Edeiken-Monroe B S, Zornoza J
AJR Am J Roentgenol. 1982 Apr;138(4):655-7. doi: 10.2214/ajr.138.4.655.
Percutaneous retroperitoneal lymph node biopsy was performed on 129 patients with carcinoma of the cervix, in whom a lymphangiographic study was reported as suspicious or positive for metastatic nodal disease. Of 159 total biopsies, 114 were performed on external iliac nodes and 45 on paraaortic nodes. An overall accuracy of 68% was obtained without significant complication. The sensitivity of the test was 58% and the specificity 100%. In patients with suspicious lymphangiograms for metastatic disease, percutaneous biopsy identified metastases in 32% of the cases. The predictive value of a negative test was only 42%, but the predictive value of a positive test 100%.
对129例宫颈癌患者进行了经皮腹膜后淋巴结活检，这些患者的淋巴管造影研究报告显示转移性淋巴结疾病可疑或呈阳性。在总共159次活检中，114次针对髂外淋巴结进行，45次针对腹主动脉旁淋巴结进行。总体准确率为68%，且无明显并发症。该检查的敏感性为58%，特异性为100%。在淋巴管造影怀疑有转移性疾病的患者中，经皮活检在32%的病例中发现了转移灶。阴性检查的预测价值仅为42%，但阳性检查的预测价值为100%。
