An evaluation of lymphography in localized carcinoma of the prostate

M. C. Spellman, R. A. Castellino, G. R. Ray, D. A. Pistenma, M. A. Bagshaw

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Lymph node biopsies were positive in 20% (7/35) of stage T 1 and T 2 (stage B) tumors and 64% (21/33) of stage T 3 (stage C) tumors in 69 previously untreated and unselected patients with apparently localized carcinoma of the prostate. One patient with a T 0 (stage A) tumor had no evidence of lymph node metastasis. Prospective analysis demonstrated an overall lymphographic accuracy of 78%, sensitivity of 57% and specificity of 92%. The detection of lymph node metastases in the lymphogram is limited by the frequency of microscopic metastasis and the frequency of benign changes within pelvic lymph nodes in this older patient population. Diagnostic criteria for metastatic disease which gives a low incidence of false-positive interpretations should be maintained, since relaxing the criteria will not necessarily improve the detection rate of metastases and would decrease specificity.

Original languageEnglish (US)
Pages (from-to)637-644
Number of pages8
JournalRadiology
Volume125
Issue number3
StatePublished - 1977

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Lymphography
Prostate
Lymph Nodes
Neoplasm Metastasis
Carcinoma
Neoplasms
Biopsy
Sensitivity and Specificity
Incidence
Population

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Spellman, M. C., Castellino, R. A., Ray, G. R., Pistenma, D. A., & Bagshaw, M. A. (1977). An evaluation of lymphography in localized carcinoma of the prostate. Radiology, 125(3), 637-644.

An evaluation of lymphography in localized carcinoma of the prostate. / Spellman, M. C.; Castellino, R. A.; Ray, G. R.; Pistenma, D. A.; Bagshaw, M. A.

In: Radiology, Vol. 125, No. 3, 1977, p. 637-644.

Research output: Contribution to journalArticle

Spellman, MC, Castellino, RA, Ray, GR, Pistenma, DA & Bagshaw, MA 1977, 'An evaluation of lymphography in localized carcinoma of the prostate', Radiology, vol. 125, no. 3, pp. 637-644.
Spellman MC, Castellino RA, Ray GR, Pistenma DA, Bagshaw MA. An evaluation of lymphography in localized carcinoma of the prostate. Radiology. 1977;125(3):637-644.
Spellman, M. C. ; Castellino, R. A. ; Ray, G. R. ; Pistenma, D. A. ; Bagshaw, M. A. / An evaluation of lymphography in localized carcinoma of the prostate. In: Radiology. 1977 ; Vol. 125, No. 3. pp. 637-644.
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AU - Castellino, R. A.

AU - Ray, G. R.

AU - Pistenma, D. A.

AU - Bagshaw, M. A.

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