A new method of radiological visualization of internal iliac lymph nodes in carcinoma of the uterine cervix; lymphatic enhanced CT scan.
10.3348/jkrs.1992.28.1.130
- Author:
Tae Sub CHUNG
;
Jong Tae LEE
;
Hyung Sik YOO
;
Ki Whang KIM
;
Jung Ho SUH
;
Jin Il CHUNG
;
Tchan Kyu PARK
;
Jae Wook KIM
- Publication Type:Original Article
- MeSH:
Cervix Uteri*;
Female;
Humans;
Hysterectomy;
Lymph Nodes*;
Lymphatic System;
Lymphography;
Methods*;
Neoplasm Metastasis;
Prognosis;
Tomography, X-Ray Computed*;
Vagina
- From:Journal of the Korean Radiological Society
1992;28(1):130-134
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Preoperative evaluation of metastasis to internal iliac lymph nodes are very important in the designing of the patient's therapeutic plan and the predicting the prognosis of carcinoma of the uterine cervix. Until now no study has reported on the subject of selective visualization of the internal iliac lymph nodes. Indirect lymphangiography is a simple method for evaluating local lymphatic system. The internal iliac lymph nodes can be visualized by combining indirect lymphangiography of the upper one-third area of the vagina and thin section CT scan. We applied this method to 25 cases of FIGO B and A stage of the carcinoma of the uterine cervix, and correlated our findings with results of radical abdominal hysterectomy, We were able to visualize the internal iliac lymph nodes in 24 cases out of 25, and their size range was 3-15 mm. No nodal metastasis were found in all the patients and these were varified by subsequent pathologic examination from radically dissected lymph nodes.
