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作者从1973年起用全身照射(TBI)治疗非何杰金氏淋巴瘸(NHL)33例,患者全是Ⅱ期或Ⅳ期,有全身淋巴结肿大。按Rappaport 分类。3例是弥漫性组织细胞型,30例是淋巴细胞淋巴瘤(6例结节型,24例弥漫型)。其中9例在TBI 之前用过化疗或某种形式的放疗,骨髓有一定程度的抑制,所有患者均接受了一程TBI 放疗:其中3例在第一程TBI 放疗缓介13~15个月后出现复发,给予第二程TBI 放疗。TBI 是用6MV 直线加速器,每周三次,每次中线深度量10rad。大多数患者接受的放射总剂量是180~220rad。对于肿块较大引起压迫症状,以及治疗四周后尚无反应者,肿块局部再
The authors treated 33 cases of non-Hodgkin’s lymphatic (NHL) with total body irradiation (TBI) since 1973. All patients were stage II or IV with generalized lymphadenopathy. Classified by Rappaport. Three cases were diffuse histiocytic and 30 were lymphocytic lymphoma (nodular in 6, diffuse in 24). Nine of the patients had been treated with chemotherapy or some form of radiotherapy prior to TBI and had some bone marrow suppression. All patients underwent one-course TBI radiotherapy: three of the patients were treated for 13 to 15 months after the first course of TBI radiotherapy Recurrence, given a second course of TBI radiotherapy. TBI is a 6MV linear accelerator, three times a week, each midline depth of 10rad. Most patients receive a total radiation dose of 180 ~ 220rad. For larger lumps cause compression symptoms, and no response after treatment for four weeks, local mass