Computed tomography of abdomen in staging and clinical management of lymphoma.

Best, J. J. K.; Blackledge, George; Forbes, W S; Todd, Ian; Eddleston, Brian; Crowther, Derek; Isherwood, I.

doi:10.1136/bmj.2.6153.1675

Cited by 64 publications

(19 citation statements)

References 10 publications

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“…CT scan has been considered as a staging investigation in many types of tumours (8,9). The use of CT scan in staging ovarian carcinoma and its correlation to clinical examination and surgery has been previously reported (10,12).…”

Section: Discussionmentioning

confidence: 99%

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Computed Tomography Prior to Surgery for Ovarian Carcinoma

Simon¹,

Fields²,

Schenker³

et al. 1986

Aust NZ J Obst Gynaeco

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The value of investigation of patients with ovarian carcinoma by preoperative computed tomography scan was evaluated in all the patients operated on during the last 2 years; 22 patients were included in this study and evaluated. In 11 patients the scan was performed prior to the primary surgery and in the other 11 patients before second look following chemotherapy. CT scan was found to be highly sensitive in detecting ascites, pelvic wall extension and spread or involvement of the uterus. Peritoneal and omental spread was detected in only half of the patients before primary surgery. Prior to second look operation CT scan was effective in excluding liver metastasis, ascites, paraaortic lymph node enlargement, pelvic wall extension and pelvic residual tumour. Generally, CT scan failed to detect peritoneal and omental spread. It is an important tool for preoperative evaluation of the extension of the disease and planning of surgery, but still, the final staging deserves explorative laparotomy.

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Section: Discussionmentioning

confidence: 99%

“…Computed tomography has been used as a staging investigation in many types of tumours (8,9); it has proved to be useful in staging patients with advanced ovarian cancer, mainly for regions such as the abdomen and pelvis which are clinically difficult to assess (10).…”

mentioning

confidence: 99%

Computed Tomography Prior to Surgery for Ovarian Carcinoma

Simon¹,

Fields²,

Schenker³

et al. 1986

Aust NZ J Obst Gynaeco

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“…The more cau tious use of the operation produced a re newed interest in all methods suitable for clinical staging of the disease. Beside bipe dal lymphography, which remains the main diagnostic procedure, but does not visualize paracaval and retrocaval lymph nodes above L 2, CAT and sonography are valua ble, noninvasive, methods for detecting ab dominal lymph nodes with a diameter great er than 2 cm [4,10]. These will probably be the methods of choice for the staging of lym phomas in the future, but at present their use is still limited, as a great deal of skill and experience is requested for evaluating the images correctly and because of the relevant cost of CAT.…”

Section: Introductionmentioning

confidence: 99%

Inferior Venacavography for the Staging of Lymphomas

Resegotti¹,

Chiarle²,

Cigna³

et al. 1982

Acta Haematol

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Inferior venacavography was used for revealing enlarged retro- or paracaval lymph nodes, some of which are not visualized by lymphography as they lay above L 2. As criteria for involvement of lymph nodes the dislocation or narrowing of the vena cava and the reflux of contrast medium in the lumbar veins were studied. Venacavography was carried out in 48 consecutive patients with lymphoma: 23 Hodgkin’s disease and 25 non-Hodgkin’s lymphoma. Signs of enlargement of paracaval lymph nodes were seen in 52% of patients with Hodgkin’s disease and in 80% of the cases of non-Hodgkin’s lymphoma. A fairly good agreement was found between lymphograms and cavograms. Cavography proved to be an easy, inexpensive and minimally invasive technique that can be repeated several times without inconveniencing the patients too much, thus enabling restaging of patients after therapy; moreover, it produced fairly good urograms as the contrast medium is promptly eliminated through the kidney, thus eliminating the need for intravenous pyelography.

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“…Conversely, an enlarged spleen (particularly in patients with HD) does not always indicate the presence of lymphoma (Glatstein et al, 1970;Sutcliffe et al, 1976). CT scanning, radionuclide imaging and ultrasonography can help in the assessment of splenic size and may detect the presence of focal deposits, but the overall accuracy of each of these methods for detecting splenic lymphoma is poor (Best et al, 1978;Milder et al, 1973;Silverman et al, 1972;Zornosa & Ginaldi, 1981).…”

mentioning

confidence: 99%

Low field strength magnetic resonance imaging of the spleen: results from volunteers and patients with lymphoma

Richards

Webb²,

Jewell³

et al. 1988

Br J Cancer

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Low field strength (0.08 Tesla) magnetic resonance imaging (MRI) of the spleen with spin lattice relaxation time (T1) measurement was performed on a total of 79 healthy volunteers and 62 patients with lymphoma. Inhomogeneity was observed on the T1 images of the spleen from 25 volunteers. This was therefore considered a normal variant. The normal range of spleen T1 at 0.08 Tesla was established (362-420 msec). No influence of age on spleen T1 was detected. The range of T1 values observed in males and females was similar, although the mean spleen T1 for females was significantly longer than that for males. The sensitivity of T1 measurement for the detection of lymphoma in the spleen was poor, particularly for patients with Hodgkin's disease. In a minority of untreated patients, however, a spleen T1 value outside the normal range may indicate the presence of lymphoma in the spleen. A significant decrease in spleen T1 following treatment was observed in 9 patients who underwent serial scanning.

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Computed tomography of abdomen in staging and clinical management of lymphoma.

Cited by 64 publications

References 10 publications

Computed Tomography Prior to Surgery for Ovarian Carcinoma

Computed Tomography Prior to Surgery for Ovarian Carcinoma

Inferior Venacavography for the Staging of Lymphomas

Low field strength magnetic resonance imaging of the spleen: results from volunteers and patients with lymphoma

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