Gerrits C J, van Overhagen H, van Lom K, Adriaansen H J, Löwenberg B
Department of Haematology, University Hospital Rotterdam/Dijkzigt, Erasmus University, The Netherlands.
Br J Haematol. 1994 Nov;88(3):626-8. doi: 10.1111/j.1365-2141.1994.tb05086.x.
The choice of treatment of malignant lymphoma may vary considerably and is mainly determined by the pathology and clinical stage. Ultrasonography is currently one of the most sensitive techniques for evaluation of the cervical area. We set out to assess the value of ultrasound imaging when added to conventional staging (physical examination, laryngoscopy, computer tomography of thorax and abdomen, bone marrow cytology and histology) of malignant lymphoma in 47 patients with untreated lymphoma. Hodgkin's disease was present in 14 patients and non-Hodgkin's lymphoma in 33 individuals. The ultrasound results were independently compared with physical examination of the neck. Ultrasonography revealed additional pathological lymph nodes in 6/47 cases (13%). Furthermore, the diagnosis non-Hodgkin's lymphoma could be established in one patient merely as a result of ultrasonography. Ultrasonography of the neck may reveal more pathological lymph nodes in a significant number of patients and may be of value in the initial staging of patients with malignant lymphoma.
恶性淋巴瘤的治疗选择可能有很大差异，主要由病理和临床分期决定。超声检查是目前评估颈部区域最敏感的技术之一。我们着手评估超声成像在47例未经治疗的淋巴瘤患者的恶性淋巴瘤传统分期（体格检查、喉镜检查、胸部和腹部计算机断层扫描、骨髓细胞学和组织学）基础上的价值。14例患者为霍奇金病，33例为非霍奇金淋巴瘤。将超声检查结果与颈部体格检查结果进行独立比较。超声检查在6/47例（13%）中发现了额外的病理性淋巴结。此外，仅通过超声检查就可以确诊1例非霍奇金淋巴瘤患者。颈部超声检查可能在相当数量的患者中发现更多病理性淋巴结，并且在恶性淋巴瘤患者的初始分期中可能具有价值。
