By J. Zornoza (auth.), Lucio Luciani MD, Francesco Piscioli MD (eds.)
After historic advent, the aspiration method and imaging modalities are defined. Thereafter, using aspiration cytology within the prognosis and ordinarily within the sta- ging of urologic cancers is on nonetheless now not popular appli- cations of the strategy within the staging of a few organs (bladder, adrenals, penis, testis and secondary ureteral strictures) are stated.
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Extra info for Aspiration Cytology in the Staging of Urological Cancer: Clinical, Pathological and Radiological Bases
Its clinical value is unknown. and it usually is not seen at the time of lymphography. In order to prevent confusion. we have suggested that lymph nodes surrounding the obturator nerve should be designated "surgical" obturator nodes in contrast to "true" anatomical obturator nodes occasionally found in the obturator foramen. None of our 25 patients who have documented obturator lymph node filling had gross lymphatic involvement at the time of lymph node dissection. Only five of them had microscopic invasion and all of them had normal lymphography.
Wallace The diagnosis and management of the patient with genitourinary malignancy is a multidisciplinary approach by the urologist. diagnostic radiologist. pathologist. radiotherapist and medical oncologist. Management depends. to a great extent. upon a thorough assessment of the extent of the neoplastic disease. Lymphangiography (LAG) is employed in patients with cancer of the testes. bladder. prostate and penis in the evaluation of the pelvic and paraaortic lymph nodes. Using rigid criteria. when the lymph angiogram is considered positive it has an accuracy of 90%-95%; when the lymphangiogram is considered negative.
Baltimore. Maryland. LAG CT Positive Negative 20 47 15 52 Total 67 67 "From Jing and Wallace : reproduced by kind permission of the publisher. • Baltimore. Maryland. 8. 7% 26 of26= 100% 34 of 37 = 91. 9% "From Jing and Wallace : reproduced by kind permission of the publisher. Williams and Wilkins Co .. Baltimore. Maryland. 41 Lymphangiography in Cancer of the Genitourinary Tract nodes. Because the CT scan evaluates nodal size and the lymph angiogram evaluates nodal architecture, these studies should be complementary and, used together, provide more information than either alone [7, 12].