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I期和II期非霍奇金淋巴瘤:放射治疗的长期结果

Stage I and II non-Hodgkin's lymphomas: long-term results of radiation therapy.

作者信息

Reddy S, Saxena V S, Pellettiere E V, Hendrickson F R

机构信息

Department of Therapeutic Radiology, Rush Medical College, Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL 60612.

出版信息

Int J Radiat Oncol Biol Phys. 1989 Mar;16(3):687-92. doi: 10.1016/0360-3016(89)90486-0.

Abstract

One hundred and sixteen patients with Stages I and II non-Hodgkin's lymphomas were treated with curative radiotherapy between 1964 and 1977. The initial biopsy material was classified according to the criteria of Rappaport et al. All the patients except six were followed for a minimum of 8 years or until death with ninety-two patients having been followed for 10 or more years. Histological pattern was found to be an important prognostic factor with better survival in patients with nodular histology. There were forty-three patients with an initial involvement of an extra-nodal site forming 37% of the total group. Stage I extra-nodal lymphomas had a survival and recurrence-free survival rates of 80% and 74% respectively, similar to those of nodal lymphomas. Stage II patients in both groups did worse than those with Stage I. Survival rates and disease-free survival rates for different histologic types and their pattern of recurrence are presented.

摘要

1964年至1977年间,116例I期和II期非霍奇金淋巴瘤患者接受了根治性放疗。初始活检材料根据拉帕波特等人的标准进行分类。除6例患者外,所有患者至少随访8年或直至死亡,其中92例患者随访了10年或更长时间。组织学类型被发现是一个重要的预后因素,结节状组织学类型的患者生存率更高。有43例患者最初累及结外部位,占总病例数的37%。I期结外淋巴瘤的生存率和无复发生存率分别为80%和74%,与结内淋巴瘤相似。两组的II期患者情况比I期患者差。文中给出了不同组织学类型的生存率、无病生存率及其复发模式。

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