Radiological analysis of lymphangiography in 130 cases

As bipedal lymphangiography is a good method of visualization of retroperitoneal lymphatics and lymph nodes, this procedure plays an important role in lymphedema and intrapelvic tumor, such as carcinoma and lymphoma. Although anatomical details of lymphatics are well demonstrated by lymphangiography below L-2 level, dynamics of lymphatics and deep lymphatics of thorax, head and neck are easily demonstrated without complications and severe suffering through lympposcintigram, so which is more emphasized in this time. At the Department of Radiology and Nuclear Medicine, Yonsei University Hospital, 130 patients were examined with direct lymphangiography of Kinmonth's method from Oct. 1975 to Dec. 1980 and 14 patients were examined with lymphoscintigram in recent 1 year. The results are as follows; 1. The lymphatics and lymph nodes below L-2 level are enoughly demonstrated by bipedal lymphangiography for staging of carcinoma and lymphoma, and follow-up study in the patients who had been experienced in lymphangiography is enoughly obtained by plain film for 4-5 months without repeat study. 2. Findings of lymphoscintigram in thorax, head and neck which are the difficult areas of demonstrating with lymphangiogram, are sufficiently helpful. 3. It is possible that follow-up study can be easy with lesser complications and sufferings of patients through lymphoscintigram. 4. Area of radiation field is conveniently planned with using lymphangiography and lymphoscintigram