Brehmer B, Lehmann G, Mellin P
Radiologe. 1978 Feb;18(2):76-9.
In 72 patients with malignant testicular tumors lymphograms were reviewed and correlated with the microscopic findings of the resected lymphnodes. In 55 patients (76%) the roentgenographic diagnosis was confirmed by histology. In 6 patients lymphography was false positive as microscopic examination of the resected lymphnodes showed. In 4 patients lymphography was considered negative but metastatic disease proven microscopically from retroperitoneal lymphnodes. Out of 7 patients with questionable positive lymphograms 2 had retroperitoneal metastases confirmed by microscopic examination. The limits, errors and value of lymphography in patients with testicular tumors are discussed.
对72例恶性睾丸肿瘤患者的淋巴造影进行了回顾,并与切除淋巴结的显微镜检查结果进行了对比。55例患者(76%)的X线诊断经组织学证实。6例患者的淋巴造影呈假阳性,因为切除淋巴结的显微镜检查显示如此。4例患者的淋巴造影被认为呈阴性,但经显微镜检查证实腹膜后淋巴结有转移性疾病。在7例淋巴造影结果可疑为阳性的患者中,2例经显微镜检查证实有腹膜后转移。本文讨论了睾丸肿瘤患者淋巴造影的局限性、误差及价值。