Zaunbauer W, Kunz R, Leuppi R
Rofo. 1977 Apr;126(4):335-8. doi: 10.1055/s-0029-1230590.
In 33 patients with malignant teratoid testicular tumours, the retro-peritoneal lymph nodes were surgically removed after lymphograms had been carried out. Histological examination of the lymph nodes showed retroperitoneal metastases in 42% (14 out of 33). In 25 of the 33 patients, there was agreement between lymphography and histology; diagnostic accuracy of lymphography was about 76%. In the presence of positive findings, accuracy was 87%.5%, for negative findings it was 72%. The more frequent false negative findings are due to anatomically determined failure of contrast filling of aortic lymph nodes; the less common false positive findings are produced by involution of lymph nodes.
在33例恶性畸胎瘤样睾丸肿瘤患者中,在进行淋巴造影后手术切除腹膜后淋巴结。淋巴结的组织学检查显示42%(33例中的14例)有腹膜后转移。33例患者中有25例淋巴造影与组织学结果一致;淋巴造影的诊断准确率约为76%。出现阳性结果时,准确率为87.5%,出现阴性结果时,准确率为72%。假阴性结果更常见是由于主动脉旁淋巴结造影剂充盈在解剖学上无法显示;假阳性结果较少见是由淋巴结退化所致。