Musumeci R, Bombarda A, Cataldo I, Fontana F, Petrillo R, Zanini M
Tumori. 1977 May-Jun;63(3):283-8. doi: 10.1177/030089167706300306.
A group of 79 patients with soft tissue sarcomas and 46 with primary malignant bone tumors underwent lymphangiography as part of the initial diagnostic workup. In the group of soft tissue sarcomas, the overall incidence of metastases was 22 of 79 (28%). According to the site of origin, the highest incidence was found in tumors originating from the buttocks (57%), followed by those from the inferior limbs (31%). Considering the histology, the incidence ranges from 50% in anaplastic sarcoma, to 43% in rhabdomyosarcoma, to 23% for liposarcoma and fibrosarcoma. The incidence of lymphographically proven metastases in bone tumors was 8 to 46 (17%), with 1 out of 4 in reticulum cell sarcoma, 1/1 in chordoma, and 22% in Ewing's sarcoma. A radiographic/histologic correlation on the lymph nodes was obtained in 19/79 (24%) soft tissue sarcomas and in 4/46 (9%) bone tumors. In the 12 radiographically negative and 11 radiographically positive cases, this correlation was always correct. The results of this study suggest a larger use of lymphography in these tumors.
一组79例软组织肉瘤患者和46例原发性恶性骨肿瘤患者接受了淋巴管造影，作为初始诊断检查的一部分。在软组织肉瘤组中，转移的总体发生率为79例中的22例（28%）。根据肿瘤起源部位，发生率最高的是起源于臀部的肿瘤（57%），其次是下肢的肿瘤（31%）。从组织学来看，间变性肉瘤的转移发生率为50%，横纹肌肉瘤为43%，脂肪肉瘤和纤维肉瘤为23%。骨肿瘤经淋巴管造影证实有转移的发生率为46例中的8例（17%），其中网状细胞肉瘤为4例中的1例，脊索瘤为1/1，尤因肉瘤为22%。在79例软组织肉瘤中的19例（24%）和46例骨肿瘤中的4例（9%）获得了淋巴结的影像学/组织学相关性。在12例影像学阴性和11例影像学阳性的病例中，这种相关性总是正确的。本研究结果提示在这些肿瘤中应更多地使用淋巴管造影。
