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计算机断层扫描显示的腹膜后淋巴结形态与早期非精原细胞瘤性睾丸肿瘤的转移性疾病无关。

Shape of retroperitoneal lymph nodes at computed tomography does not correlate to metastatic disease in early stage non-seminomatous testicular tumors.

作者信息

Lien H H, Lindsköld L, Stenwig A E, Ous S, Fosså S D

机构信息

Department of Diagnostic Radiology, Norwegian Radium Hospital, Oslo.

出版信息

Acta Radiol. 1987 May-Jun;28(3):271-3.

PMID:2820452
Abstract

Variety Range (difference between the maximum and minimum transverse diameters in percentage of the minimum diameter) was calculated for 86 lumbar lymph nodes with maximum diameter ranging between 5 mm and 19 mm at CT. The nodes were located within a group (pre- and paracaval, interaortico-caval, pre- and paraaortic) which was removed during primary lymphadenectomy for non-seminomatous testicular tumor. Most nodes were fairly rounded with a Variety Range less than 20%. There was no difference between the largest node in a metastasis group (Variety Range less than 20% in 29 out of 36) and tumor free nodes (Variety Range less than 20% in 39 out of 50). A rounded shape of lymph nodes measuring less than 20 mm on transverse CT sections was not a reliable sign of metastasis in patients with non-seminomatous testicular tumor.

摘要

对86个腰椎淋巴结计算其形态变化范围(最大横径与最小横径之差占最小直径的百分比),这些淋巴结在CT上的最大直径在5毫米至19毫米之间。这些淋巴结位于一组(腔静脉前和腔静脉旁、主动脉-腔静脉间、主动脉前和主动脉旁),在非精原细胞瘤性睾丸肿瘤的初次淋巴结清扫术中被切除。大多数淋巴结相当圆润,形态变化范围小于20%。转移组中最大的淋巴结(36个中有29个形态变化范围小于20%)与无肿瘤淋巴结(50个中有39个形态变化范围小于20%)之间没有差异。对于非精原细胞瘤性睾丸肿瘤患者,横断CT切片上直径小于20毫米的淋巴结呈圆形并非转移的可靠征象。

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