Weisenburger T H, Juillard G J
Radiology. 1977 Jan;122(1):227-30. doi: 10.1148/122.1.227.
Seventeen bilateral upper extremity lymphangiograms were obtained in patients with lymphoma referred for radiation therapy. The projection of the opacified axillary nodes is analyzed when using the mantle technique in various positions. The position of the lymph nodes varies considerably in the supine and prone positions. Placing pads underneath the shoulders in the prone position allows for better protection of the pulmonary parenchyma while still including the opacified lymph nodes. Because these nodes vary in position, it is recommended that if the axillary nodes are clinically involved or if hilar adenopathy is present, upper extremity lymphangiograms should be obtained to ensure inclusion of all the axillary lymph nodes. In treating carcinoma of the intact breast, care should be taken to include the lower axillary nodes in the tangenital breast field and to include 2 cm of lung in the posterior axillary boost.
对17例因淋巴瘤接受放射治疗的患者进行了双侧上肢淋巴管造影。在不同体位使用斗篷技术时，分析了显影的腋窝淋巴结的投影。仰卧位和俯卧位时淋巴结的位置差异很大。俯卧位时在肩部下方放置垫子可在仍包括显影淋巴结的同时更好地保护肺实质。由于这些淋巴结位置各异，建议如果腋窝淋巴结有临床受累或存在肺门淋巴结病，应进行上肢淋巴管造影以确保包括所有腋窝淋巴结。在治疗完整乳房的癌时，应注意在切线野乳房区包括腋窝下淋巴结，并在腋窝后野加量时包括2厘米的肺组织。
