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Abstract
Findings from histologic analysis, lymphangiography, ultrasonography, and computed
tomography were reviewed for 54 cases of Hodgkin's disease and 18 cases of non-Hodgkin's
lymphoma. All patients were classified as clinical stage 1 or 2 disease at the time
of the imaging studies. The ultrasound and computed tomography studies identified
only 30 to 40% of the truly positive patients. This low sensitivity contrasts with
lymphangiography, which identified 95% of the truly positive Hodgkin's disease patients
and 70% of the patients with abdominal spread of non-Hodgkin's lymphoma. Many errors
in interpretation were attributable to location and distribution of disease in these
patients and the differing patterns of spread in Hodgkin's disease and non-Hodgkin's
lymphoma. The evidence indicates that when findings are positive on computed tomography
or ultrasound, no other study is necessary. In stage 1 or 2 lymphoma, non-Hodgkin's
patients with negative noninvasive findings and all Hodgkin's patients, regardless
of their noninvasive findings, should undergo lymphangiography.
Keywords
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References
- Lymphangiography in man. A method outlining lymphatic trunks at operation.Clin Sci. 1952; 11: 13-20
- Lymphographic accuracy in Hodgkin's disease and malignant lymphoma with a note on the “reactive” lymph node as a cause of most false-positive lymphograms.Invest Radiol. 1974; 9: 155-165
- The role of radiology in staging of non-Hodgkin's lymphoma with laparotomy correlation.Radiology. 1974; 110: 329-338
- The accuracy of lymphography in Hodgkin's disease.Clin Radiol. 1974; 25: 5-11
- Lymphography in lymphoma.in: Clouse M.E. Clinical lymphography. Williams & Wilkins, Baltimore1977: 160-184
- Lymphographic accuracy in 632 consecutive, previously untreated cases of Hodgkin's disease and non-Hodgkin's lymphoma.Radiology. 1981; 140: 351-353
- Lymphography cavography and urography in evaluation of malignant lymphomas. A study of 100 consecutive lymphoma cases.Acta Radiol [Diagn](Stockh). 1965; 3: 138-144
- Contributions of computed tomography in the staging and management of malignant lymphoma.Radiology. 1977; 125: 717-723
- Computed tomography of abdomen in staging and clinical management of lymphoma.Br Med J. 1978; 2: 1675-1677
- Computed tomography (CT) in the staging of patients with Hodgkin's disease: A report on 136 patients.Clin Radiol. 1980; 31: 143-147
- The accuracy of retroperitoneal ultrasonography in Hodgkin's disease and non-Hodgkin's lymphoma.Radiology. 1977; 125: 485-487
- The EMI whole body scanner in the demonstration of lymph node enlargement.Clin Radiol. 1976; 27: 421-429
- Computed tomography of abdominal para-aortic lymph node disease: Preliminary observations with a 6-second scanner.AJR. 1977; 128: 759-764
- Computed tomography as an adjunct in the staging of Hodgkin's disease and non-Hodgkin's lymphomas.Radiology. 1977; 124: 381-385
- Ultrasound in the staging of lymphoma.Radiology. 1977; 124: 483-487
- Clinical comparison of computed tomography and lymphangiography for detection of retroperitoneal lymphadenopathy.Radiol Clin North Am. 1979; 17: 157-168
- Retroperitoneum.in: Felson B. Roentgenology of the lymphomas and leukemias. Grune & Stratton, New York1980: 80-93
- Surgical experience with staging laparotomy in 125 patients with lymphoma.Arch Intern Med. 1973; 131: 356-361
- Clinical and surgical (laparotomy) evaluation of patients with non-Hodgkin's lymphomas.Cancer Treat Rep. 1977; 61: 981-992
- Laparotomy for Hodgkin's disease: Some surgical observations.Surgery. 1972; 71: 694-703
- Diagnosis and evaluation of retroperitoneal tumors by computed tomography.AJR. 1977; 129: 395-402
- Accuracy of computed tomography in detecting intraabdominal and pelvic adenopathy in lymphoma.AJR. 1978; 131: 311-315
- Computed tomography, ultrasound and lymphography in the diagnosis of malignant lymphoma.Acta Radiol [Diagn] (Stockh). 1982; 23: 29-35
- Computed tomography evaluation of lymphoma patients.CRC Crit Rev Diagn Imaging. 1982; 18: 1-28
- Computed tomographic evaluation of the retrocrural prevertebral space.AJR. 1977; 129: 907-910
- Normal anatomy and limitations in CT interpretation of lymph node disease.J Comput Tomogr. 1979; 3: 190-196
- Sequential nonsurgical and surgical staging of non-Hodgkin's lymphoma.Ann Intern Med. 1976; 85: 149-154
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© 1985 Published by Elsevier Inc.