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[瓦尔代尔环恶性淋巴瘤:淋巴造影总是必要的吗?]

[Malignant lymphoma of Waldeyer's ring: is lymphography always necessary?].

作者信息

Hayabuchi N, Jingu K, Hirata H, Tamura S, Matsuura K, Kikuchi M

出版信息

Gan No Rinsho. 1985 Feb;31(2):185-9.

PMID:3989987
Abstract

The role of lymphography for patients with malignant lymphomas involving Waldeyer's ring was retrospectively reviewed. The materials were 97 patients who were treated at Kyushu University Hospital from January, 1966 to December 1982. Lymphography was performed in 72 patients. Abnormal retroperitoneal nodes were detected only in 13 of them (18%). Six of the 7 patients (86%) with gastrointestinal involvement as well as Waldeyer's ring had positive lymphography, whereas only 6 of the 51 patients (12%) without gastrointestinal involvement had such findings. Although there was a significant difference in survival by cervical and inguinal lymph node status, no such discrepancy was seen between 41 stage II patients staged after lymphography and 16 stage II patients staged clinically. All these results suggest that lymphography is not always essential for patients with malignant lymphomas involving Waldeyer's ring.

摘要

回顾性分析了淋巴造影术在累及瓦尔代尔环的恶性淋巴瘤患者中的作用。研究材料为1966年1月至1982年12月在九州大学医院接受治疗的97例患者。其中72例患者接受了淋巴造影术。仅13例(18%)检测到腹膜后淋巴结异常。7例胃肠道受累及瓦尔代尔环的患者中有6例(86%)淋巴造影呈阳性,而51例无胃肠道受累的患者中仅有6例(12%)有此表现。尽管根据颈部和腹股沟淋巴结状态,生存率存在显著差异,但淋巴造影术后分期的41例II期患者与临床分期的16例II期患者之间未观察到此类差异。所有这些结果表明,淋巴造影术对于累及瓦尔代尔环的恶性淋巴瘤患者并非总是必不可少的。

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