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[结外非霍奇金淋巴瘤的预后因素——62例分析]

[Prognostic factors of extranodal non-Hodgkin's lymphoma--an analysis of 62 cases].

作者信息

Fu H P

机构信息

Henan Cancer Hospital, Changsha.

出版信息

Zhonghua Zhong Liu Za Zhi. 1990 Jul;12(4):310-3.

PMID:2272271
Abstract

Sixty two cases of extranodal non-Hodgkin's lymphoma (NHL) treated in our hospital from June 1979 to June 1986 are reported. The ratio of male to female was 2.44:1. The ages ranged from 7 to 65 with a peak age of 30-49 years. According to the criteria of Chengdu conference (1985), these 62 cases were categorized into 4 types: lowly malignant (11), moderately malignant (26), highly malignant (21) and unclassified (4). According to Ann Arbor Staging System (1971), there were 16 patients in Stage I, 23 in Stage II, 16 in Stage III and 7 in Stage IV, of which there were 10 cases with B symptoms. All patients were followed until September 1988. The survival rate was calculated according to the life statistical table. The results showed that patients in Stages I and II with low malignant type in pathology and without B symptoms had a favorable prognosis, whereas those with a mass originating from the Waldeyer's ring, cervical lymph node over 5 cm in diameter and lower neck and/or supraclavicular regions or bilateral cervical lymph node involvement had a poor prognosis.

摘要

本文报道了我院1979年6月至1986年6月间收治的62例结外非霍奇金淋巴瘤(NHL)患者。男女比例为2.44:1。年龄范围为7岁至65岁,发病高峰年龄为30 - 49岁。根据成都会议(1985年)的标准,这62例患者分为4型:低度恶性(11例)、中度恶性(26例)、高度恶性(21例)和未分类(4例)。根据Ann Arbor分期系统(1971年),Ⅰ期16例,Ⅱ期23例,Ⅲ期16例,Ⅳ期7例,其中有10例伴有B症状。所有患者随访至1988年9月。生存率根据寿命统计表计算。结果显示,病理类型为低度恶性、无B症状的Ⅰ期和Ⅱ期患者预后良好,而起源于Waldeyer环、直径超过5 cm的颈部淋巴结及下颈部和/或锁骨上区域有肿块或双侧颈部淋巴结受累的患者预后较差。

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