本文關(guān)鍵詞： F-FDG PET/CT 淋巴瘤 Ann Arbor分期　出處：《中國現(xiàn)代醫(yī)學雜志》2017年10期 　論文類型：期刊論文

【摘要】：目的分析淋巴瘤Ann Arbor淋巴結(jié)分區(qū)法對胸部淋巴瘤累及范圍分布劃分的充分性,探討其對淋巴瘤淋巴區(qū)域累及野放療設(shè)計的意義。方法收集湖南省腫瘤醫(yī)院初治的24例治療前進行過18F-FDG PET/CT檢查的累及胸部的淋巴瘤患者,根據(jù)PET/CT檢查顯示統(tǒng)計病變在胸部累及的區(qū)域以及各個區(qū)域的發(fā)生率。結(jié)果淋巴瘤患者在胸部可累及多個區(qū)域,病變累及最多的區(qū)域是縱隔的4R區(qū)(66.7%,16/24),其次是雙側(cè)鎖骨上區(qū)(62.5%,15/24);14例(58%)患者累及除Ann Arbor分期設(shè)定的縱隔、肺門、腋窩及鎖骨上下區(qū)之外的淋巴結(jié)區(qū)域,包括內(nèi)乳區(qū)淋巴結(jié)、心包、胸壁、橫隔上淋巴結(jié)及膈角后淋巴結(jié)。結(jié)論 18F-FDG PET/CT能精確顯示淋巴瘤在胸部受累的淋巴結(jié)區(qū)域,目前的Ann Arbor分期并不能詳細包括累及胸部的淋巴瘤受累區(qū)域,需要盡早設(shè)計出更精確的淋巴瘤受累區(qū)域分區(qū),以適合現(xiàn)代放療靶區(qū)設(shè)計的范圍定義及診斷。
[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.
【作者單位】： 湖南省腫瘤醫(yī)院放療科;
【基金】：湖南省科技廳課題資助項目(No:S2014S003)
【分類號】：R730.55;R733.1
，

本文編號：1515433