I have been searching something about CT scans of cell carcinoma. What I am especially interested into is recurrent cell carcinoma after cystectomy. I know that condition requires, and is recommended to perform CT, because it is useful in this regard. I know that location and type of recurrences must be known, so this is an appropriate scan. I would like to know how common is pelvic adenopathy in different results.
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CT scans have been usually recommended for examination of patients who are at risk for recurrent transitional cell carcinoma. There were studies explaining those results after cystectomy has been performed. Retrospectively were studied CT scans in 27 postcystectomy patients with recurrent transitional cell carcinoma of the bladder. Results should show and identify the type and location of the current disease. Tumor recurred at the cystectomy site in 10 (37%) of 27 patients, pelvic adenopathy was present in 18 (67%) patients and retroperitoneal adenopathy was present in 13 (57%) of 23 patients. Tumor recurrence at cystectomy site was associated with the pelvic adenopathy in seven of ten patients. Conversely, in 11 of 18 patients with pelvic adenopathy no recurrence was seen at the cystectomy site. Combined retro peritoneal and pelvic adenopathy was identified in 11 of 23 patients. Anyway, there were two patients that had retroperitoneal lymphadenopathy as their only site of recurrence. Those results showed that the pelvis is the most common site for recurrence. Cystectomy sire or retroperitoneal nodal recurrences were usually accompanied by pelvic adenopathy, but this converse is not as common.
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