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[Lymphedema of the lower limbs: CT staging].

Identifieur interne : 000641 ( France/Analysis ); précédent : 000640; suivant : 000642

[Lymphedema of the lower limbs: CT staging].

Auteurs : M. Marotel [France] ; R V Cluzan ; M. Pascot ; F. Alliot ; J L Lasry

Source :

RBID : pubmed:12162203

Descripteurs français

English descriptors

Abstract

Routinely performed, CT is useful and reliable for staging lower limb lymphedema. We describe methods we utilized. We found in frequency order: skin thickening, subcutaneous tissues area increase in regard the safe limb, perimuscular aponevrosis thickening, fat infiltration: lines parallel to the skin, edematous areas along perimuscular aponevrosis, lines perpendicular to the skin. The lowest fat density is increased on the pathologic side. Subfascial compartment is slightly fattened. We found huge differences between primary and secondary lymphedema for the thigh. Same images may be generated by old or young lymphedema. Rarely useful for positive diagnosis, CT is indispensable for secondary lymphedema staging (initial staging or after a recent increase). It seems us indispensable for any pretherapeutic staging (whole objectively disorders, exact upper limit, infraclinic bilaterality).

PubMed: 12162203


Affiliations:


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pubmed:12162203

Le document en format XML

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<term>Lymphedema (classification)</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Lymphedema (pathology)</term>
<term>Male</term>
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<div type="abstract" xml:lang="en">Routinely performed, CT is useful and reliable for staging lower limb lymphedema. We describe methods we utilized. We found in frequency order: skin thickening, subcutaneous tissues area increase in regard the safe limb, perimuscular aponevrosis thickening, fat infiltration: lines parallel to the skin, edematous areas along perimuscular aponevrosis, lines perpendicular to the skin. The lowest fat density is increased on the pathologic side. Subfascial compartment is slightly fattened. We found huge differences between primary and secondary lymphedema for the thigh. Same images may be generated by old or young lymphedema. Rarely useful for positive diagnosis, CT is indispensable for secondary lymphedema staging (initial staging or after a recent increase). It seems us indispensable for any pretherapeutic staging (whole objectively disorders, exact upper limit, infraclinic bilaterality).</div>
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