75Se-Selenite scrintigraphy in the clinical staging of malignant lymphomas.

D Killander, D Lindblom, G Lundell
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Abstract

The value of 75Se-selenite scintigraphy in clinical staging was investigated in 45 patients with Hodgkin's disease and in 28 patients with non-Hodgkin's lymphoma. Of these, 9 patients had recurrence of previously treated lymphomas. The scintigraphic results were compared with clinical, cytologic, histologic and radiographic findings in different anatomic regions. 75Se-selenite scintigraphy resulted in 6 to 20 per cent false negative findings, 15 to 43 per cent false positive and 12 to 20 per cent equivocal evaluations, the accuracy being least in the abdominal region. The relatively high rediation dose delivered by 75Se-selenite, furthermore, makes it less attractive for use in the primary diagnosis of malignant lymphomas.

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硒-亚硒酸盐缮写术在恶性淋巴瘤临床分期中的应用。
研究了45例霍奇金淋巴瘤患者和28例非霍奇金淋巴瘤患者的75硒亚硒酸盐闪烁显像在临床分期中的价值。其中,9例患者有先前治疗过的淋巴瘤复发。将扫描结果与临床、细胞学、组织学和不同解剖区域的影像学表现进行比较。75硒亚硒酸盐闪烁显像导致6%至20%的假阴性结果,15%至43%的假阳性结果和12%至20%的模棱两可的评价,准确度在腹部区域最低。此外,75硒亚硒酸盐提供的相对较高的辐射剂量使其在恶性淋巴瘤的初步诊断中不那么有吸引力。
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