Nagano T, Nakai Y, Taniguchi F, Suzuki N, Wakutani K, Ohnishi T, Nakayama T, Shibamoto T, Umaoka Y, Ohara A
Department of Obstetrics and Gynecology, Osaka National Hospital, Japan.
Cancer. 1991 Dec 15;68(12):2571-4. doi: 10.1002/1097-0142(19911215)68:12<2571::aid-cncr2820681207>3.0.co;2-9.
Transabdominal ultrasonography was done in patients with gynecologic malignancies to detect paraaortic and pelvic lymphadenopathy. Of the 78 patients who underwent ultrasonic examination of pelvic lymph nodes, pelvic lymphadenopathy was detected in 24, of whom ultrasound-guided percutaneous fine-needle aspiration biopsies (FNAB) were done in 16. Of these 16 patients, the results of 13 biopsies were positive. Of the 41 patients who underwent ultrasonographic examination of the paraaortic lymph nodes, 27 had paraaortic lymphadenopathy. Ultrasound-guided percutaneous FNAB were done in 26 of these 27 patients, with positive findings in 21 of the 26. It was concluded that ultrasound-guided percutaneous FNAB is useful in detecting metastatic lymph nodes in gynecologic malignancies.
对妇科恶性肿瘤患者进行经腹超声检查，以检测腹主动脉旁和盆腔淋巴结病变。在78例行盆腔淋巴结超声检查的患者中，检测到盆腔淋巴结病变24例，其中16例进行了超声引导下经皮细针穿刺活检（FNAB）。这16例患者中，13例活检结果为阳性。在41例行腹主动脉旁淋巴结超声检查的患者中，27例有腹主动脉旁淋巴结病变。这27例患者中的26例进行了超声引导下经皮FNAB，26例中有21例检查结果为阳性。结论是超声引导下经皮FNAB有助于检测妇科恶性肿瘤的转移性淋巴结。
