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논문 기본 정보

자료유형
학술저널
저자정보
이재문 (가톨릭대학의학보 부속 성모병원 방사선과학교실)
저널정보
대한영상의학회 대한방사선의학회지 대한방사선의학회지 제14권 제1호
발행연도
1978.1
수록면
103 - 110 (8page)

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Lymphography is well established method of demonstrating early lymph-node metastasis from the cervical carcinoma and may lead not only to reconsiderate the staging procedure but also to modify treatment plans. Bipedal lymphography was performed according to the direct method of Kinmonth (1952) in which injection of contrast media is preceded by the intra-lymphatic injection of a vital dye which injection of contrast media is preceded by the intra-lymphatic injection of a vital dye which serves to faciliate visulatization of the lymph vessels during the surgical cutdown procedure required for their direct puncture. The clinical materials consisted of the 24-hour lymphadenograms of 23 patients with carcinoma of the uterine cervix radiographed at the Department of Radiology, St. Mary's Hospital, from June, 1975 to June, 1976 The age ranged from 28 to 63 years. Preoperative lymphography was performed in all patients prior to a radical hysterectomy. The lymphographic diagnosis was ompared to the tissue diagnosis of the lymph-nodes to determine the accuracy of lymphography in detecting the metastasis of carcinoma of the uterine cervix. The accuracy of lymphography in detecting lymphnodal metastasis of carcinoma of uterine cervix was 82.6%. The great majority (93.2%) of lymph-nodes which have metastasis show irregular month-eaten filling defects and the sizes ranged from 0.5cm to 2.0cm with the majority between 0.5-1.5cm. The size of metatatic lymph-nodes tend to increase in proportion to the greatest diameter of marginal filling defect. The size of filling defect in the lymphography did not correlate to clinical staging of cervical carcinoma.

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