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Published on: January 12, 2017
Lymphography for staging lymphomas: is it still a useful procedure?
L B North1, S Wallace, M M Lindell
1Department of Diagnostic Radiology, University of Texas M. D. Anderson Cancer Center, Houston 77030.
AJR. American Journal of Roentgenology
|October 1, 1993
Summary
Lymphography provided minimal value for staging untreated lymphoma patients. Advanced CT scans and modern combination therapies reduced the need for lymphography in assessing nodal involvement.
Area of Science:
- Oncology
- Diagnostic Imaging
Background:
- Lymphography was historically used for lymphoma staging.
- Advances in imaging and treatment have evolved staging protocols.
Purpose of the Study:
- To evaluate the contemporary utility of lymphography in staging untreated Hodgkin's and non-Hodgkin's lymphoma.
- To compare lymphography with computed tomography (CT) for abdominal staging.
Main Methods:
- Retrospective review of lymphography and CT scans in 221 untreated lymphoma patients.
- Staging based on clinical findings, with limited laparotomies.
Main Results:
- Lymphography showed abnormalities when CT was normal in 4 patients; 3 had stable nodes post-therapy.
- CT identified nodal abnormalities in 13 patients (1 Hodgkin's, 12 non-Hodgkin's) with normal lymphograms.
- HIV disease was a potential confounder in one case.
Conclusions:
- Lymphography did not significantly contribute to lymphoma staging in this cohort.
- Improved CT technology and combined treatment regimens diminished lymphography's role.
- Current staging protocols may not require lymphography.
