THE VALUE OF PELVIC VENOGRAPHY AND LYMPHOGRAPHY IN THE CLINICAL STAGING OF CARCINOMA OF THE UTERINE CERVIX

ANALYSIS OF 105 PROVEN CASES BY SURGERY

¹ Professor of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
² Professor of Radiology, University of Washington; Director, Department of Radiology, Harborview Medical Center, Seattle, Washington.
³ Professor and Chairman, Department of Radiation Therapy, T.J.U.H.
⁴ Professor of Obstetrics and Gynecology, T.J.U.H.
⁵ Associate Professor of Radiology, T.J.U.H.
⁶ Junior Staff, Department of Radiology, T.J.U.H.
⁷ Deceased, formerly Director of X-ray Department, Jersey City Medical Center, Jersey City, New Jersey.

1. A somewhat different technique of pelvic venography with the use of a commercially available teflon needle and a compression device is described. Some indications of the intraosseous method are discussed.

2. The anatomic detail of the veins may be superimposed by lymph nodes, if lymphography precedes venography; hence, venography is more useful as the initial study.

3. Pelvic venography may provide more information as to the presence or absence of metastatic lesions in the parametrial, hypogastric and presacral region than does lymphography.

4. An "inlet" view of the pelvis as a routine projection in lymphography is helpful in evaluating subtle changes in the lymph nodes due to metastatic deposits.

5. Because of the complementary nature of lymphography, venography and urography, the extent of neoplasm is best evaluated by the 3 procedures combined.

6. The detection of metastatic disease in Stages I, II, and III carcinoma of the cervix in 105 operated patients was 80, 90, and 100 per cent, respectively.

7. An abnormal venogram, especially with obstruction of the major veins, would seem to indicate a poor prognosis, regardless of the clinical staging of carcinoma of the cervix.

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