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经阴茎背深静脉注射造影剂行盆腔静脉造影以评估膀胱癌和前列腺癌的肿瘤扩散情况(作者译)

[Pelvic phlebography by injection of contrast medium into the profundal dorsal penis vein for evaluation of tumor spread in cancer of the urinary bladder and prostate (author's transl)].

作者信息

Drosdovskij B J, Zyb A F, Duntschik W N

出版信息

Radiologe. 1977 Mar;17(3):124-9.

PMID:850741
Abstract
  1. Tumors with infiltration of the mucosa and submucosa (T1) as muscularis (T2) do not cause anatomical alterations of visceral and parietal pelvic veins, as numerous phlebographies have confirmed. Internal pudendal veins and vessels of the bladder and prostate are involved in all patients with infiltration of bladder tumors into the paravesical tissue or prostate. -- 2. Phlebographic signs for metastatic lymph node involvement in carcinoma of the urinary bladder were observed in 24.5% (T2 in 11.7%, T3 in 33.8%, T4 in 25% of cases). These lesions were absent in tumors which involved the mucosal and submucosal layers (T1) only. -- 3. Alterations of the venous plexus depend on the extent of malignant infiltration in carcinoma of the urinary bladder. These can be recognized in stage II. -- 4. Pelvic phlebography may be helpful in differentiation of carcinomas and adenomas of the prostate.
摘要
  1. 正如大量静脉造影所证实的,侵犯黏膜和黏膜下层(T1)及肌层(T2)的肿瘤不会引起盆腔内脏和壁层静脉的解剖学改变。所有膀胱肿瘤侵犯膀胱旁组织或前列腺的患者,其阴部内静脉以及膀胱和前列腺的血管都会受累。——2. 在24.5%的膀胱癌患者中观察到转移性淋巴结受累的静脉造影征象(T2期患者中为11.7%,T3期为33.8%,T4期为25%)。仅累及黏膜和黏膜下层(T1)的肿瘤未出现这些病变。——3. 静脉丛的改变取决于膀胱癌的恶性浸润程度。在II期即可识别这些改变。——4. 盆腔静脉造影可能有助于鉴别前列腺癌和腺瘤。

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