[Lymphography in malignant vulvar and vaginal tumors. 1. Clinical significance].
The results of a retrograde analysis of lymphographic processes in 111 patients with malign vulvar and vaginal tumours are substantiating statements concerning the importance of lymphography in diagnosing metastastic processes in lymph-nodes of the inguinal and retroperitoneal region. -- Metastases could be proved lymphographically in 24 (34%) out of 70 carcinomas of the vulva and 8 (22%) out of 37 carcinomas of the vagina. In 24% of all patients with carcinomas of the vulva there were lymph-nodes involved, in two of these cases without a simultaneous involvement of the inguinal region. With carcinomas of the vagina a lumbar involvement was found in 50% of the cases. The accuracy of lymphographic diagnosis was 79% regarding the inguinal region and 89% in the iliac region. Despite of the lower accuracy with regard to inguinal lymph-nodes lymphography exceeds findings obtained by clinical palpation in this respect. As a result of the study, the use of lymphography in case of vulvar and vaginal carcinomas of all clinical stages is considered to be profitable for diagnosing and therapy planning.
D000368:Aged; D005260:Female; D006801:Humans; D007264:Inguinal Canal; D008161:Lumbosacral Region; D008207:Lymphatic Metastasis; D008220:Lymphography; D008875:Middle Aged; D014625:Vaginal Neoplasms / Q000000981:diagnostic imaging*; D014846:Vulvar Neoplasms / Q000000981:diagnostic imaging*
Lymphographie bei malignen Vulva- und Vaginatumoren. 1. Klinischer Wert.