Lymphangiography and fine-needle aspiration biopsy: ineffective for staging early prostate cancer

Journal Article · Tue May 01 04:00:00 EDT 1984 · AJR, Am. J. Roentgenol.; (United States)

DOI:https://doi.org/10.2214/ajr.142.5.1007· OSTI ID:6749123

Kidd, R; Crane, R D; Dail, D H

Four hundred thirty-six patients with carcinoma of the prostate had lymphangiography (LAG) as part of their initial evaluation before treatment. Fine-needle aspiration biopsy (FNAB) of abnormal opacified lymph nodes was performed routinely. The positivity rate of LAG and FNAB in each clinical stage was compared with the positivity rate predicted for that stage, based on published series of patients with carcinoma of the prostate who underwent pelvic lymph node dissection (LND). Within each clinical stage, the relation of the outcome of LAG/FNAB to histologic tumor grade (Gleason score) and serum acid phosphatase levels was evaluated. LAG/FNAB was of very limited value in patients with less than clinical stage C disease and of no value in patients with a Gleason score of less than 6. Since no two study populations are exactly alike, any evaluation or comparison of tests used to stage patients with carcinoma of the prostate should state the distribution of its patients by clinical stage.

• Research Organization: Mason Clinic, Seattle, WA
• OSTI ID: 6749123
• Journal Information: AJR, Am. J. Roentgenol.; (United States), Journal Name: AJR, Am. J. Roentgenol.; (United States) Vol. 142:5; ISSN AAJRD
• Country of Publication: United States
• Language: English

Related Subjects

550602* -- Medicine-- External Radiation in Diagnostics-- (1980-)
62 RADIOLOGY AND NUCLEAR MEDICINE
ACID PHOSPHATASE
BIOMEDICAL RADIOGRAPHY
BIOPSY
BODY
CARCINOMAS
CLASSIFICATION
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DISEASES
ENZYMES
ESTERASES
GLANDS
HYDROLASES
LYMPH NODES
LYMPHATIC SYSTEM
MALE GENITALS
MEDICINE
NEOPLASMS
NUCLEAR MEDICINE
ORGANS
PATIENTS
PHOSPHATASES
PROSTATE
RADIOLOGY