Hiraki Y, Aono K, Kohno Y, Orita K
Department of Radiology, Okayama University, Medical School, Japan.
Radiat Med. 1987 Jul-Aug;5(4):107-11.
Endoscopic RI-lymphography was performed in 29 patients, with single photon emission computed tomography (SPECT) also performed in 19 of them. The lymph flow from the cardia was directly evaluated in lymphograms and compared with the RI uptake of each lymph node and the incidence of lymph node metastasis of previously resected carcinoma of the cardia in patients according to the location of the lymph node. Endoscopic RI-lymphography performed in combination with SPECT was considered to be highly useful for imaging lymph flow of the cardiac region. SPECT and RI-lymphography indicated rich lymph flow from the cardia to the periaortic region, and this finding was consistent with the incidence of lymph node metastasis according to the location of the lymph node in patients who had previously undergone resection of cancer of the cardia. Careful examination for metastasis to lymph nodes around the abdominal aorta was considered to be necessary, especially in patients with carcinoma of the cardia.
对29例患者进行了内镜下放射性核素淋巴造影，其中19例还进行了单光子发射计算机断层扫描（SPECT）。在淋巴造影片中直接评估贲门的淋巴引流，并根据淋巴结的位置，将其与各淋巴结的放射性核素摄取以及先前切除的贲门癌患者的淋巴结转移发生率进行比较。内镜下放射性核素淋巴造影联合SPECT被认为对心脏区域的淋巴引流成像非常有用。SPECT和放射性核素淋巴造影显示从贲门到主动脉周围区域有丰富的淋巴引流，这一发现与先前接受贲门癌切除术的患者根据淋巴结位置的淋巴结转移发生率一致。认为对腹主动脉周围淋巴结转移进行仔细检查是必要的，尤其是对于贲门癌患者。
