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[淋巴管造影术在睾丸、膀胱及肾脏肿瘤中的价值]

[The value of lymphography in testicular, bladder and kidney tumors].

作者信息

Buhtz C, Richter A

出版信息

Z Urol Nephrol. 1984 Jun;77(6):321-8.

PMID:6475333
Abstract

On the basis of 143 lymphographical findings of testicular tumours, 95 of vesical tumours and 55 of renal tumours, this method of examination for urological tumours is evaluated. Lymphography has great diagnostic value for testicular tumours. It is very accurate, and the examination is essential for staging, the planning and checking of therapy and for prognosis. If possible it should always be carried out in combination with computerized tomography. With vesical and renal tumours the value of this examination is often limited by the low lymphogenic rate of metastasis, the low accuracy with vesical tumours and often by therapeutic procedures which are independent of lymph node findings. Nevertheless, even with these two types of tumour lymphography is justified by the information it gives on further course, possible inoperability and the help it gives in field delimitation and checking of therapy. Its use in connection with vesical and testicular tumours will depend on the therapeutic preference of the particular clinician.

摘要

基于143例睾丸肿瘤、95例膀胱肿瘤和55例肾肿瘤的淋巴造影检查结果,对这种泌尿外科肿瘤的检查方法进行了评估。淋巴造影对睾丸肿瘤具有很大的诊断价值。它非常准确,对于分期、治疗方案的规划与检查以及预后判断,该项检查必不可少。如有可能,应始终将其与计算机断层扫描结合进行。对于膀胱肿瘤和肾肿瘤,这项检查的价值常常受到转移的淋巴生成率低、膀胱肿瘤准确性低以及常常受到与淋巴结检查结果无关的治疗程序的限制。然而,即使对于这两种类型的肿瘤,淋巴造影因其提供的关于疾病进一步发展、可能无法手术以及在界定治疗范围和检查治疗方面的帮助而具有合理性。其在膀胱肿瘤和睾丸肿瘤方面的应用将取决于特定临床医生的治疗偏好。

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