Walsh J W, Amendola M A, Konerding K F, Tisnado J, Hazra T A
Radiology. 1980 Oct;137(1 Pt 1):157-66. doi: 10.1148/radiology.137.1.7422839.
Computed tomography (CT) detected enlarged pelvic nodes in 32 of 127 patients (25%) with carcinoma of the cervix, bladder, or prostate. Pelvic or inguinal lymph nodes were confirmed pathologically in 35 patients. CT was true-positive in 17 of 20 patients with lymph-node metastases (sensitivity, 85%), false-negative in 3 or 20 patients (15%) with metastases, true-negative in 10 or 15 patients without metastases (specificity, 67%), and false-positive for lymph-node metastases in 5 of 15 patients (33%). CT was correct in 27 of 35 patients (77%). Detection of external iliac-, obturator-, and inguinal-node metastases by CT is discussed.
计算机断层扫描(CT)在127例宫颈癌、膀胱癌或前列腺癌患者中的32例(25%)检测到盆腔淋巴结肿大。35例患者的盆腔或腹股沟淋巴结经病理证实。CT对20例有淋巴结转移的患者中的17例检测为真阳性(敏感性85%),对20例有转移的患者中的3例检测为假阴性(15%),对15例无转移的患者中的10例检测为真阴性(特异性67%),对15例患者中的5例检测为淋巴结转移假阳性(33%)。CT在35例患者中的27例诊断正确(77%)。本文讨论了CT对外髂、闭孔和腹股沟淋巴结转移的检测。