Salonen O, Kivisaari L, Standertskjöld-Nordenstam C G, Oksanen K, Lappalainen K
Department of Diagnostic Radiology, Helsinki University Central Hospital, Finland.
Acta Radiol. 1987 Nov-Dec;28(6):747-50.
Thoracic computed tomography (CT) in 232 patients with either primary staging of new or suggested relapsing lymphoma was compared with conventional chest radiography and both were correlated with clinical staging. Particular attention was given to the possibility of reducing routine thoracic CT, which is the current method used in this hospital in all patients with suggested lymphoma. Mediastinal lymphoma was detected by CT in 95 per cent of patients with clinically active mediastinal lymphoma, and by conventional chest radiography in 56 per cent. CT was found to be less reliable in evaluation of the hilar region than in that of other mediastinal areas. No areas of particular difficulty were found with chest radiography. CT also provided additional information concerning extra-mediastinal lymph adenopathy and involvement of the thoracic wall and pericardium. Routine thoracic CT examination was considered justifiable in all patients with suggested lymphoma.
对232例新发或疑似复发淋巴瘤进行初步分期的患者进行了胸部计算机断层扫描（CT），并与传统胸部X线摄影进行比较，且二者均与临床分期相关。特别关注了减少常规胸部CT检查的可能性，这是本院目前对所有疑似淋巴瘤患者采用的检查方法。在临床活动期纵隔淋巴瘤患者中，CT检测出纵隔淋巴瘤的比例为95%，而传统胸部X线摄影的这一比例为56%。结果发现，CT在评估肺门区域时不如评估其他纵隔区域可靠。胸部X线摄影未发现特别困难的区域。CT还提供了有关纵隔外淋巴结肿大以及胸壁和心包受累的额外信息。对于所有疑似淋巴瘤患者，常规胸部CT检查被认为是合理的。
