The use and limitations of lymphography in malignant melanoma are evaluated on the basis of 116 cases, nearly all of the lower limbs, and the possibilities of use both preoperatively and during follow-up are discussed. In 53.5% of the cases lymphography revealed lymph node metastases in the inguino-iliac-lumboaortic chains, a datum that justifies the use of lymphography. Histologic examination of the lymph nodes removed at operation proved to be just as important. The two investigations agreed in 89.1% of the cases, taking the material as a whole, and in 90.5%, taking the individual lymph chains (157).
Get full access to this article
View all access options for this article.
References
1.
BoydA. D., and AltmeierW. A.: Lymphography in management of malignant neoplasms of lower extremities. Arch. Surg., 85: 911–918, 1963.
2.
CoxK. R., HareW. S. C., and BruceP. T.: Lymphography in melanoma. Correlation of radiology with pathology. Cancer, 19: 637–647, 1966.
3.
DanaM., Desprez-CurelyJ. P., BismuthV., et BourdonR.: La lymphographie dans les maladies de la peau. Ann. Radiol., 7: 555–580, 1964.
4.
Das GuptaT., and Mc NeerG.: The incidence of metastases to accessible lymph nodes from melanoma of the trunk and extremities. Its therapeutic significance. Cancer, 17: 897–911, 1964.
5.
De RooT., and ThomasP.: Lymphography with supplementary tomographic examination in the preparative analysis of melanosarcoma. Chir. Radiol., 18: 83–95, 1967.
6.
De RooT.: Lymphography in melanosarcoma. Abstract. Third International Congress of Lymphography. Brussels, 1970.
7.
FuchsW. A., DavidsonJ. W., and FischerH. W.: Lymphography in Cancer. Recent Results in Cancer Research. Vol. 23, Springer-Verlag, Berlin-New York, 1969.
8.
Mc PeakC. J., and CostantidinesS. G.: Lymphography in melanoma. A comparison of clinicopathological and lymphangiographic findings in 21 cases. Cancer, 17: 1586–1594, 1964.
9.
Mc PeakC. J.: Lymphography in melanoma. In: Progress in lymphology.G. Thieme Ed., Stuttgart, 1967.
10.
NormanE., and WilderG. R.: Diagnosis of metastatic melanocarcinoma by lymphography. J.A.M.A., 186: 269–270, 1963.
11.
UslenghiC., BonadonnaG., MusumeciR., e VeronesiU.: La adenolinfografia nei melanomi maligni. Atti Acc. Med. Lomb., 23: 85–95, 1968.
12.
VeronesiU.: Chirurgia del melanoblastoma. Corso Sup. Agg. in Cancerologia e Clinica. pp. 35–47. C.E.A. Ed., Milano, 1965.
13.
VeronesiU., CascinelliN., and PredaF.: Prognosis of malignant melanoma according to regional metastases. Amer. J. Roentgenol., 3: 301–309, 1971.
