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KMID : 0386119920280010130
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Journal of the Korean Radiological Society
1992 Volume.28 No. 1 p.130 ~ p.134
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A New Method of Radiological Visualization of Internal Iliac Lymph Node in Carcinoma of the Uterine Cervix: Lymphatic Enhanced CT Scan
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정태섭
이종태/유형식/김기황/서정호/정진일/박찬규/김재욱
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Abstract
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Preoperative evaluation of metastasis to internal iliac lymph nodes are very important in the designing of the patient's therapeutic plan and the predicting the prognosis of carcinoma of the uterine cervix. Until now no study has reported on the
subject
of selective visualization of the internal iliac lymph nodes. Indirect lymphangiography is a simple method for evaluating local lymphatic system. The internal iliac lymph nodes can be visualized by combining indirect lymphangiography of the upper
one-third area of the vagina and thin section CT scan.
We applied this method to 25 cases of FIGO B and A stage of the carcinoma of the uterine cervix, and correlated our findings with results of radical abdominal hysterectomy, We were able to visualize the internal iliac lymph nodes in 24 cases out
of
25,
and their size range was 3-15 mm.
No nodal metastasis were found in all the patients and these were varified by subsequent pathologic examination from radically dissected lymph nodes.
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KEYWORD
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