中国现代医学杂志2017，Vol.27Issue(10)：107-111,5.DOI:10.3969/j.issn.1005-8982.2017.10.022
Ann Arbor分期划分淋巴瘤淋巴结区域的意义探讨
Significance of lymph node regions of lymphoma classified by Ann Arbor staging
摘要
Abstract
Objective To evaluate the rationality of the Ann Arbor staging classification (COSTWOLD amendment) in defining the distribution of the thoracic lymph nodes involved by lymphomas.Methods Twenty-four patients with lymphomas involving thorax who received 18F-FDG PET/CT examination before treatment were studied.According to the results of 18F-FDG PET/CT examination,the thoracic regions involved by the lesions were revealed and the incidence of lymphoma in each region was statistically analyzed and then compared with the results by the Ann Arbor staging classification.Results Several nodal sites were involved in the lymphoma patients,the most frequent sites were group 4R lymph nodes in mediastinum (16/24,66.7％),followed by supraclavicular lymph nodes (15/24,62.5％).The nodal sites excluded in the Ann Arbor staging classification were involved in 14 patients (58％),including internal mammary,pericardial,super diaphragmatic,thoracic wall and retrocrural lymph nodes.Conclusions 18F-FDG PET/CT can accurately detect thoracic lymph node regions involved by lymphomas.The definition of nodal sites in thorax by the Ann Arbor staging classification can not include all the nodal sites for malignant lymphomas.More precise definition of nodal sites is needed for diagnose of lymphomas and design of modern radiotherapy targets.关键词
18F-FDG PET/CT/淋巴瘤/Ann Arbor分期Key words
18F-FDG PET/CT/lymphoma/Ann Arbor staging classification分类
医药卫生引用本文复制引用
袁媛,李金娇,肖荦,邓俊,刘惠,刘媛媛,朱苏雨..Ann Arbor分期划分淋巴瘤淋巴结区域的意义探讨[J].中国现代医学杂志,2017,27(10):107-111,5.基金项目
湖南省科技厅课题资助项目(No:S2014S003) （No:S2014S003）
