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儿童何杰金氏病的正确分期比成人尤为重要,因儿童期对于大剂量放疗和长期多种药物化疗的有害作用更明显。儿童何杰金氏病的临床表现与成人颇有不同。同位素扫描对于显示儿童的转移灶有价值。淋巴管造影很有用,但在儿童技术上颇难,且也难于解释其意义。对于Ⅰ、Ⅱ或Ⅲ期儿童何杰金氏病患者行剖腹探查术,约40%的期别将改变(向上或向下)。放疗可使儿童生长停顿、骨骼变形、以及引起肿瘤。
The correct staging of Hodgkin’s disease in children is more important than in adults, as the deleterious effects of high doses of radiation and long-term multi-drug chemotherapy in childhood are even more pronounced. The clinical manifestations of Hodgkin’s disease in children are quite different from those in adults. Isotope scanning is valuable for showing metastases in children. Lymphangiography is useful, but technically difficult for children and difficult to interpret. For laparotomy in children with Hodgkin’s disease in stages I, II or III, about 40% of the seasons will change (up or down). Radiation therapy can stop children’s growth, bone deformation, and cause tumors.