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作者对17例经组织病理证实而没有任何淋巴结和内脏波及的蕈样肉芽肿病人进行研究。其中7例是Ⅰ期具有红色斑块性损害;8例是Ⅱ期具有浸润斑块性损害;2例病人是蕈样肉芽肿Ⅲ期,除浸润性斑块之外还有肿瘤损害。予以PUVA治疗。首次照射剂量1.5～4.0焦耳/平方厘米,后逐渐增加到10.0焦耳/平方厘米,每周治疗4次。全部Ⅰ、Ⅱ期的15个病人以及1例Ⅲ期病人皮损获得了完全消退。另1例Ⅲ期病人的肿瘤数目和体积均减少,但未完全消失。患者在痊愈后停止治疗,进行随访。
The authors studied 17 patients with mycosis granulomatosis confirmed by histopathology without any lymph node and visceral involvement. Among them, 7 cases had stage I red plaque lesions; 8 cases had stage II infiltrative plaque lesions; 2 cases were mycosis granuloma stages III, with invasive plaques and tumor lesions. PUVA treatment. The first irradiation dose was 1.5-4.0 Joules/cm2, then gradually increased to 10.0 Joules/cm2 and treated 4 times a week. All 15 patients in stage I and stage II and 1 stage III patient suffered complete regression of skin lesions. In another stage III patient, the number and volume of tumors were reduced but did not completely disappear. The patient stopped treatment after recovery and followed up.