[Importance of caudal mesenteriography for precise determination of the degree of spread of rectal cancer and for the choice of treatment method].
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Biomedical subjects
Publications and source records attributed to A F Tsyb.
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With the goal of accelerating the contrast-medium injection at the lymphography and improving the contrasting of the vessels and node conduction system the authors applied a variety of pharmacological preparations: Ridol (G. Richter), Nospanum (Quinoine, HPR), Arfonadum (Hoffman-La Rochet, Switzerland), Xavinum (Quinoine) etc. in 110 cases of various malignant neoplasms. All the selected drugs are, to a greater or lesser extent, of a vasodilative effect. It has been found that Ridol together with the combination of Novocaine and Nospanum produce a pronounced lymphotropic effect. Pharmacolymphography with these preparations contributes to the shortening of the time necessary for the injection of contrast-medium and also improves the image of the intermediate node sinuses and of the thoracic duct.
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The authors share their experience with the use of special methods of roentgeno-radioisotope investigation (selective inferior mesentericography, intravenous pelvic phlebography, vaso-vesiculography, direct inferior lymphography, scanning of hepatic lymph nodes) for precise determination of the lesion stage in 151 patients with rectal cancer. Diagnostic findings obtained by means of selective inferior mesentericography, intravenous pelvic phlebography and vaso-vesiculography allows the division of T category to be based on the anatomical principle of the organ and adjacent tissues structure. Lymphography and lymphoscanning render it possible to pinpoint further the category NX, thus differentiating NX, N0, N1, N2. The diagnostic data obtained were carefully checked during surgical interventions and by histological assay of the operative material. The results of the work have proved the methods employed to be highly reliable.
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