Mustafa TAŞAR, Metin GÜDEN, İbrahim KARADEMİR, Cenk KILIÇ

Lenfanjiografi üzerinde abdominal, pelvik ve inguinal lenf düğümlerinin normal dağılım biçiminin değerlendirilmesi

Amaç: Bu çalışmanın amacı; abdominal, pelvik ve inguinal lenf düğümlerinin lenfanjiografi görüntülerindeki normal değişiklikleri belirlemek ve topografik dağılım biçimini değerlendirmekti. Yöntem: 32 erişkin insana ait olan 106 lenfanjiografi üzerinde abdominal, pelvik ve inguinal lenf düğümleri araştırıldı. Her bir anatomik bölgedeki lenf düğümlerinin sayısı, boyutu ve şekilleri belirlendi. Bulgular: Çalışmamızda, toplam 2841 lenf düğümü görüldü. Her bir abdominal bölgede ortalama 30,97, pelvik bölgede ortalama 36,56, inguinal bölgede ise ortalama 21,25 lenf düğümü saptanmıştır. Abdominal lenf düğümlerinin boyutu ortalama 2,1 mm, pelvik lenf düğümlerinin boyutu ortalama 2,8 mm ve inguinal lenf düğümlerinin boyutu ortalama 4,9 mm bulundu. Sonuç: Bu çalışmada, ülkemizdeki abdominal, pelvik ve inguinal lenf düğümlerinin lenfanjiografi görüntülerindeki normal değişiklikleri tespit ettik ve daha önce literatürde bildirilmiş olan sonuçlarla bizim sonuçlarımızı karşılaştırdık. Ayrıca lenfanjiografi tekniği tanımlandı ve lenfanjiografi esnasında ortaya çıkabilecek komplikasyonlar, abdominal, pelvik ve inguinal lenf düğümlerinin normal lenfanjiografi görüntüleri ve normal dağılım biçimindeki farklılıklar hakkında bilgi verildi. Literatürü incelediğimizde bizim çalışmamızda olduğu gibi abdominal, pelvik ve inguinal lenf düğümlerinin şekli ile ilgili yapılmış olan bir çalışmaya rastlayamadık. Farklı cerrahi bölgelerdeki lenf düğümlerinin sayısının, boyutunun ve şeklinin bilinmesi; radyolojik görüntüleme ve radyasyon tedavisini planlamada büyük fayda sağlayacaktır.

Evaluation of normal pattern of abdominal, pelvic and inguinal lymph nodes at lymphangiography

Aim: Purpose of this study; was to determine normal changes at lymphangiographic views of abdominal, pelvic and inguinal lymph nodes and to evaluate topographical distribution of these nodes. Also, technique of lymphangiography was defined and was give knowledge about complications which might come about during to lymphangiography, normal lymphangiographic views of abdominal, pelvic and inguinal lymph nodes and diff erences at normal pattern of these nodes in this study. Method: Researchs of abdominal, pelvic and inguinal lymph nodes were made in 106 lymphangiography from 32 adult humans. The number, size and shape of lymph nodes were to determined in each of anatomical region. Results: In our study, a total of 2841 lymph nodes were visible. The number of abdominal, pelvic and inguinal lymph nodes were found that mean 30,97; 36,56 and 21,25 respectively. The size of abdominal, pelvic and inguinal lymph nodes were found that mean 2,1 mm, 2,8 mm and 4,9 mm, respectively. Conclusion: In this study, we are identified to normal changes at lymphangiographic views of abdominal, pelvic and inguinal lymph nodes and compared our results to those of previously reported literature in Turkish population. We could not find a study that made concerning the shape of abdominal, pelvic and inguinal lymph nodes as our study when investigate literature. Knowledge of number, size and shape of lymph nodes in diff erent surgical regions provide a great benefit in radiologic imaging and planning radiation therapy.

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