THE LYMPHATIC SPREAD OF OVARIAN GERMINAL AND STROMAL TUMORS

R Musumeci, GM DePalo, C Mangioni, G Bolis, E Ratti

Abstract


This paper reports the results of lymphography in
germinal and stromal tumors of the ovary. The
group of patients is made up of 30 cases of germ
cell tumors (70% dysgerminomas) and 29 cases of
stromal tumors (62 % granulosa cell tumors). The
overall incidence of metastases was 29 %; 37 % in
germ cell and 21% in stromal tumors. There was
bilateral involvement in 41% of the patients with
metastases. The para-aortic region alone was
involved in 23 %, the iliac alone in 18 % and both
the regions were simultaneously involved in 59 %.
In 17/30 operated patients (57 %) retroperitoneal
node biopsies were performed and diagnostic
accuracy was 9/10 in the radiographically positive
and 6/7 in the negative cases.


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