Lemez P
Ustav hematologie a krevní transfúze, Praha.
Cas Lek Cesk. 1990 Oct 26;129(43):1361-4.
The paper deals with the general importance of prognostic signs in malignant tumours. The author defines basic terms such as disease, illness, sign etc. Diagrams describe individual stages and the complexity of the diagnostic and therapeutic procedure and the main factors which influence its result, the patient's recovery. From the aspect of assessment of the accurate diagnosis signs assembled during the diagnostic process are divided into three prognostic groups as the correct diagnosis is the prerequisite of rational therapy and thus can influence the prognosis of the disease. In the first group are only signs associated with the aetiopathogenesis of the disease, in the second group signs associated with the patient's general condition and in the third group signs of the patient's normal phenotype. The signs in each of these groups have as a rule a different prognostic value. The author emphasizes the great dependence of prognostic signs on the type of applied treatment as well as the fact that with improving treatment the majority of signs lose their prognostic importance.
本文论述了恶性肿瘤预后征象的一般重要性。作者对疾病、病症、征象等基本术语进行了定义。图表描述了各个阶段以及诊断和治疗过程的复杂性，还有影响其结果即患者康复的主要因素。从准确诊断评估的角度来看，诊断过程中收集到的征象被分为三个预后组，因为正确的诊断是合理治疗的前提，从而会影响疾病的预后。第一组仅包含与疾病病因发病机制相关的征象，第二组是与患者一般状况相关的征象，第三组是患者正常表型的征象。这些组中的征象通常具有不同的预后价值。作者强调预后征象对所应用治疗类型的极大依赖性，以及随着治疗的改进大多数征象会失去其预后重要性这一事实。
