Objectives: To determine the clearance of a radionuclide from various
sizes of footpad melanomas via lymphatics and to measure the diameters
of these vessels. Design: Nonrandomized animal study. Setting: A hosp
ital research laboratory. Subjects: C57BL/6 mice. Interventions: Femal
e mice were injected in the right rear footpad with B16 F10 cells that
were allowed to grow to either 1, 2, 3, 4, or 5 mm in anteroposterior
diameter. Clearance from feet with or without tumors of injected tech
netium Tc 99m human serum albumin ((99m)TcHSA) was assessed for 200 mi
nutes. Calf lymphatic diameters were measured using aniline blue dye.
Results: The clearance of the injected (99m)TcHSA from mouse footpads
without tumors was 1.26 +/- 0.18 x 10(-4) mL/min x cm(3) of tissue. Cl
earance increased 2.24-fold to 2.82 +/- 0.12 x 10(-4) mL/min x cm(3) o
f tissue from l-mm tumors and to 6.20 +/- 0.08, 6.11 +/- 0.13, 6.91 +/
- 0.58, and 7.23 +/- 0.48 x 10(-4) mL/min x cm(3) of tissue from 2-, 3
-, 4-, and 5-mm tumors, respectively (P<.05). Calf lymphatic diameters
increased from 75.41 +/- 9.72 mu m in naive, nontumor-bearing mice to
93.51 +/- 7.12, 111.61 +/- 27.07, 126.69 +/- 25.20, 124.43 +/- 24.75,
and 127.44 +/- 25.35 mu m in mice bearing 1-, 2-, 3-, 4-, and 5-mm tu
mors, respectively (P<.01). Conclusions: There was a size-dependent, d
irect correlation between increasing tumor size in the footpad and inc
reasing diameter of lymphatics draining the footpad. Clearance of inje
cted (99m)TcHSA from these tumors also exhibited a similar positive co
rrelation with tumor size.