Diagnosis of lymphoma using bipedal lymphangiography

Bipedal lymphagiography is widely accepted as a useful adjunct in the staging, treatment and follow up of the selected patients with non-Hodgkin's lymphoma and Hodgkin's disease. Lymphangiographic findings of 33 cases of lymphomas were analysed in an effort to access and improve the criteria for the lymphangiographic diagnosis inlymphoma. The clinical materials consisted of 22 non-Hodgkin's lymphomas and 11 Hodgkin's diseases. The resultswere as follows: 1. In lymphatic phase, displacement of lymphatic vessels, early filling of lymph nodes andcollateral lymphatic vessels were 57.6%, 51.5% and 42.2%, respectively. 2. In ductal phase, lymph node enlargement, increased number of lymph nodes, filling defects of lymph node, persistent filling of lymphaticvessels, discontinued lymphatic chain, irregular marginal filling defect, foamy pattern of lymph node and abnormal position of lymph nodes(increased spin-to-node distance) were 84.8%. 84.8%, 72.7%, 57.6%, 57.6%, 54.5%, 51.5%, and48.5%,respectively. 3. The mean diameter of lymph node with normal architecture was 1.0cm, and that of abnormal architecture node was 2.0cm. 4. The order of frequency of abnormal findings was external iliac, para-aortic, inguinal and common iliac node groups. 5. Clinical stage I and II were readjusted to stage III in 54.5%.