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淋巴線造影術을 利用한 各種淋巴腺疾患(19例)의 X-線學的考察

Lymphography(Lymphangio-Adenography)

최신의학 1963년 6권 3호 p.69 ~ 78
李圭煥, 金時彦,
소속 상세정보
李圭煥 (  ) - 延世大學校 醫科大學 放射線學敎室
金時彦 (  ) - 延世大學校 醫科大學 放射線學敎室

Abstract


A history of lymphography and gross anatomy of the pelvic, abdominal and thoracic lymphatic groups have been reviewed briefly. The technique which we used on lymphography(19cases ; 36 injections) was described; F.D.C. blue # 1, 10/ and Ethiodol with chlorophyll supplied by the Fougera Company were found to be satisfactory for better demonstration of the lymphatic system.
The presence of metastatic malignancy without palpable lymph nodes was detected in many instances. Dermal backflow was seen in a case of lymph edema involving the left lower extremity. The normal nodal architecture is characterized by a homogeneous reticular pattern. Inflammation causes nodal enlargement without disruption of the normal pattern. Metastatic carcinoma causes partial nodal enlargement at the margin with a "moth-eaten appearance", whereas lymphoma produces an enlarged node with foamy or a lacy, diffusely infiltrative pattern and well defined its border.
As a guide to the surgeon, it can be employed to determine the feasibility of a radical procedure. If surgery is performed, portable or post-operative X-ray studies may be found useful in assessing the completeness of the resection.
Lymphography can be utilized to great advantage by the radiotherapist, particularly in the more accurate placement of treatment portals. Therapeutic efficacy following radiotherapy or chemotherapy can also be more exactly determined because of the prolonged presence of the contrast medium. (3 pictures, 2 diagrams and 20 roentgenograms.)

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