Page J E, Constant O, Parsons C
Department of Radiology, Royal Marsden Hospital, London.
Clin Radiol. 1988 May;39(3):273-7. doi: 10.1016/s0009-9260(88)80529-4.
The value of abdominal computed tomography (CT) in patients with malignant tumours of the body of the uterus and of the cervix is discussed and its efficacy compared with lymphography combined with intravenous urography. There was good correlation between CT and lymphography in the diagnosis of the para-aortic lymphadenopathy and hydronephrosis. Hydronephrosis was the commonest abnormality and tended to be over-diagnosed on CT. Computed tomography conferred no advantage over lymphography in the diagnosis of paraaortic lymphadenopathy or hydronephrosis. Since there were more positive findings in patients undergoing CT at the time of relapse than at the time of initial diagnosis, if indicated at all, abdominal CT should be restricted to patients who have relapsed.
讨论了腹部计算机断层扫描（CT）在子宫体和宫颈癌患者中的价值，并将其与淋巴造影联合静脉肾盂造影的疗效进行了比较。CT与淋巴造影在腹主动脉旁淋巴结肿大和肾积水的诊断方面具有良好的相关性。肾积水是最常见的异常情况，在CT上往往会被过度诊断。在腹主动脉旁淋巴结肿大或肾积水的诊断中，计算机断层扫描相比淋巴造影没有优势。由于在复发时接受CT检查的患者比初次诊断时发现更多阳性结果，所以如果确实需要进行检查，腹部CT应仅限于复发患者。
