title: Staging of testicular carcinoma: comparison of CT and lymphangiography.
abstract: Clinical staging by computed tomography (CT) and lymphangiography was compared in 27 patients with pathologically staged testicular carcinoma, primarily nonseminomatous tumors. The overall accuracy of CT was 89%; the sensitivity, 90%; and the specificity, 83%. The accuracy of lymphangiography for detecting nodal abnormalities was 70%; the sensitivity, 71%; and the specificity, 67%. In 48% of cases, CT provided better delineation of tumor margins. Also, CT detected retrocrural nodal enlargement in 14% of patients and hepatic metastasis in 5%. The usefulness and limitations of both methods are discussed along with their clinical implications.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002281:Carcinoma, Basosquamous / Q000000981:diagnostic imaging / Q000473:pathology; D004407:Dysgerminoma / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D008220:Lymphography; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D012189:Retrospective Studies; D013724:Teratoma / Q000000981:diagnostic imaging / Q000473:pathology; D013736:Testicular Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D014057:Tomography, X-Ray Computed