Earl H M, Sutcliffe S B, Fry I K, Tucker A K, Young J, Husband J, Wrigley P F, Malpas J S
Clin Radiol. 1980 Mar;31(2):149-53. doi: 10.1016/s0009-9260(80)80141-3.
Thirty-nine patients with Hodgkin's disease (HD) with little or no clinical evidence of abdominal disease were investigated by abdominal CT scanning. The results were compared with those of bipedal lymphography and laparotomy and splenectomy. In the assessment of para-aortic lymph nodes, CT scanning and lymphography were of equal efficacy in determining the presence or absence of disease (87 and 79% respectively). Although CT scan could occasionally demonstrate disease in nodes in areas other than the retroperitoneum, its value was limited by its inability to detect involvement of nodes which were not significantly enlarged. CT assessment of splenic HD was unreliable, focal deposits being detected in only one of the 11 spleens involved. In this selected group of patients, CT scan had little advantage over lymphography in the description of disease extent. However, CT scan would appear to be the investigation of choice in patients with suspected abdominal relapse because of the more frequent presence of disease in sites not seen on lymphography. When treatment decisions are dependent on accurate knowledge of distribution of disease, CT scanning cannot yet effectively replace staging laparotomy and splenectomy as the means of achieving this information.
对39例几乎没有或完全没有腹部疾病临床证据的霍奇金病（HD）患者进行了腹部CT扫描检查。将结果与双侧淋巴造影及剖腹术和脾切除术的结果进行了比较。在评估主动脉旁淋巴结时，CT扫描和淋巴造影在确定疾病有无方面疗效相当（分别为87%和79%）。虽然CT扫描偶尔能显示腹膜后以外区域淋巴结的病变，但其价值因无法检测到未明显肿大的淋巴结受累而受限。CT对脾脏HD的评估不可靠，在11个受累脾脏中仅1个检测到局灶性沉积物。在这组特定患者中，CT扫描在描述疾病范围方面比淋巴造影优势不大。然而，由于淋巴造影未显示部位疾病的更常见存在，CT扫描似乎是疑似腹部复发患者的首选检查方法。当治疗决策取决于对疾病分布的准确了解时，CT扫描尚不能有效取代分期剖腹术和脾切除术作为获取该信息的手段。
