Płuzańska A, Chmielowska E, Chmielowski M, Pasz S, Berner J, Woźniak L
Oddziału Chemioterapii Regionalnego Ośrodka Onkologicznego, Katedry Onkologii AM, Lodzi.
Acta Haematol Pol. 1993;24(1):27-34.
In 69 patients (pts) with Hodgkin's disease (HD) in I-IIIA clinical stage results of abdominopelvic computed tomography (CT) were compared with pathological staging. Concordance (specificity) of CT scan with results of macroscopic evaluation of HD lesions in the abdomen during laparotomy with splenectomy was 83%. Accuracy CT results and microscopic findings was 80%. False positive results of CT were found in 11.6% of patients and false negative in 8.6%. Specificity and sensitivity of CT versus to pathological staging were 84% and 63% respectively. The results presented here confirm, that pathological staging after laparotomy with splenectomy in HD was some advantage in precise prediction of some patients to radiotherapy and planning of irradiated fields.
对69例处于I-IIIA临床分期的霍奇金淋巴瘤(HD)患者,将腹盆腔计算机断层扫描(CT)结果与病理分期进行了比较。CT扫描与剖腹脾切除术中HD腹部病变宏观评估结果的一致性(特异性)为83%。CT结果与微观发现的准确性为80%。11.6%的患者出现CT假阳性结果,8.6%出现假阴性结果。CT相对于病理分期的特异性和敏感性分别为84%和63%。此处呈现的结果证实,HD患者剖腹脾切除术后的病理分期在精确预测部分患者的放疗及照射野规划方面具有一定优势。