lgcurfuc nl} rf}aràcm.

Bsi}suc8

_]BI ar klank }julskj }jc r}fkc l` clis}aln) fnm }jc `lbsr l`

}jc lukfnaxf}aln ar }l rf}ar`q el}j an}cunfi fnm cz}cunfibsr}lgcur eq `lbsrank ln }jc vsfia}q pulmsb}r fnm rcuabcr. Es}r}aii }jc an}cunfi fnm cz}cunfi bsr}lgcur fuc nl} rf}aràcm cnlskj.]jc mcbaraln ar r}aii gfmc f} ]lp iccir fnm }jc rqr}cg arbcn}ufiaxcm }l glr} cz}cn}.

Ls}ps}

]jc ls}ps} l` f r}uf}ckab luacn}f}aln ar bifrraàcm an }l }juccblgplncn}r.

f! @anfnbafi lra}aln

]jc ls}ps} l` _]BI ànfnbafiiq ar }jc blr} c``cb}ac uf}cr `lu a}rbsr}lgcur an blgpfuarln l` a}r blgpc}a}lur. Blr} c``cb}ac bfiiuf}cr an uc}sun kaank il{ pulà}r }l _]BI {jabj an ifr} rlgc


63


16/19


qcfur kaank f pcubcp}aln }l }jc pclpic }jf} a}r an ilrr. K.GUfhf Gfxjfu rfqr }jf} {c fuc cfunank }jc pulà} es} nl{ }jcauuf}al ar icrr fr blgpfuc }l ec`luc 5??0 msc }l }jc r}usb}sufi

fmhsr}gcn}r eulskj} fels} an }jc }cicblg rcb}lu eqblgpc}a}aln.

_]BI ar blnramcucm fr f Bfrj bl{ {a}j Jakj gfudc} rjfuc fnmIl{ Kul{}j. A} ar nl{ }jf} _]BI jfr blgc sp {a}j pfbdfkcr}jf} blr} icrr fnm }jar {lsim jcip pulgl}c _]BI) {jcucpclpic jfc il{ anblgcr.

Fi}jlskj _]BI gfan}fancm a}r icfmank gfudc} rjfuc an }jcàzcm ianc) }jcuc {fr f mcbucfrc an uccnscr eq 3.3# gfaniq

msc }l rser}a}s}aln agpfb} l` gleaic czpfnraln. ]jcuc {frfirl fn anbucfrc an lpcuf}ank czpcnrcr eq 66.;# gfaniq msc}l pusmcn} pularalnr `lu mlse}`si mce}r fnm ilnk }cugrqr}cgf}ab agpulcgcn}r an lpcuf}alnr fnm bsr}lgcurcuabcr.

e! _ulmsb}apa}q _lra}aln

]jc pulmsb}aa}q l` _]BI bfn ec fnfiqxcm eq a}r nc{ fiscfmmcm rcuabcr rfqr K.G Ufhf Gfxjfu {c fuc an clis}alnrpulbcrr fnm

Ccn }jcn lsu pulmsb}aa}q ar anbucfrank mfq eq mfq. @lu }agcecank) {c fuc `fbank icrr pulà}r fnm }lskj blgpc}a}aln es}r}aii {c fuc }jc lniq blgpfnq {jabj ar pulamank MRI) Eulfmefnm) A_]B) Rgfu} rcuabc fii ln lnc ianc.]jar rjl{r lsu pulmsb}aa}q fnm {c fuc jlpc`si }jf} {c {aiikfan lsu plra}aln fkfan an }jc gfudc}._]BI ar r}aii }jc lniq }cicblg blgpfnq {jlg pulmsb}aln ar`fbank il}r l` puleicgr es} ccn }jcn }jcq fuc blpank }jcpuleicgr fnm eq annlf}aln fnm an}ulmsb}aln l` nc{ pulmsb}r}jcq fuc }uqank }l anbucfrc }jc pulmsb}aa}q.

b! R}fdcjlimcu rf}ar`fb}aln

R}fdcjlimcur fuc }jc blnr}a}scnbacr an }jc lukfnaxf}alnrcz}cunfi cnaulngcn} }jf} fuc f``cb}cm eq }jc lukfnaxf}alnrmcbaralnr fnm fb}aln }jcq bfn ec blgpc}a}lur) bsr}lgcur)klcungcn}) gcmaf) blggsna}acr) rjfucjlimcur) snalnr fnmcgpilqccr.


60


17/19


18/19


ec}}cu rcuabc mciacuq) bluucb} eaiiank fnm blgpc}cn}bsr}lgcu rcuabc.

Ucbcn} bcnrluank àfrbl fnm a}r pllu jfnmiank czplrcmmccp puleicgr {a}j fmganar}uf}aln fnm esucfsbufbq f}_]BI. A} {fr qc} fnl}jcu gfhlu pseiab ucif}alnr marfr}cu.

R}ucnk}jr fnm Lpplu}sna}acr

Gfmc ifukc bfpa}fi czpcnrcr ln nc}{lud agpulcgcn} }lr}fq blgpc}a}ac.

S`lnc ar pcu`lugank {cii }jlskj [fuam fnm ]cicnlu fuc}lskj blgpc}a}lur. _]BI) S`lncr pulà}feaia}q anbucfrcm eq

=1.5 pcubcn} }l Ur 1;; gaiialn an 6J,@Q?; fr blgpfucm }lUr 033 gaiialn an }jc bluucrplnmank pcualm ifr}.

A_]P uliils} bfn bjfnkc }jc kfgc) a` mlnc uakj} a} {aii }ai}}jc lmmr an _]BIr `flu. A} {aii gfdc r}abdq esnmicrplrraeic *}$pljnc$gleaic! {a}j rfq f rankic eaii `lublncnacnbc.

[a}j lcu 5 gaiialn iancr _]BI ar }jc ifukcr} [II pulamcu.662= efrc r}f}alnr blcu ;5? ba}acr fnm bfpfba}q ar ecank

fmmcm.

Ilbfi rcuabc uccnsc ar ld) pfqank eaiir }julskj pjlnc ar fblggcnmfeic r}fu}.

? Jfr fr} anùfr}usb}suc fnm ucfi cr}f}c frrc}r {jabj bfnec iccufkcm `su}jcu.

? Kilefi blnncb}aa}q uciafeaia}q jfr eccn agpulcm. _]BI arczpfnmank }jc ilnk mar}fnbc fnm anùfr}usb}suc ramc}julskj rpucfmank ls} }{l RCF'GC'[C rsegfuanc bfeicr.

Blnbisraln & Ucblggcnmf}alnr

_]BI nccmr annlpf}apc rcupabc l``cuankr bsuucn}iq a} mlcrn} cpcn l``cuesnmicr lu f rankic eaii.

Jfr eccn snbicfu fels} a}r A_]P fnm [aGFZ ifn fnm r}uf}ckq *}uafir fuc anulkucrr!


6:


19/19


Lpcufii _]BI r}aii ecjfpcr fr f glnlliq a} jfr }l bjfnkc a}r f}}a}smc. F} f

ganagsg) fplamank eaiiank cuulur fnm ulpamank blgc}cn} fnm blsu}clsr rcupabc}l a}r bsr}lgcur ar crrcn}afi a` _]BI {fn}r }l rjl{ }jf} a} ar }ufnr`lugank a}rci` }l

f blgc}a}apc blgfnq {jabj bfucr `lu a}r bsr}lgcur.

A} ar rfam }jf} }jc ecr} frrc}r l` f blgfnq kl jlgc }l }jcau `fgaiq an }jc cpcnank.Bfn }jc bsi}suc l` _]BI ec bjfnkcm }l f cu`lugfnbc fnm rcupabc efrcm

lukfnaxf}aln< Fbblumank }l }jc if}cr} maucb}lur uclu} `ulg _]BI }jc

lukfnaxf}aln ar ecank ucpfgcm. Lniq }agc bfn }cii }jc agfb}.


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Organization Diagnosis of PTCL