[Cystic lymphangioma: an unusual cause of lower limb lymphedema].
Identifieur interne : 000416 ( France/Analysis ); précédent : 000415; suivant : 000417[Cystic lymphangioma: an unusual cause of lower limb lymphedema].
Auteurs : A. Hadj-Henni [France] ; V. Ladan-Marcus ; I. Javerliat ; N. Bouhzam ; L. Fouilhe ; C. Marcus ; A. LongSource :
- Journal des maladies vasculaires [ 0398-0499 ] ; 2008.
Descripteurs français
- KwdFr :
- MESH :
- imagerie diagnostique : Lymphangiome kystique.
- étiologie : Lymphoedème.
- Bas de contention, Femelle, Humains, Jeune adulte, Lymphangiome kystique, Lymphoedème, Résultat thérapeutique, Scintigraphie, Échographie, Études de suivi.
English descriptors
- KwdEn :
- MESH :
- complications : Lymphangioma, Cystic.
- diagnostic imaging : Lymphangioma, Cystic.
- etiology : Lymphedema.
- therapy : Lymphangioma, Cystic, Lymphedema.
- Female, Follow-Up Studies, Humans, Radionuclide Imaging, Stockings, Compression, Treatment Outcome, Ultrasonography, Young Adult.
Abstract
We report an unusual cause of unilateral lymphedema of the right limb rapidly increasing in a young woman. Ultrasonography ruled out the diagnosis of iliac deep venous thrombosis or extrinsic compression: the B mode scan revealed a mass located below the aortic bifurcation and along the iliac vessels, without any compressive effect. The lesion was heterogeneous associating both tissular and cystic aspects. The lower limb lymphoscintigraphy showed an interruption of the colloid circulation at the right iliac level. Computed tomography did not give any additional information. Magnetic resonance imaging before then after gadolinium showed typical aspects of cystic lymphangioma and confirmed the ultrasonography hypothesis. Considering that this tumor is benign, that surgery would be difficult because of the anatomic situation of the mass, and that post-operative involution of the edema is uncertain, the treatment was based on compressive stockings and regular follow up.
DOI: 10.1016/j.jmv.2008.05.002
PubMed: 18602782
Affiliations:
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pubmed:18602782Le document en format XML
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Hadj-Henni</name><affiliation wicri:level="3"><nlm:affiliation>Unité de médecine vasculaire, hôpital Robert-Debré, CHU de Reims, rue du Professeur-Kochman, 51100 Reims, France. adjennifr@hotmail.com</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Unité de médecine vasculaire, hôpital Robert-Debré, CHU de Reims, rue du Professeur-Kochman, 51100 Reims</wicri:regionArea><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Champagne-Ardenne</region><settlement type="city">Reims</settlement></placeName></affiliation></author><author><name sortKey="Ladan Marcus, V" sort="Ladan Marcus, V" uniqKey="Ladan Marcus V" first="V" last="Ladan-Marcus">V. Ladan-Marcus</name></author><author><name sortKey="Javerliat, I" sort="Javerliat, I" uniqKey="Javerliat I" first="I" last="Javerliat">I. Javerliat</name></author><author><name sortKey="Bouhzam, N" sort="Bouhzam, N" uniqKey="Bouhzam N" first="N" last="Bouhzam">N. Bouhzam</name></author><author><name sortKey="Fouilhe, L" sort="Fouilhe, L" uniqKey="Fouilhe L" first="L" last="Fouilhe">L. Fouilhe</name></author><author><name sortKey="Marcus, C" sort="Marcus, C" uniqKey="Marcus C" first="C" last="Marcus">C. Marcus</name></author><author><name sortKey="Long, A" sort="Long, A" uniqKey="Long A" first="A" last="Long">A. 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Ultrasonography ruled out the diagnosis of iliac deep venous thrombosis or extrinsic compression: the B mode scan revealed a mass located below the aortic bifurcation and along the iliac vessels, without any compressive effect. The lesion was heterogeneous associating both tissular and cystic aspects. The lower limb lymphoscintigraphy showed an interruption of the colloid circulation at the right iliac level. Computed tomography did not give any additional information. Magnetic resonance imaging before then after gadolinium showed typical aspects of cystic lymphangioma and confirmed the ultrasonography hypothesis. Considering that this tumor is benign, that surgery would be difficult because of the anatomic situation of the mass, and that post-operative involution of the edema is uncertain, the treatment was based on compressive stockings and regular follow up.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Champagne-Ardenne</li><li>Grand Est</li></region><settlement><li>Reims</li></settlement></list><tree><noCountry><name sortKey="Bouhzam, N" sort="Bouhzam, N" uniqKey="Bouhzam N" first="N" last="Bouhzam">N. Bouhzam</name><name sortKey="Fouilhe, L" sort="Fouilhe, L" uniqKey="Fouilhe L" first="L" last="Fouilhe">L. Fouilhe</name><name sortKey="Javerliat, I" sort="Javerliat, I" uniqKey="Javerliat I" first="I" last="Javerliat">I. Javerliat</name><name sortKey="Ladan Marcus, V" sort="Ladan Marcus, V" uniqKey="Ladan Marcus V" first="V" last="Ladan-Marcus">V. Ladan-Marcus</name><name sortKey="Long, A" sort="Long, A" uniqKey="Long A" first="A" last="Long">A. Long</name><name sortKey="Marcus, C" sort="Marcus, C" uniqKey="Marcus C" first="C" last="Marcus">C. Marcus</name></noCountry><country name="France"><region name="Grand Est"><name sortKey="Hadj Henni, A" sort="Hadj Henni, A" uniqKey="Hadj Henni A" first="A" last="Hadj-Henni">A. Hadj-Henni</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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