Ann Arbor分期划分淋巴瘤淋巴结区域的意义探讨

发布时间：2018-02-16 11:41

  本文关键词： F-FDG PET/CT 淋巴瘤 Ann Arbor分期　出处：《中国现代医学杂志》2017年10期 　论文类型：期刊论文

【摘要】：目的分析淋巴瘤Ann Arbor淋巴结分区法对胸部淋巴瘤累及范围分布划分的充分性,探讨其对淋巴瘤淋巴区域累及野放疗设计的意义。方法收集湖南省肿瘤医院初治的24例治疗前进行过18F-FDG PET/CT检查的累及胸部的淋巴瘤患者,根据PET/CT检查显示统计病变在胸部累及的区域以及各个区域的发生率。结果淋巴瘤患者在胸部可累及多个区域,病变累及最多的区域是纵隔的4R区(66.7%,16/24),其次是双侧锁骨上区(62.5%,15/24);14例(58%)患者累及除Ann Arbor分期设定的纵隔、肺门、腋窝及锁骨上下区之外的淋巴结区域,包括内乳区淋巴结、心包、胸壁、横隔上淋巴结及膈角后淋巴结。结论 18F-FDG PET/CT能精确显示淋巴瘤在胸部受累的淋巴结区域,目前的Ann Arbor分期并不能详细包括累及胸部的淋巴瘤受累区域,需要尽早设计出更精确的淋巴瘤受累区域分区,以适合现代放疗靶区设计的范围定义及诊断。
[Abstract]:Objective to analyze the adequacy of Ann Arbor lymph node division method in the distribution of the involvement of thoracic lymphoma. Methods 24 cases of lymphoma with chest involvement were examined by 18F-FDG PET/CT before treatment in Hunan Cancer Hospital. According to the PET/CT examination, the incidence of statistical lesions in the region of chest involvement and in various regions was revealed. Results Lymphoma patients can involve multiple areas of the chest. The most common lesions were in the 4R region of the mediastinum (66.7 / 24), followed by bilateral supraclavian area 62.515 / 24 (14 cases) involving the mediastinal, hilar, axillary and subclavian lymph nodes, including the mediastinal, hilar, axillary and supraclavicular lymph nodes, pericardium, and pericardium, as defined by Ann Arbor staging. Conclusion 18F-FDG PET/CT can accurately display the lymphomas in the lymph node region of chest involvement. The present Ann Arbor staging does not include the involved region of the lymphoma in the chest. A more precise zone of lymphoma involvement should be designed as early as possible to fit the range definition and diagnosis of modern radiotherapy target design.
【作者单位】： 湖南省肿瘤医院放疗科;
【基金】：湖南省科技厅课题资助项目(No:S2014S003)
【分类号】：R730.55;R733.1
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