ABSTRACT
The study was concerned with establishing parallel clinico-roentgeno-morphological features in diagnosis of lesions in axillary lymph nodes in 128 breast cancer patients. Complex evaluation of lymphographic and palpation evidence proved valuable because its application allows to avoid diagnostic errors for a certain stage of the disease. Also the results of X-ray postoperative evaluation of radicality of lymphadenectomies carried out in 100 mastectomies after Halsted, 22 mastectomies after Patey and 15 axillary lymphadenectomies are presented. Relatively less extent of excision for breast cancer was shown to involve higher risk of incomplete removal of apical nodes. It is emphasized that diagnosis improvement still remains a major aspect of small-scale surgical intervention.
Subject(s)
Breast Neoplasms/surgery , Lymph Node Excision , Axilla , Evaluation Studies as Topic , Female , Humans , Lymphatic Metastasis/diagnosis , Lymphatic Metastasis/diagnostic imaging , Lymphography , Mastectomy, Modified Radical , Mastectomy, Radical , Palpation , PrognosisABSTRACT
The results of endolymphatic chemotherapy and lymphography in 57 cases of different malignant neoplasms in the lymphatic system are presented. Procedures for making alcohol-oil solution of benzo-TEP, ether-oil solution of tio-TEP and alcohol-oil emulsion of cyclophosphamide are discussed and the clinical evaluation of the results of their application is given. The therapeutic effect of endolymphatic infusions of the mixtures of alkylating agents and iodolipol was assessed on the basis of clinical, histological and radiological examination of malignant lesions of lymph nodes. It is shown that the efficacy of endolymphatic chemotherapy is determined by the susceptibility of neoplasms to antitumor drugs and the availability of the latter at lymph node metastases.
