title: The lymphatic spread of ovarian germinal and stromal tumors.
abstract: This paper reports the results of lymphography in germinal and stromal tumors of the ovary. The group of patients is made up of 30 cases of germ cell tumors (70% dysgerminomas) and 29 cases of stromal tumors (62% granulosa cell tumors). The overall incidence of metastases was 29%; 37% in germ cell and 21% in stromal tumors. There was bilateral involvement in 41% of the patients with metastases. The para-aortic region alone was involved in 23%, the iliac alone in 18% and both the regions were simultaneously involved in 59%. In 17/30 operated patients (57%) retroperitoneal node biopsies were performed and diagnostic accuracy was 9/10 in the radiographically positive and 6/7 in the negative cases.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D004407:Dysgerminoma / Q000000981:diagnostic imaging; D005260:Female; D006106:Granulosa Cell Tumor / Q000000981:diagnostic imaging; D006801:Humans; D008207:Lymphatic Metastasis / Q000000981:diagnostic imaging*; D008220:Lymphography; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000000981:diagnostic imaging*