Cancer in the genitourinary tract is the increasing problem. The lymphatic system, which plays an important role in metastasis is still obscure and vast field is left for investigation.
This paper presents animal and clinical study of the lymphatic flow, utilizing radioactive colloidal gold
198Au.
(1) Animal study; after subcutaneous injection of
198Au on the dorsal part of dog's foot, uptake of radioactivity of various organs was investigated by scientillation counter, rate meter, well counter etc.
Thoracic duct canulation was performed and the uptake correlation between thoracic duct lymph and peripheral lymph node was investigated, using accelerationg and delaying factors as well as obsering the effect of anethesia and death.
(2) Clinical study; 104 cases (normal 85/abnormal 19) were investigated for femo-inguinal and iliacal nodes uptake after injection of
198Au to dorsal part of feet.
a) 6 hours after injection, all of them (104/104) had some uptake, proved by scintillation counter.
b) 1 hour after injection, only 2 out of 57 without accelerating factors, 19 out 19 with them
in normal legs, compared to 0 out of 4 without them, 3 uou of 3 with them
in edema legs had uptake
3) Urological study (comparison of lymphangiography and 198An lymphscanning) 38 urological and gynecological patients were investigated.
Abnormal scintiscanning found in 2/3 in kidney and adrenal tumor, 1/1 in giant tumor in the pelvis, 4/4 in penis and genital tumor, 1/7 in bladder tumor and 1/13 in uterus carcinoma.
Though my study is still limited, I feel that
198Au is useful for investigation of lymphatic flow and its clinical urological study can be applied to broad field.
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