[Computerized tomography of 150 cases of lymphedema of the leg].
Identifieur interne : 000822 ( France/Analysis ); précédent : 000821; suivant : 000823[Computerized tomography of 150 cases of lymphedema of the leg].
Auteurs : M. Marotel [France] ; R. Cluzan ; M. Pascot ; S. Ghabboun ; F. Alliot ; J L LasrySource :
- Journal de radiologie [ 0221-0363 ] ; 1998.
Descripteurs français
- KwdFr :
- MESH :
- imagerie diagnostique : Jambe, Lymphoedème.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Diagnostic différentiel, Femelle, Humains, Lymphoedème, Mâle, Sensibilité et spécificité, Sujet âgé, Sujet âgé de 80 ans ou plus, Tomodensitométrie.
English descriptors
- KwdEn :
- MESH :
- classification : Lymphedema.
- diagnostic imaging : Leg, Lymphedema.
- etiology : Lymphedema.
- Adult, Aged, Aged, 80 and over, Diagnosis, Differential, Female, Humans, Male, Middle Aged, Sensitivity and Specificity, Tomography, X-Ray Computed.
Abstract
The aim of this work was to evaluate the usefulness of CT imaging to stage lower limb lymphedemas. Between 1992 and 1997, we studied 150 cases of lymphedema, half idiopathic and half secondary. Methods used are described. In decreasing order of frequency, we found: skin thickening, increased subcutaneous tissue surface area compared with the healthy limb, thickening of the perimuscular aponevrosis, fat infiltration: lines parallel to the skin (parallel), edematous areas along the perimuscular aponevrosis, lines perpendicular to the skin (perpendicular). The lowest fat density was increased on the diseased side. The subfascial tissue showed some fat accumulation. These results were compared with findings reported in the literature. There were very major differences between idiopathic lymphedema and secondary lymphedema of the thigh. Similar images were generally generated by new and long-standing lymphedema. Rarely useful for positive diagnosis, CT is indispensable for establishing stage initially or after recent increase and, in our opinion, is essential for pretherapeutic assessment. The CT-scan gives objective evidence of overall disorders, the exact upper limit of the lymphedema, and sometimes reveals infraclinical bilateral involvement.
PubMed: 9846290
Affiliations:
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pubmed:9846290Le document en format XML
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Marotel</name><affiliation wicri:level="3"><nlm:affiliation>Hôpital Saint-Michel, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Hôpital Saint-Michel, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Cluzan, R" sort="Cluzan, R" uniqKey="Cluzan R" first="R" last="Cluzan">R. Cluzan</name></author><author><name sortKey="Pascot, M" sort="Pascot, M" uniqKey="Pascot M" first="M" last="Pascot">M. Pascot</name></author><author><name sortKey="Ghabboun, S" sort="Ghabboun, S" uniqKey="Ghabboun S" first="S" last="Ghabboun">S. Ghabboun</name></author><author><name sortKey="Alliot, F" sort="Alliot, F" uniqKey="Alliot F" first="F" last="Alliot">F. Alliot</name></author><author><name sortKey="Lasry, J L" sort="Lasry, J L" uniqKey="Lasry J" first="J L" last="Lasry">J L Lasry</name></author></analytic><series><title level="j">Journal de radiologie</title><idno type="ISSN">0221-0363</idno><imprint><date when="1998" type="published">1998</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Diagnosis, Differential</term><term>Female</term><term>Humans</term><term>Leg (diagnostic imaging)</term><term>Lymphedema (classification)</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (etiology)</term><term>Male</term><term>Middle Aged</term><term>Sensitivity and Specificity</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Diagnostic différentiel</term><term>Femelle</term><term>Humains</term><term>Jambe (imagerie diagnostique)</term><term>Lymphoedème ()</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphoedème (étiologie)</term><term>Mâle</term><term>Sensibilité et spécificité</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tomodensitométrie</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Leg</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Jambe</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Diagnosis, Differential</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Sensitivity and Specificity</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Diagnostic différentiel</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Mâle</term><term>Sensibilité et spécificité</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tomodensitométrie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of this work was to evaluate the usefulness of CT imaging to stage lower limb lymphedemas. Between 1992 and 1997, we studied 150 cases of lymphedema, half idiopathic and half secondary. Methods used are described. In decreasing order of frequency, we found: skin thickening, increased subcutaneous tissue surface area compared with the healthy limb, thickening of the perimuscular aponevrosis, fat infiltration: lines parallel to the skin (parallel), edematous areas along the perimuscular aponevrosis, lines perpendicular to the skin (perpendicular). The lowest fat density was increased on the diseased side. The subfascial tissue showed some fat accumulation. These results were compared with findings reported in the literature. There were very major differences between idiopathic lymphedema and secondary lymphedema of the thigh. Similar images were generally generated by new and long-standing lymphedema. Rarely useful for positive diagnosis, CT is indispensable for establishing stage initially or after recent increase and, in our opinion, is essential for pretherapeutic assessment. The CT-scan gives objective evidence of overall disorders, the exact upper limit of the lymphedema, and sometimes reveals infraclinical bilateral involvement.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Île-de-France</li></region><settlement><li>Paris</li></settlement></list><tree><noCountry><name sortKey="Alliot, F" sort="Alliot, F" uniqKey="Alliot F" first="F" last="Alliot">F. Alliot</name><name sortKey="Cluzan, R" sort="Cluzan, R" uniqKey="Cluzan R" first="R" last="Cluzan">R. Cluzan</name><name sortKey="Ghabboun, S" sort="Ghabboun, S" uniqKey="Ghabboun S" first="S" last="Ghabboun">S. Ghabboun</name><name sortKey="Lasry, J L" sort="Lasry, J L" uniqKey="Lasry J" first="J L" last="Lasry">J L Lasry</name><name sortKey="Pascot, M" sort="Pascot, M" uniqKey="Pascot M" first="M" last="Pascot">M. Pascot</name></noCountry><country name="France"><region name="Île-de-France"><name sortKey="Marotel, M" sort="Marotel, M" uniqKey="Marotel M" first="M" last="Marotel">M. Marotel</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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