Vercamer R, Janssens J, Usewils R, Ide P, Baert A, Lauwerijns J, Bonte J
Department Gynecological Oncology, University Hospital Sint-Rafaël, Leuven, Belgium.
Cancer. 1987 Oct 15;60(8):1745-50. doi: 10.1002/1097-0142(19871015)60:8<1745::aid-cncr2820600812>3.0.co;2-8.
The value of bipedal lymphography and computed tomography (CT) in the presurgical staging of early carcinoma of the uterine cervix was analysed in 62 patients by histologic examination of pelvic lymph nodes and parametrial extension at the time of surgery. Macroscopic invasion of the lymph nodes was detected in 33% of the patients by CT and in 17% by lymphography. Microscopic invasion was suspected in 9% by CT scan and in 38% by lymphography. Physical examination with measurement of the tumor diameter was more predictive for regional extension of the disease as compared to lymphography and CT. CT may detect subclinical parametrial invasion but overestimation of the extent of the disease is common. Bipedal lymphography and CT add only limited information to the routine presurgical staging of cancer of the uterine cervix.
通过对62例患者手术时盆腔淋巴结的组织学检查和子宫旁组织浸润情况，分析了双足淋巴造影和计算机断层扫描（CT）在子宫颈早期癌术前分期中的价值。CT检测到33%的患者有淋巴结肉眼侵犯，淋巴造影检测到17%。CT扫描怀疑9%有显微镜下侵犯，淋巴造影怀疑38%。与淋巴造影和CT相比，测量肿瘤直径的体格检查对疾病区域扩展的预测性更强。CT可能检测到亚临床子宫旁侵犯，但对疾病范围的高估很常见。双足淋巴造影和CT对子宫颈癌常规术前分期仅增加有限的信息。
