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[前列腺癌:X线计算机断层扫描在放疗前评估中的价值。基于古斯塔夫-鲁西研究所回顾的49例病例]

[Cancer of the prostate: value of x-ray computed tomography in the preradiotherapeutic evaluation. Apropos of 49 cases reviewed at the Gustave-Roussy Institute].

作者信息

Masselot J, Ozanne F, Geoffray A, Seton G

出版信息

Bull Cancer. 1985;72(5):452-61.

PMID:4074913
Abstract

Fourty nine patients having a prostatic carcinoma had a CT examination. CT should be used only if bone metastasis lack and if a curative treatment is possible. Study of local extension is misleading and ultrasound, especially transrectal, is a better method to appreciate the volume of the tumor. On the contrary, CT detects quite often nodes metastasis which will modify the treatment. If CT is negative, lymphangiogram must be done because it is a more precise method to evaluate the node structure. Percutaneous node biopsy may confirm node metastasis.

摘要

49例前列腺癌患者接受了CT检查。仅当不存在骨转移且有可能进行根治性治疗时才应使用CT。局部扩展的研究具有误导性,而超声,尤其是经直肠超声,是评估肿瘤体积的更好方法。相反,CT常常能检测到会改变治疗方案的淋巴结转移。如果CT检查结果为阴性,则必须进行淋巴管造影,因为它是评估淋巴结结构更精确的方法。经皮淋巴结活检可证实淋巴结转移。

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