Utility of lymphangiography in the prediction of lymph node metastases in patients with cervical cancer.

摘要: Our objective was to assess the value of lymphangiography in selecting patients for surgical staging locally advanced cervical cancer. We reviewed our computerized database identify with cancer who had abnormal findings on and underwent retroperitoneal lymph node dissection between September 1991 January 1996. The records these were retrospectively reviewed, following data retrieved: clinical tumor stage at surgery, pathologic examination resected nodes. lymphangiograms reinterpreted blinded fashion by two authors. positive negative predictive values presence metastases calculated, nodes used as gold standard. surgeons9 assessments surgery also calculated. Fifty met selection criteria constituted study population. Fourteen (28%) histologically nodes, 36 (72%) metastases. Thirty-three pelvic 1515 common iliac 1616 para-aortic 74% 73% 88% metastasis 76% 77% Overall, 46% selected exploration histologic either or metastases; led clinicians extend radiation fields cover Lymphangiography is helpful have a high risk metastasis. However, more accurate readily available noninvasive methods evaluating regional disease continue be needed.