Schöndorf N, Amengual M, Dietz R
Rofo. 1978 Dec;129(6):778-81. doi: 10.1055/s-0029-1231204.
Ninety-two patients with carcinoma of the cervix, who had lymphograms before treatment, were observed for a period of three to five years. In patients with lymph node metastases 57.1% were found to have recurrences or metastases, or died during that period. Amongst patients with normal lymphograms the corresponding figure was 11.3%. These findings were true for each stage of the disease. Follow-up studies with histological examination of the lymph nodes have shown that the prognosis of carcinoma of the cervix is totally different if lymph node metastases are present. Separation into cases with good and bad prognosis can be achieved by pre-treatment lymphography. The radiological findings concerning lymph nodes should therefore be included in the classification of carcinoma of the cervix; the T.N.M. calssification of U.I.C.C. makes this possible.
92例宫颈癌患者在治疗前接受了淋巴管造影,并进行了3至5年的观察。在有淋巴结转移的患者中,57.1%在该期间出现复发、转移或死亡。在淋巴管造影正常的患者中,相应比例为11.3%。这些发现适用于疾病的各个阶段。对淋巴结进行组织学检查的随访研究表明,如果存在淋巴结转移,宫颈癌的预后完全不同。通过治疗前淋巴管造影可以将预后良好和不良的病例区分开来。因此,关于淋巴结的放射学检查结果应纳入宫颈癌的分类;国际抗癌联盟(UICC)的TNM分类使这成为可能。