Bode A
Rofo. 1975 Aug;123(2):168-74. doi: 10.1055/s-0029-1230173.
Fifty-one lymphograms were performed in children; the indications, technique and results are discussed. Indications are the search for retroperitoneal involvement in lymphogranulomatosis, lympho-sarcoma and reticulum cell sarcoma; in the search for metastases from malignant tumours, particularly abdominal neuroblastoma, soft tissue sarcomas of the abdomen and lower extremities, testicular tumours and malignant melanomas and finally, for primary lymph-oedema and lymphangiomas. Technique is the same as for adults, but requires particular manual dexterity. Children under six years require general anaesthesia. Amongst 28 children with malignant lymphomas, pathological changes in the retroperitoneal lymph nodes were found in seven. In six, this resulted in a change of the staging. Five out of 16 lymphograms in children with malignant tumours showed evidence of lymph node metastases. All six lymphangiograms in children with lymphoedema and lymphangiomas were abnormal.
对儿童进行了51次淋巴管造影;讨论了其适应症、技术和结果。适应症包括寻找淋巴肉芽肿病、淋巴肉瘤和网状细胞肉瘤的腹膜后受累情况;寻找恶性肿瘤的转移灶,特别是腹部神经母细胞瘤、腹部和下肢的软组织肉瘤、睾丸肿瘤和恶性黑色素瘤,最后是原发性淋巴水肿和淋巴管瘤。技术与成人相同,但需要特别的手部灵活性。6岁以下儿童需要全身麻醉。在28例恶性淋巴瘤患儿中,7例发现腹膜后淋巴结有病理改变。其中6例导致分期改变。16例恶性肿瘤患儿的淋巴管造影中有5例显示有淋巴结转移迹象。所有6例患有淋巴水肿和淋巴管瘤患儿的淋巴管造影均异常。