Lymphangiography in the determination of the extent of metastatic carcinoma.The potential value of percutaneous lymph node biopsy

Wallace, Sidney; Jing, Bao-Shan; Zornoza, J

doi:10.1002/1097-0142(197702)39:2+<706::aid-cncr2820390705>3.0.co;2-0

Cited by 51 publications

(8 citation statements)

References 31 publications

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“…Wallace and associates believe lymphography can have the accuracy of 90 and 95% when read as positive in determining the extent of carcinoma, and when considered negative, 15 to 20% prove to have metastatic disease. 21 Lymphatic spread from carcinoma of the prostate occurs chiefly from vessels leaving the posterior aspect of the gland.5,'0. '9 One group of lymph vessels joins the external iliac nodes while others drain to the internal iliac and common iliac node^.^^'^ The internal iliac (hypogastric) nodes in lymphography studies are visualized only about one-half of the time.7 (see Fig.…”

Section: Discussionmentioning

confidence: 99%

An evaluation of lymphography with nodal biopsy in localized carcinoma of the prostate

Liebner

Stefani²

1980

Cancer

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One hundred forty-nine lymphograms from patients with localized carcinomas of the prostate were interpreted by a referee radiologist without the benefit of clinical stage, grade of tumor, or the result of staging pelvic node dissection. The lymphogram was able to detect 30 of 35 (86%) positive nodal metastases and confirm 90 of 114 (79%) negative nodal biopsies. The internal iliac nodal biopsies were positive as a single finding in only 7 of 54 (13%) patients. The total external iliac nodal involvement was 41 of 54 (76%). High-grade prostate cancer patients have twice the incidence of positive nodal biopsies and lymphograms. Lymphography detected 43% of positive nodal patients with normal acid phosphatase and 69% of positive nodal patients with elevated acid phosphatase determinations. The lymphogram and tumor grade (prostate) are considered significant potential predictors of lymph node biopsy result. Finally, the incidence of nodal metastasis in localized prostatic cancer from surgical and histologically confirmed lymphogram series is reviewed with the concept of sensitivity and specificity of the lymphogran.Cancer 45728-734, 1980.

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Section: Discussionmentioning

confidence: 99%

An evaluation of lymphography with nodal biopsy in localized carcinoma of the prostate

Liebner

Stefani²

1980

Cancer

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“…Lymphangiography opacified a large portion of the nodes usually involved by prostatic cancer (Prando and Wallace, 1979) and the material aspirated by the fine needle represents the nodal state and corresponds to a histological section (Fig. 2) (Wallace et al, 1977;Gothlin, 1979;Macintosh et al, 1979 ;Prando et al, 1979 ;Correa et al, 198 1).…”

Section: Discussionmentioning

confidence: 99%

“…A series of 20 transcutaneous lymph node biopsies performed on 17 patients by Zornoza et al (1977) and Wallace et al (1977) included only two and three patients respectively with prostatic cancer and lacked cytohistological correlation. Correa et al (1981) carried out TAB of abnormal or suspicious pelvic lymph nodes opacified by lymphangiography in 31 patients with prostatic carcinoma, observing an assumed false negative rate of 5 to 15%, while the false positive rate was nil.…”

Section: Discussionmentioning

confidence: 99%

“…TAB was performed on opacified lymph nodes under fluoroscopic guidance, regardless of the preliminary lymphangiographic diagnosis. The aspiration procedure most widely used has been previously described (Wallace et al, 1977;Zornoza er al., 1977;Gothlin, 1979). According to our previous report (Luciani et al, 1981), a modified needle was developed in order to obtain more material.…”

Section: Methodsmentioning

confidence: 99%

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Accuracy of Transcutaneous Aspiration Biopsy in the Definitive Assessment of Nodal Involvement in Prostatic Carcinoma

Luciani

Piscioli

1984

Journal of Urology

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The inaccuracy of lymphangiography in predicting nodal involvement and the complications of pelvic lymphadenectomy prompted u s to evaluate other methods of staging prostatic cancer. On the basis of the results obtained in 24 patients with carcinoma of the prostate, the authors suggest transcutaneous fluoroscopy-guided fine needle aspiration biopsy as a satisfactory alternative to lymphadenectomy. In 95.8% of patients pelvic lymphadenectomy confirmed the cytological findings of transcutaneous aspiration biopsy of pelvic lymph nodes using a "long-bevelled, side-holed" thin needle.

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“…The techniques of computed tomography of the abdomen and pelvis [9,10] and lymphography [11][12][13] have been utilized as staging procedures in patients with clinically localized prostate cancer. However, the application of these techniques to stage D2 prostate cancer to monitor tumor response to systemic therapy has not been systematically explored.…”

Section: Introductionmentioning

confidence: 99%

Computed tomography of the abdomen and pelvis: Documentation of tumor response and progression in disseminated prostate cancer

Winkler

Dunnick

Eddy

et al. 1986

Med. Pediatr. Oncol.

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Computed tomography of the abdomen and pelvis has been used to stage early prostatic cancer. We investigated its value in monitoring tumor response in more advanced disease. Serial computed tomography of the abdomen and pelvis was obtained along with multiple other staging tests prior to treatment and at 3- to 4-month intervals thereafter in 32 patients with stage D2 tumor treated initially with combination chemotherapy and with hormones at progression. Pretreatment lymphography with follow-up abdominal films was also performed. Initial computed tomography of the abdomen and pelvis showed evidence of node metastases in 35% of patients while lymphography was positive in 54%. Among 19 patients with tumor response and 25 with progression, the results of treatment were objectively documented by improvement or worsening, respectively, in a mean of 5.1 and 5.0 other staging tests, exclusive of computed tomography. Computed tomography of the abdomen and pelvis improved in 85% of responding patients examined. Progression was confirmed by worsening of computed tomography in 32%. Although lymphography was often abnormal prior to treatment, in our hands it was not useful in serial monitoring of tumor status. We conclude that serial computed tomography of the abdomen and pelvis, when initially positive, is a useful test to document objectively tumor response and progression in disseminated prostatic cancer.

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Lymphangiography in the determination of the extent of metastatic carcinoma.The potential value of percutaneous lymph node biopsy

Cited by 51 publications

References 31 publications

An evaluation of lymphography with nodal biopsy in localized carcinoma of the prostate

An evaluation of lymphography with nodal biopsy in localized carcinoma of the prostate

Accuracy of Transcutaneous Aspiration Biopsy in the Definitive Assessment of Nodal Involvement in Prostatic Carcinoma

Computed tomography of the abdomen and pelvis: Documentation of tumor response and progression in disseminated prostate cancer

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