J Korean Radiol Soc.
1978 Dec;14(2):361-368. 10.3348/jkrs.1978.14.2.361.
Lymphography as a diagnostic method in malignant lymphoma
- KMID: 2349442
- DOI: http://doi.org/10.3348/jkrs.1978.14.2.361
Abstract
- As the lymphography is considered to be a valuable method for direct roentgenographic visualization of retroperitoneal lymphatics and lymph node, this procedure has been used to demonstrate clinically unsuspected involvement of retroperitoneal lymph nodes in malignant lymphoma. To 28 patients who was proved malignant lymphoma histologically by biopsy of peripheral lymphnode from May, 1977 to June, 1978 bipedal lymphography by minor modification of Kinmouth's(1952) intralymphatic technique was performed for detecting lymphomatous involvement of retroperitoneal lymphnode at department of radiology, Presbyterian Medical Center in Jeonju. The results are asfollows; 1. Of 23 lymphography in malignant lymphoma, 15 were abnormal and 8 normal. 2. The over all advancement in clinica 1 stage I and II combined, due to abnormal lymphography, is 53%. This resuls reveals that in 1 of every 2 cases classed as stage I or II on inital diagnosis, the patient already has occult disease undetectable byphysical examination or simple radiographic investigation. 3. In clinical stage III IV patients, lymphography hasbeen of value in delineating the extent of abdominal disease, but has not influenced the staging. 4. As casereport (1) reveals, the follow-up lymphographic study can aid in evaluation of therapeutic effect. 5. Of 28 undertaken lymphography , only 20 cases could be cannulated bilaterally, suggesting some technical difficulty ascompared with other radiologic method. 6. Complications of 27 lymphography are dull pain, oozing at cut-down siteand the swelling of the foots. Of above complication, dull pain was the most frequent problem.
