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Ninety-two patients with carcinoma of the cervix, who had lymphograms before treatment, were observed for a period of three to five years. In patients with lymph node metastases 57.1% were found to have recurrences or metastases, or died during that period. Amongst patients with normal lymphograms the corresponding figure was 11.3%. These findings were true for each stage of the disease. Follow-up studies with histological examination of the lymph nodes have shown that the prognosis of carcinoma of the cervix is totally different if lymph node metastases are present. Separation into cases with good and bad prognosis can be achieved by pre-treatment lymphography. The radiological findings concerning lymph nodes should therefore be included in the classification of carcinoma of the cervix; the T.N.M. calssification of U.I.C.C. makes this possible.
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M Amengual, and
R Dietz
January 1979,
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