Delorme S, van Kaick G
Deutsches Krebsforschungszentrum, Forschungsschwerpunkt Radiologische Diagnostik und Therapie, Heidelberg, Germany.
Eur Radiol. 1996;6(3):262-74. doi: 10.1007/BF00180591.
This is a review of the role of imaging procedures for the assessment of abdominal and pelvic lymph nodes. The diagnosis of malignant lymphatic spread is rarely the sole purpose of imaging, because it is usually part of a general abdominal examination, most frequently with CT or US, or increasingly with MRI. These studies are often requested in order to obtain information about the situation to be encountered during surgery, or to alert the surgeon to irresectability or to unexpected metastases outside the initially planned area of exploration. In most surgically treated tumours the role of imaging for preoperative staging is limited, due either to its insufficient sensitivity or because the initial treatment is independent of the lymph node stage. Imaging is commonly used to verify treatment response to chemo or radiotherapy and for follow-up.
本文综述了成像检查在评估腹部和盆腔淋巴结方面的作用。恶性淋巴转移的诊断很少是成像检查的唯一目的，因为它通常是腹部综合检查的一部分，最常用的是CT或超声，越来越多的是MRI。进行这些检查通常是为了获取有关手术中情况的信息，或者提醒外科医生注意肿瘤无法切除或在最初计划的探查区域外出现意外转移。在大多数接受手术治疗的肿瘤中，成像检查在术前分期中的作用有限，这要么是因为其敏感性不足，要么是因为初始治疗与淋巴结分期无关。成像检查通常用于验证化疗或放疗的治疗反应以及进行随访。
