Bruneton J N, Normand F, Balu-Maestro C, Kerboul P, Santini N, Thyss A, Schneider M
Radiology. 1987 Oct;165(1):233-5. doi: 10.1148/radiology.165.1.3306785.
Superficial adenopathy is the most frequent clinical manifestation of lymphoma, both at initial workup and later when disease recurs. Data obtained by means of physical examination and ultrasonography (US) of the cervicosupraclavicular, axillary, and inguinal regions were compared for 120 patients, 60 at the time of initial staging and 60 during follow-up for a previously treated lymphoma. Twenty-nine in the second group had recurrent disease, as confirmed with histologic examination. For all 120 patients, US revealed clinically impalpable lesions in an average of 10.8% of cases for the cervicosupraclavicular region, 17.9% for the axillary region, and 4.1% for the inguinal region. Eight of the 29 relapses were not detected at physical examination, and three were demonstrated solely with US. These findings emphasize the value of US exploration of the superficial node-bearing regions in patients with lymphoma, during both initial staging and follow-up.
浅表淋巴结病是淋巴瘤最常见的临床表现，无论是在初始检查时还是疾病复发后。对120例患者进行了比较，通过体格检查和对颈锁骨上、腋窝和腹股沟区域进行超声检查（US）获取数据，其中60例处于初始分期，60例为先前治疗过的淋巴瘤患者在随访期间。第二组中有29例经组织学检查证实为复发疾病。对于所有120例患者，超声显示在颈锁骨上区域平均有10.8%的病例存在临床触诊不到的病变，腋窝区域为17.9%，腹股沟区域为4.1%。29例复发患者中有8例在体格检查时未被发现，3例仅通过超声显示。这些发现强调了在淋巴瘤患者的初始分期和随访期间，对浅表淋巴结区域进行超声检查的价值。
