58例未经治疗的晚期非何杰金氏淋巴瘤作全身照射。男女氏为26:32,年龄28～69岁,平均52岁。分期检查包括体检、胸相、静脉肾盂道影、淋巴管造影(大部病例)、骨髓活检、肝功能等,一般不作开腹探查。40例有膈上或膈下异常淋巴结定为Ⅲ,18例因骨髓或内脏侵犯属Ⅳ期。43例为结节性,15例为弥漫性。使用4 MeV直线加速器,坐位,靶皮距306厘米。每次从两侧作水平方向照射,次量15拉德,每周二次至总量150拉德。剂量以骨盆正中平面为准。颈部接受量比他处高40%。24例因局部肿瘤残存而补行局部射野照射1000～2000拉德。40%病人因血小板减少而中断或缩短疗程。单程实际照射量105～210拉德,4例作了第二程全身照射。 58 cases of untreated advanced non-Hodgkin’s lymphoma were irradiated whole body. Male and female is 26:32, aged 28 to 69 years old, average 52 years old. The staging examination includes physical examination, thoracic phase, venous renal pelvis tract, lymphangiography (most cases), bone marrow biopsy, liver function, etc. Generally, laparotomy is not performed. Forty patients with abnormal lymph nodes in the supraorbital or axilla were classified as III. Eighteen cases were stage IV due to bone marrow or visceral invasion. 43 cases were nodular and 15 cases were diffuse. Using a 4 MeV linear accelerator, sitting position, with a target distance of 306 cm. Each time horizontal irradiation from both sides, the amount of 15 rad, twice a week to a total of 150 rad. The dose is based on the midplane of the pelvis. The neck receives 40% more than other places. Twenty-four patients received local radiosurgery for 1000-2000 rads due to residual local tumors. 40% of patients were interrupted or shortened due to thrombocytopenia. One-way actual exposure amounted to 105 to 210 rads, and 4 cases gave the second-course whole body irradiation.