Ettorre G C, Garribba A P, Francioso G, Mossa A, Torsello M, Macarini L, Giordano G, Lospalluti M
Istituto di Radiologia, Università, Bari.
Radiol Med. 1989 May;77(5):512-6.
The authors report the results of the lymphographic examinations performed on 123 patients affected with melanoma of the limbs. The patients were divided into 2 groups according to the different clinical stages; they all had pathologic confirmation. The following lymphographic parameters were considered: sensitivity, specificity, efficacy and positive/negative predictive value. The results obtained in the first group of patients (clinical stage: I) demonstrated lymphography to have low sensitivity, specificity and efficacy in the staging of melanomas (37%, 50% and 45%, respectively). On the contrary, lymphography could be trusted in the study of stage II melanomas thanks to its high sensitivity. As for stage III, the methodology had a clinical indication only in the follow-up of melanomas treated with radiochemotherapy.
作者报告了对123例肢体黑色素瘤患者进行淋巴造影检查的结果。根据不同临床分期将患者分为2组；所有患者均有病理确诊。考虑了以下淋巴造影参数：敏感性、特异性、有效性以及阳性/阴性预测值。在第一组患者（临床分期：I期）中获得的结果表明，淋巴造影在黑色素瘤分期方面敏感性、特异性和有效性较低（分别为37%、50%和45%）。相反，由于其高敏感性，淋巴造影在II期黑色素瘤的研究中是可靠的。至于III期，该方法仅在接受放化疗的黑色素瘤随访中有临床应用指征。
