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  • Title: [Informative potential of computer-aided tomography (CAT), as compared to bilateral pedal lymphangiography, for the detection of gynaecological tumours, with particular reference to carcinoma of the cervix (author's transl)].
    Author: Kremp A, Poppe H.
    Journal: Zentralbl Gynakol; 1980; 102(21):1213-22. PubMed ID: 6259854.
    Abstract:
    Experience so far obtained from whole-body computer-aided tomography is likely to suggest that the dimensions of primary tumours in the parametrial, paravesical, and pararectal regions can be defined with high accuracy, provided tumour diameters in excess of 2 cm. CAT also was found to be superior to other conventional diagnostic methods, when it came to better assessment of correlations between the tumour and neighbouring organs. CAT also helped to identify lymphomas in the retroperitoneal region, for example, in the pelvic retroperitoneum, and in the mesenteric region, although the same lymphomas were not or rarely identifiable by means of bipedal prefacial lymphangiography. - However, computer-aided tomography cannot replace lymphangiography, when it comes to an assessment of alterations of intranodular structures. Nevertheless, being a non-invasive diagnostic method, CAT can be successfully used in conjunction with lymphangiography to gain more information on the actual extent of lymph node formation. Hence, it can contribute to more accurate "in vivo" grading. - The method, for its non-invasive nature, may be highly useful in after-care tumour attention. CAT provides quasi-anatomic cross sections of the patient's body and is, consequently, a good basis for high-accuracy planning of radiotherapy.
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