[Difficulties in the application of Rye's classification to Hodgkin lymph nodes].

Annales d'anatomie pathologique Pub Date : 1980-01-01
B Caillou, J M Caillaud, R Gerard-Marchant
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Abstract

Rye's histological classification has been used the world over for the last 15 or so years in Hodgkin's disease but its practical application still poses numerous problems. These are related either to the border-line cases which separate the 4 Rye types or to the sub-classification of nodular sclerosis, or the problem of deciding whether certain classical or recently described histological entities can indeed be called Hodgkin's disease. The Rye classification allows a better approach to a positive and differential diagnosis of Hodgkin's disease and its prognostic and epidemiological usefulness is indisputable. This is to say that the criteria which define the four types should be more specific leaving less for subjectivity. Meanwhile, a collegial analysis of the histological data definitely improves the reliability of this system.

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[黑麦分类法应用于霍奇金淋巴结的困难]。
拉伊的组织学分类在过去15年左右的时间里已经在世界范围内用于霍奇金病,但它的实际应用仍然存在许多问题。这些要么与区分4种Rye类型的边界病例有关要么与结节硬化的亚分类有关,或者决定某些经典的或最近描述的组织学实体是否确实可以被称为何杰金氏病的问题。Rye分类法为何杰金氏病的阳性和鉴别诊断提供了更好的方法,其预后和流行病学用途是无可争议的。这就是说,界定这四种类型的标准应该更加具体,而不要过于主观。同时,对组织学数据的联合分析无疑提高了该系统的可靠性。
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