Lee R, Tungekar M F, Harmer C L, Rose M S
Postgrad Med J. 1981 Jul;57(669):409-15. doi: 10.1136/pgmj.57.669.409.
With both Hodgkin's and non-Hodgkin's lymphoma, the results documented compared well with reference series. Hence the advantages of a modest clinic need not be at the cost of recovery or of survival. A major factor attenuating the scale of therapy in Hodgkin's disease is the risk of inducing second malignancies. Four such complications have been observed amongst 27 patients with Hodgkin's disease. Amongst the patients with non-Hodgkin's lymphoma better results were noted than the designation 'poor prognosis histology' had led the authors to expect. These findings suggest that the concept of histologically based prognosis may be over-subscribed and that contemporary therapeutic strategies can be extremely effective in this group.
对于霍奇金淋巴瘤和非霍奇金淋巴瘤,记录的结果与参考系列相比情况良好。因此,小型诊所的优势不一定以恢复或生存为代价。霍奇金病中减少治疗规模的一个主要因素是诱发第二原发恶性肿瘤的风险。在27例霍奇金病患者中观察到4例此类并发症。在非霍奇金淋巴瘤患者中,观察到的结果比“预后不良组织学类型”这一名称使作者所预期的要好。这些发现表明,基于组织学的预后概念可能被过度应用,并且当代治疗策略在该组中可能极其有效。