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何杰金氏病(简称HD)与非何杰金氏淋巴瘤(简称NHL)是恶性淋巴瘤的主要类型。二者的临床表现及预后不尽相同。NHL的预后较劣,是一组不稳定且有多中心性起源可能性的疾病。在正常骨髓内有淋巴滤泡存在,故在NHL早期病程中可能发生骨髓受累,造成治疗上的困难。为了选择最佳首次治疗方案,必须作到分期准确。文献报道骨髓受累发生率在HD介于5-22%之间,而NHL则高达15-63%。骨髓检查对二者的准确分期都很有帮助。本文报道NHL90例的骨體检查结果。材料与方法 1978~1981共4年间我科收治病理证实之NHL患者90例,年龄为7-76岁,男女之比为1.8∶1。组织学分类依Rapapport法。患者入院后进行全面检查包括查体和血尿,肝肾功能及胸部X线检查。部分患者作了双
Hodgkin’s disease (HD) and non-Hodgkin’s lymphoma (abbreviated as NHL) are the main types of malignant lymphoma. The clinical manifestations and prognosis of the two are not the same. The prognosis of NHL is inferior, and it is a group of diseases that are unstable and have multiple central origins. There are lymphoid follicles in the normal bone marrow, so bone marrow involvement may occur during the early course of NHL, resulting in therapeutic difficulties. In order to choose the best first-line treatment plan, accurate staging must be done. The literature reports that the incidence of bone marrow involvement ranges from 5 to 22% in HD and up to 15-63% in NHL. Bone marrow examination is helpful for accurate staging of both. This article reports 90 cases of NHL bone examination results. Materials and Methods In 1978 to 1981, a total of 90 NHL patients with pathologically confirmed pathology were included in our department. The age range was 7-76 years, and the ratio between males and females was 1.8:1. Histological classification is based on the Rapapport method. After the patient was admitted to the hospital for a comprehensive examination including physical examination and hematuria, liver and kidney function and chest X-ray examination. Some patients made double