ISSN (print) 1997-6933     ISSN (online) 2500-2139
Том 16 № 4 (2023), ОБЗОРЫ
Том 16 № 4 (2023)
ОБЗОРЫ

История вопроса о роли биопсии костного мозга в системе стадирования классической лимфомы Ходжкина и современный взгляд в эру ПЭТ-КТ (обзор литературы)

Опубликовано 20.02.2024
Анатолий Александрович Даниленко
Медицинский радиологический научный центр им. А.Ф. Цыба — филиал ФГБУ «НМИЦ радиологии» Минздрава России, ул. Королева, д. 4, Обнинск, Калужская область, Российская Федерация, 249036
Н.А. Фалалеева
Медицинский радиологический научный центр им. А.Ф. Цыба — филиал ФГБУ «НМИЦ радиологии» Минздрава России, ул. Королева, д. 4, Обнинск, Калужская область, Российская Федерация, 249036
С.В. Шахтарина
Медицинский радиологический научный центр им. А.Ф. Цыба — филиал ФГБУ «НМИЦ радиологии» Минздрава России, ул. Королева, д. 4, Обнинск, Калужская область, Российская Федерация, 249036
#4 2023
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Ключевые слова

лимфома Ходжкина
костный мозг
трепанобиопсия

Как цитировать

Даниленко А.А., Фалалеева Н.А., Шахтарина С.В. История вопроса о роли биопсии костного мозга в системе стадирования классической лимфомы Ходжкина и современный взгляд в эру ПЭТ-КТ (обзор литературы). Клиническая онкогематология. 2024;(4):351–360. doi:10.21320/2500-2139-2023-16-4-351-360.
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Аннотация

Стадирование лимфомы Ходжкина представляет собой основу для выбора оптимальной программы лечения. Неотъемлемой частью стадирования в течение долгого времени оставалась оценка костного мозга. Исследование вовлеченности костного мозга в опухолевый процесс включает в себя применение методов лучевой диагностики и морфологического исследования его образцов, получаемых методом трепанобиопсии. На протяжении пяти десятилетий использования трепанобиопсии отношение онкологов и гематологов к этой инвазивной и болезненной манипуляции остается противоречивым — от полного отрицания до необходимости проведения ее каждому или большинству пациентов. Данный обзор посвящен истории вопроса и целесообразности применения трепанобиопсии у больных классической лимфомой Ходжкина.

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