Semchenko E A, Kitaev V V, Ternovoĭ S K
Med Radiol (Mosk). 1984 May;29(5):54-8.
The authors consider the potentialities of computerized tomography (CT) in the diagnosis of lesions of the retroperitoneal lymph nodes in their metastatic involvement and hemoblastoses. CT data on 142 patients with hemoblastoses and tumors of different sites are discussed. This type of examination made it possible to reveal the involvement of the retroperitoneal lymph nodes in 59 patients resulting in the diagnosis of the generalization of the underlying disease in 41.5% of the cases. CT makes it possible to correctly interpret the state of practically all groups of the retroperitoneal lymph nodes. Besides, CT gives an opportunity to detect lymph node enlargement in the negative results of lymphography or to reveal lesions of some groups of the lymph nodes which are inaccessible to contrast examination, all of these being of great importance for the planning of radiation or surgical treatment. CT provides an opportunity for a dynamic control over therapeutic results both in hospitals and in polyclinics. The results of the examination were of importance in each case for the choice of the tactics and method of specific therapy as well as for prognosis of a subsequent source of the underlying disease.
作者探讨了计算机断层扫描（CT）在诊断腹膜后淋巴结转移瘤和血液病中的潜在应用价值。文中讨论了142例患有血液病和不同部位肿瘤患者的CT检查数据。通过这种检查方式，在59例患者中发现了腹膜后淋巴结受累情况，从而在41.5%的病例中诊断出基础疾病已发生转移。CT能够准确解读腹膜后几乎所有组群淋巴结的状态。此外，CT还能在淋巴管造影结果为阴性时检测到淋巴结肿大，或发现造影检查难以触及的某些淋巴结组群的病变，所有这些对于放疗或手术治疗方案的制定都具有重要意义。CT为医院和门诊对治疗效果进行动态监测提供了可能。每次检查结果对于选择具体治疗策略和方法以及基础疾病后续来源的预后判断都具有重要意义。
