Selective catheterization of the ovarian artery was performed in 39 women with pelvic tumor. Previously the combination of ultrasound and bilateral selective internal iliac angiography was proven to be valuable in the evaluation of gynecologic lesions. The present series demonstrates that selective ovarian angiography still enhances the possibilities for a correct preoperative diagnosis.
The combination of angiography, ultrasound and fine-needle aspiration biopsy proved to be valuable in the preoperative evaluation of patients with a palpable mass. With ultrasound, the size, shape and origin of tumors exceeding 4 to 5 cm in diameter were correctly diagnosed, whereas angiography differentiated bettter between malignant and benign tumors.
The anatomy and catheterization techniques of the internal mammary artery (i.m.a.) are described. The diagnostic criteria and importance of i.m.a. angiography in thymoma, lymphoma, carcinoma, parathyroid adenoma, diseases of the breast, and trauma are discussed. The role of i.m.a. catheterization for i.a. infusion therapy in lung carcinoma, mesothelioma and chest wall metastases of breast carcinoma and embolization of i.m.a. in bleeding following trauma or tumour ulceration are described. Transcatheter treatment of mediastinal parathyroid adenoma is also described.
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