Summary
To assess the accuracy of lymphography, 90 lymphograms were compared with surgical and histological findings. Histological correlation with the initial report was found in 65 of 90 cases (72%). Comparison of the original radiologist's report with a recent re-examination showed agreement between the two radiological evaluations in only 74%. Although improvement in diagnostic accuracy can perhaps be obtained, we cannot yet recommend lymphography as an aid in the planning of treatment for bladder carcinoma.
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References
Camey, M., le Duc, A., Khoury, S.: Intérêt de la lymphographie dans l'exploration du cancer de la vessie. Journal d'Urologie et de Nephrologie 79, 370 (1973)
Dretler, S. P., Ragsdale, B. D., Leadbetter, W. F.: The value of pelvic lymphadenectomy in the surgical treatment of bladder cancer. Journal of Urology 109, 414 (1973)
Farah, R. N., Cerny, J. C.: Lymphangiography in staging patients with carcinoma of the bladder. Journal of Urology 119, 40 (1978)
Grasset, D., Navratil, H.: Limites de la lymphographie dans le diagnostic de l'extension ganglionnaire des cancers vésicaux. Journal d'Urologie et de Nephrologie 79, 369 (1973)
Johnson, D. E., Kaesler, K. E., Kaminsky, S., Jing, B. S., Wallace, S.: Lymphangiography as an aid in staging bladder carcinoma. Southern Medical Journal 69, 28 (1976)
Laplante, M., Brice, M.: The upper limits of hopeful application of radical cystectomy for vesical carcinoma: Does nodal metastases always indicate incurability? Journal of Urology 109, 261 (1973)
Merrin, C., Wajsman, Z., Baumgartner, G., Jennings, E.: Clinical value of lymphangiography: are nodes surrounding obturator nerve visualised? Journal of Urology 117, 762 (1977)
Prout, G. R.: The surgical management of bladder carcinoma. Urologic Clinics of North America 3, 149 (1976)
Reid, E. C., Oliver, J. A., Fishman, I. J.: Preoperative irradiation and cystectomy in 135 cases of bladder cancer. Urology 8, 247 (1976)
Turner, A. G., Hendry, W. F., MacDonald, J. S., Wallace, D. M.: The value of lymphography in the management of bladder cancer. British Journal of Urology 48, 579 (1976)
Union Internationale contre le Cancer. TNM, Classification of malignant tumours. 2e ed. Geneva, UICC 1974
Wajsman, Z., Baumgartner, G., Murphy, G. P., Merrin, C.: Evaluation of lymphangiography for clinical staging of bladder tumors. Journal of Urology 114, 712 (1975)
Wallace, D. M., Bloom, H. J. G.: The management of deeply infiltrating (T3) bladder carcinoma: controlled trial of radical radiotherapy versus pre-operative radiotherapy and radical cystectomy. (First report). British Journal of Urology 48, 587 (1976)
Whitmore, W. F.: Total cystectomy. In: The biology and clinical management of bladder cancer. Cooper, E. H., Williams, R. E. (eds.). Oxford: Blackwell Scientific Publications 1975
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Essed, E., Mulder, J.D. Reliability of lymphography as a diagnostic aid in the planning of treatment for bladder carcinoma. Urol. Res. 7, 93–96 (1979). https://doi.org/10.1007/BF00254687
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DOI: https://doi.org/10.1007/BF00254687