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  • Title: The lymphatic spread of ovarian germinal and stromal tumors.
    Author: Musumeci R, DePalo GM, Mangioni C, Bolis G, Ratti E.
    Journal: Lymphology; 1978 Mar; 11(1):22-6. PubMed ID: 642584.
    Abstract:
    This paper reports the results of lymphography in germinal and stromal tumors of the ovary. The group of patients is made up of 30 cases of germ cell tumors (70% dysgerminomas) and 29 cases of stromal tumors (62% granulosa cell tumors). The overall incidence of metastases was 29%; 37% in germ cell and 21% in stromal tumors. There was bilateral involvement in 41% of the patients with metastases. The para-aortic region alone was involved in 23%, the iliac alone in 18% and both the regions were simultaneously involved in 59%. In 17/30 operated patients (57%) retroperitoneal node biopsies were performed and diagnostic accuracy was 9/10 in the radiographically positive and 6/7 in the negative cases.
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