Lymphangiography in Cancer of the Genitourinary Tract
The diagnosis and management of the patient with genitourinary malignancy is a multidisciplinary approach by the urologist, diagnostic radiologist, pathologist, radiotherapist and medical oncologist. Management depends, to a great extent, upon a thorough assessment of the extent of the neoplastic disease. Lymphangiography (LAG) is employed in patients with cancer of the testes, bladder, prostate and penis in the evaluation of the pelvic and paraaortic lymph nodes. Using rigid criteria, when the lymphangiogram is considered positive it has an accuracy of 90%–95%; when the lymphangiogram is considered negative, 15%–20% of patients prove to have metastatic disease.
KeywordsNodal Metastasis Internal Iliac Artery Kind Permission Inferior Pedicle Compute Tomography Group
Unable to display preview. Download preview PDF.
- 1.Rouviere H (1938) Anatomy of the human lymphatic system. Translated by JM Tobias. Edwards, Ann ArborGoogle Scholar
- 3.Wallace S, Jing BS (1976) Testicular malignancies and the lymphatic system. In: DE Johnson (ed) Testicular tumors, 2nd edn. Medical Examination Publishing Co., Flushing, NY, pp 71–159Google Scholar
- 6.Lee JK, McClennan BL, Stanley RJ, Sagel SS (1976) Computed tomography in the staging of testicular neoplasms. Radiology 130:387–390Google Scholar
- 9.von Eschenbach AC, Jing BS, Wallace S (1985) Lymphangiography in genitourinary cancer. Urol Clin North Am 12:715–723Google Scholar
- 19.Jing BS, Wallace S (1985) Lymphatic imaging of solid tumors. In: Clouse ME, Wallace S (eds) Lymphatic imaging: lymphography, computed tomography and scintigraphy, 2nd edn. Baltimore, Williams and Wilkins, pp 290–451Google Scholar