Harris J M, Tang D B, Weltz M D
Cancer. 1978 Jun;41(6):2388-92. doi: 10.1002/1097-0142(197806)41:6<2388::aid-cncr2820410643>3.0.co;2-9.
We have analyzed a series of 124 young men with Hodgkin's Disease in an attempt to clarify the role of non-invasive tests in the staging evaluation. Data are presented in a way which permits comparison between series and application of the data to decision-making models. Analysis of the data shows our patients to have had primarily limited (stage I and II) disease. In our hands certain tests were quite accurate in predicting the absence of abdominal disease (lymphangiography, hepatic scintigraphy) as determined by laparotomy, but no study appeared to eliminate the need for laparotomy in this group. Data from several other large series are also presented in the same format. The data demonstrate a large variability between institutions in the predictive value of a positive lymphangiogram. Other studies, such as splenic scintigrams, appear to have more consistent predictive values. We encourage further use of this type of data presentation.
我们分析了124例患有霍奇金病的年轻男性病例，旨在阐明非侵入性检查在分期评估中的作用。数据呈现方式便于系列间比较以及将数据应用于决策模型。数据分析表明我们的患者主要患有局限性（I期和II期）疾病。在我们的研究中，某些检查在预测剖腹术所确定的腹部无疾病方面相当准确（淋巴管造影、肝脏闪烁扫描），但似乎没有任何一项研究能够消除该组患者进行剖腹术的必要性。其他几个大型系列的数据也以相同格式呈现。数据表明各机构之间淋巴管造影阳性的预测价值差异很大。其他研究，如脾脏闪烁扫描，似乎具有更一致的预测价值。我们鼓励进一步采用这种数据呈现方式。
