Bongartz G, Peters P E
Institut für Klinische Radiologie, Westfälische Wilhelms-Universität, Münster.
Radiologe. 1987 Aug;27(8):355-62.
The clinical staging of malignant lymphomas not only includes histopathological classification but also non-invasive methods for assessing the stage and prognosis. In contrast to the TNM system of staging malignant epithelial tumors, in lymphomas the size is unimportant. Comparison is made between the invasive methods of staging Hodgkin's disease and Non-Hodgkin's lymphomas (splenectomy, laparotomy) and the non-invasive clinical radiological investigations (conventional X-rays, lymphography, sonography, CT, MR) and their statistical reliability. Whereas positive results in clinical staging are diagnostic, a negative result requires further correlation. A phased program for clinical staging is offered.
恶性淋巴瘤的临床分期不仅包括组织病理学分类，还包括评估分期和预后的非侵入性方法。与恶性上皮性肿瘤的TNM分期系统不同，在淋巴瘤中，大小并不重要。文中比较了霍奇金病和非霍奇金淋巴瘤分期的侵入性方法（脾切除术、剖腹术）与非侵入性临床放射学检查（传统X线检查、淋巴造影、超声检查、CT、MR）及其统计可靠性。虽然临床分期的阳性结果具有诊断意义，但阴性结果需要进一步关联分析。本文还提供了一个临床分期的分阶段方案。
