Bandy L C, Clarke-Pearson D L, Silverman P M, Creasman W T
Obstet Gynecol. 1985 Jan;65(1):73-6.
The diagnostic value of computed tomography for detecting metastatic tumor in common iliac and/or paraaortic lymph nodes among 44 patients with cervical carcinoma was analyzed. Pathologic confirmation of nodal status was obtained in 33 patients with primary disease and 11 patients with recurrent disease, either by staging laparotomy (82%) or fine needle aspiration (18%). Nodal metastases were detected in 12 patients. Fine needle aspiration of nodes 1.5 cm or greater in size detected 67% of metastatic nodes. The sensitivity of computed tomography for detection of metastatic nodes was 75%, specificity 91%, negative predictive value 91%, and positive predictive value 75%. There appears to be a role for computed tomography and fine needle aspiration of enlarged nodes in patients with advanced or recurrent cervical carcinoma.
分析了计算机断层扫描对44例宫颈癌患者髂总淋巴结和/或腹主动脉旁淋巴结转移瘤的诊断价值。33例原发性疾病患者和11例复发性疾病患者通过分期剖腹手术（82%）或细针穿刺（18%）获得了淋巴结状态的病理证实。12例患者检测到淋巴结转移。对直径1.5 cm或更大的淋巴结进行细针穿刺，检测到67%的转移淋巴结。计算机断层扫描检测转移淋巴结的敏感性为75%，特异性为91%，阴性预测值为91%，阳性预测值为75%。对于晚期或复发性宫颈癌患者，计算机断层扫描和对肿大淋巴结进行细针穿刺似乎有一定作用。
