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Computerized Tomography and Lymphangiography in Staging Testis Tumors

1981; Lippincott Williams & Wilkins; Volume: 126; Issue: 2 Linguagem: Inglês

10.1016/s0022-5347(17)54434-1

1527-3792

Richard J. Ehrlichman, Stephen L. Kaufman, Stanley S. Siegelman, Donald L. Trump, Patrick C. Walsh,

Ovarian cancer diagnosis and treatment

No AccessJournal of Urology1 Aug 1981Computerized Tomography and Lymphangiography in Staging Testis Tumors Richard J. Ehrlichman, Stephen L. Kaufman, Stanley S. Siegelman, Donald L. Trump, and Patrick C. Walsh Richard J. EhrlichmanRichard J. Ehrlichman More articles by this author , Stephen L. KaufmanStephen L. Kaufman More articles by this author , Stanley S. SiegelmanStanley S. Siegelman More articles by this author , Donald L. TrumpDonald L. Trump More articles by this author , and Patrick C. WalshPatrick C. Walsh More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)54434-1AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail The usefulness of computerized tomography, lymphangiography and tumor markers has been examined in 20 consecutive patients with pathologic stage I or II nonseminomatous testicular tumors. Computerized tomography had a false negative rate of 40 per cent, a false positive rate of 50 per cent and an over-all accuracy of 69 per cent. Lymphangiography had a false negative rate of 42 per cent, a false positive rate of 0 and an over-all accuracy of 69 per cent. The combination of computerized tomography and lymphangiography did not significantly improve the diagnostic accuracy of either technique alone. Furthermore, because tumor markers usually were elevated in the presence of bulky metastatic disease that was detected easily by either computerized tomography or lymphangiography, they did not add measurably to the sensitivity of either computerized tomography or lymphangiography in the diagnosis of retroperitoneal lymph node metastases. Consequently, retroperitoneal lymphadenectomy remains the only reliable means for accurate staging of patients with nonseminomatous testicular tumors. © 1981 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByRodriguez P, Hafez G and Messing E (2018) Nonseminomatous Germ Cell Tumor of the Testicle: Does Extensive Staging of the Primary Tumor Predict the Likelihood of Metastatic Disease?Journal of Urology, VOL. 136, NO. 3, (604-608), Online publication date: 1-Sep-1986.Tesoro-tess J, Pizzocaro G, Zanoni F and Musumeci R (2018) Lymphangiography and Computerized Tomography in Testicular Carcinoma: How Accurate in Early Stage Disease?Journal of Urology, VOL. 133, NO. 6, (967-970), Online publication date: 1-Jun-1985.Kaplan W (2018) Editorial CommentJournal of Urology, VOL. 133, NO. 6, (1013-1014), Online publication date: 1-Jun-1985.Fujime M, Chang H, Lin C and Prout G (2018) Correlation of Vascular Invasion and Metastasis in Germ Cell Tumors of Testis—A Preliminary ReportJournal of Urology, VOL. 131, NO. 6, (1237-1241), Online publication date: 1-Jun-1984.Goldman S (2018) Editorial CommentJournal of Urology, VOL. 127, NO. 4, (717-717), Online publication date: 1-Apr-1982.Goldman S and Siegelman S (2018) Guest Editorial: Computerized Tomography in the Scheme of ThingsJournal of Urology, VOL. 127, NO. 4, (724-726), Online publication date: 1-Apr-1982. Volume 126Issue 2August 1981Page: 179-181 Advertisement Copyright & Permissions© 1981 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Richard J. Ehrlichman More articles by this author Stephen L. Kaufman More articles by this author Stanley S. Siegelman More articles by this author Donald L. Trump More articles by this author Patrick C. Walsh More articles by this author Expand All Advertisement Loading ...