Lengele 2008 Radiotherapy and Oncology英文电子书.pdf

ARTICLE IN PRESS Radiotherapy and Oncology xxx (2008) xxx–xxx Contents lists available at ScienceDirect Radiotherapy and Oncology journal homepage: www.th Review Anatomical bases for the radiological delineation of lymph node areas. Part III: Pelvis and lower limbs Benoit Lengelé a,*, Pierre Scalliet b a Departments of Surgery and Experimental Morphology, Université Catholique de Louvain, Brussels, Belgium b Department of Radiation Oncology, Cliniques Universitaires Saint Luc, Université Catholique de Louvain, Brussels, Belgium a r t i c l e i n f o a b s t r a c t Article history: Cancer spreads locally through direct infiltration into soft tissues, or at a distance by invading vascular Received 25 September 2008 structures, then migrating through the lymphatic or blood flow. Although cancer cells carried in the blood Accepted 4 November 2008 can end in virtually any corner of the body, lymphatic migration is usually stepwise, through successive Available online xxxx nodal stops, which can temporarily delay further progression. In radiotherapy, irradiation of lymphatic paths relevant to the localization of the primary has been common practice for decades. Similarly, exci- Keywords: sion of cancer is often completed by lymphatic dissection. Lymphatics Both in radiotherapy and in surgery, advanced knowledge