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1978年1月～1986年12月,Mallinckrodt放射研究所对94例Ⅰ期或Ⅱ期膈上何杰金氏病单独放疗52例(55%)作了病理分期,42例(45%)作了包括淋巴管造影及腹部CT检查之临床分期。88例作过CT检查,57例作过淋巴管造影,91例作过骨髓穿刺。病理分型中结节硬化型63%,混合细胞型28%,淋巴细胞为主型6%,未分型3%。74例(79%)用亚全淋巴结照射(斗蓬野及主动脉周围野),如病人未作脾切除,则照射脾脏。20例仅作斗蓬野照射。没有病人行全淋巴结照射。所有病人均完全缓解。随访至少7月;除7例外,其他病人至少随访3年;随访中数时间7.7年。81例(86%)
From January 1978 to December 1986, Mallinckrodt Institute of Radiation Research performed pathological staging in 94 cases (45%) of 52 cases (55%) of stage I or II Hodgkin’s disease alone. Including the clinical stage of lymphangiography and abdominal CT examination. CT scans were performed in 88 cases, lymphatic angiography in 57 cases, and bone marrow puncture in 91 cases. The pathological type was 63% in nodular sclerosis, 28% in mixed cell type, 6% in lymphocyte type, and 3% in typeless type. Seventy-four (79%) patients were irradiated with sub-regional lymph nodes (compartment and field around the aorta). If the patient had not undergone splenectomy, the spleen was irradiated. Twenty cases were only treated with cappuccino. No patient had full lymph node irradiation. All patients were completely relieved. Follow-up for at least 7 months; with 7 exceptions, other patients were followed for at least 3 years; follow-up time was 7.7 years. 81 cases (86%)