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Radiology, Vol 137, 157-166, Copyright © 1980 by Radiological Society of North America

ARTICLES

Computed tomographic detection of pelvic and inguinal lymph-node metastases from primary and recurrent pelvic malignant disease

JW Walsh, MA Amendola, KF Konerding, J Tisnado and TA Hazra

Computed tomography (CT) detected enlarged pelvic nodes in 32 of 127 patients (25%) with carcinoma of the cervix, bladder, or prostate. Pelvic or inguinal lymph nodes were confirmed pathologically in 35 patients. CT was true-positive in 17 of 20 patients with lymph-node metastases (sensitivity, 85%), false-negative in 3 or 20 patients (15%) with metastases, true-negative in 10 or 15 patients without metastases (specificity, 67%), and false-positive for lymph-node metastases in 5 of 15 patients (33%). CT was correct in 27 of 35 patients (77%). Detection of external iliac-, obturator-, and inguinal-node metastases by CT is discussed.


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