[经淋巴结穿刺活检的淋巴造影术。评估膀胱肿瘤淋巴转移的可靠方法]

[Lymphography with lymph node puncture biopsy. A reliable procedure for assessing the lymphatic spread of bladder tumors].

作者信息

Boccon-Gibod L, Blery M, Cochand B, Geraud M

机构信息

Clinique Urologique de l'Hôpital Cochin, Paris.

出版信息

Ann Urol (Paris). 1987;21(4):259-62.

PMID:3674786

Abstract

119 patients with bladder tumors of category Ta, Tis, T4, considered for radical treatment because of local conditions were studied by pedal lymphography (LAG) and percutaneous fine needle aspiration biopsy (FNA). 41% had a positive LAG. Adequate material was obtained for FNA in 94% of the patients. Of 70 patients with normal LAG none had a positive FNA; only 36% of those with a positive LAG had a positive FN. The high rate of positive LAG with negative FNA is attributed to inflammatory changes due to previous transurethral resection. Radical lymphadenectomy (LND) was done in 64 patients of whom 54 had a negative FNA. In this group, 8 (17%) had a positive LND. There was no mortality and morbidity was mild. LAG with FNA has a role in the pre-operative staging of bladder carcinoma.

摘要

对119例因局部情况考虑进行根治性治疗的Ta、Tis、T4期膀胱肿瘤患者进行了足背淋巴造影（LAG）和经皮细针穿刺活检（FNA）研究。41%的患者LAG呈阳性。94%的患者获得了足够用于FNA的材料。70例LAG正常的患者中，FNA均为阴性；LAG阳性的患者中只有36%的FNA为阳性。LAG阳性而FNA阴性的高发生率归因于既往经尿道切除术引起的炎症改变。64例患者进行了根治性淋巴结清扫术（LND），其中54例FNA为阴性。在这组患者中，8例（17%）LND呈阳性。无死亡病例，并发症轻微。LAG联合FNA在膀胱癌术前分期中具有一定作用。