Aisen A M, Gross B H, Glazer G M, Amendola M A
J Comput Assist Tomogr. 1985 May-Jun;9(3):463-5. doi: 10.1097/00004728-198505000-00008.
Computed tomography of the abdomen and pelvis is frequently performed for the staging of abdominal and pelvic lymphoma. Certain limited CT protocols have been nearly as accurate as more complete examinations at defining the extent of lymphadenopathy and the response to therapy, with the advantages of decreased scanning time and patient radiation dose. We reviewed abdominal and pelvic CT scans and reports of 58 patients with Hodgkin disease to determine whether the entire abdomen and pelvis must always be scanned in such patients. Pelvic adenopathy without concurrent abdominal adenopathy was present in only one of 58 patients, and that patient presented clinically with inguinal adenopathy. These findings are supported by larger pathologic studies showing that Hodgkin disease always spreads contiguously. Patients with Hodgkin disease presenting above the diaphragm should undergo abdominal CT for staging; if the abdomen is normal, the pelvis need not be scanned. For Hodgkin patients with clinical or CT evidence of disease below the diaphragm, both abdomen and pelvis should be scanned.
腹部和盆腔计算机断层扫描常用于腹部和盆腔淋巴瘤的分期。某些有限的CT方案在确定淋巴结病范围和治疗反应方面几乎与更全面的检查一样准确，具有扫描时间缩短和患者辐射剂量降低的优点。我们回顾了58例霍奇金病患者的腹部和盆腔CT扫描及报告，以确定此类患者是否必须始终扫描整个腹部和盆腔。58例患者中只有1例存在盆腔淋巴结病而无并发腹部淋巴结病，且该患者临床上表现为腹股沟淋巴结病。更大规模的病理学研究支持了这些发现，表明霍奇金病总是连续扩散。膈上出现霍奇金病的患者应进行腹部CT分期；如果腹部正常，则无需扫描盆腔。对于有临床或CT证据表明膈下有疾病的霍奇金病患者，应同时扫描腹部和盆腔。
