Assessment of The Lymphatic System of the Genitalia Using Magnetic Resonance Lymphography Before and After Treatment of Male Genital Lymphedema
Identifieur interne : 001395 ( Main/Exploration ); précédent : 001394; suivant : 001396Assessment of The Lymphatic System of the Genitalia Using Magnetic Resonance Lymphography Before and After Treatment of Male Genital Lymphedema
Auteurs : Qing Lu ; Zhaohua Jiang ; Zizhou Zhao ; Lianming Wu ; Guangyu Wu ; Shiteng Suo ; Jianrong XuSource :
- Medicine [ 0025-7974 ] ; 2016.
Descripteurs français
- KwdFr :
- Humains, Imagerie par résonance magnétique (), Lymphoedème (), Lymphoedème (imagerie diagnostique), Lymphoedème (rééducation et réadaptation), Lymphographie (), Maladies de l'appareil génital mâle (), Maladies de l'appareil génital mâle (imagerie diagnostique), Maladies de l'appareil génital mâle (rééducation et réadaptation), Mâle, Noeuds lymphatiques (imagerie diagnostique), Résultat thérapeutique, Vaisseaux lymphatiques (imagerie diagnostique), Études prospectives, Études rétrospectives.
- MESH :
- imagerie diagnostique : Lymphoedème, Maladies de l'appareil génital mâle, Noeuds lymphatiques, Vaisseaux lymphatiques.
- rééducation et réadaptation : Lymphoedème, Maladies de l'appareil génital mâle.
- Humains, Imagerie par résonance magnétique, Lymphoedème, Lymphographie, Maladies de l'appareil génital mâle, Mâle, Résultat thérapeutique, Études prospectives, Études rétrospectives.
English descriptors
- KwdEn :
- Genital Diseases, Male (diagnostic imaging), Genital Diseases, Male (rehabilitation), Genital Diseases, Male (surgery), Humans, Lymph Nodes (diagnostic imaging), Lymphatic Vessels (diagnostic imaging), Lymphedema (diagnostic imaging), Lymphedema (rehabilitation), Lymphedema (surgery), Lymphography (methods), Magnetic Resonance Imaging (methods), Male, Prospective Studies, Retrospective Studies, Treatment Outcome.
- MESH :
- diagnostic imaging : Genital Diseases, Male, Lymph Nodes, Lymphatic Vessels, Lymphedema.
- methods : Lymphography, Magnetic Resonance Imaging.
- rehabilitation : Genital Diseases, Male, Lymphedema.
- surgery : Genital Diseases, Male, Lymphedema.
- Humans, Male, Prospective Studies, Retrospective Studies, Treatment Outcome.
Abstract
Treatment for chronic male genital lymphedema (GL) is limited. No standard treatment or validated instrument to assess GL is available. The aim of this study was to explore whether magnetic resonance lymphography (MRL) could be used to assess GL, select proper treatment for patients, and monitor postoperative progress.
This is a retrospective analysis of a prospectively acquired cohort of men with GL presenting for MRL over a 7-year period. Thirty-six of 47 eligible men were included. All men were offered preoperative and postoperative MRL and assigned a morphology and function classification. Men with mild, moderate, and severe nodal dysfunction underwent complex decongestive physiotherapy (CDP), lymphoveneous microsurgery, and surgical excision, respectively. The volume reductions in the genitalia of patients with mild and moderate nodal dysfunction were recorded and compared using Student
The abnormal superficial and deep lymphatic vessels in the lymphedematous genitalia were detected by MRL, and inguinal lymph node dysfunction was classified by MRL. Seven patients with mild dysfunction who underwent CDP showed a more significant mean volume reduction in the genitalia than did 9 patients with moderate dysfunction. Three patients with hyperplasia and moderate dysfunction who underwent microsurgical operations and 17 patients with hypoplasia and moderate or severe nodal dysfunction who underwent surgical excision had excellent cosmetic results with no lymphedema at the 3- to 5-year follow-up.
MRL can be used to assess morphological and functional lymphatic abnormalities in GL, preoperatively select appropriate treatment, and postoperatively evaluate treatment outcomes.
Url:
DOI: 10.1097/MD.0000000000003755
PubMed: 27227943
PubMed Central: 4902367
Affiliations:
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Le document en format XML
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uniqKey="Lu Q" first="Qing" last="Lu">Qing Lu</name></author><author><name sortKey="Jiang, Zhaohua" sort="Jiang, Zhaohua" uniqKey="Jiang Z" first="Zhaohua" last="Jiang">Zhaohua Jiang</name></author><author><name sortKey="Zhao, Zizhou" sort="Zhao, Zizhou" uniqKey="Zhao Z" first="Zizhou" last="Zhao">Zizhou Zhao</name></author><author><name sortKey="Wu, Lianming" sort="Wu, Lianming" uniqKey="Wu L" first="Lianming" last="Wu">Lianming Wu</name></author><author><name sortKey="Wu, Guangyu" sort="Wu, Guangyu" uniqKey="Wu G" first="Guangyu" last="Wu">Guangyu Wu</name></author><author><name sortKey="Suo, Shiteng" sort="Suo, Shiteng" uniqKey="Suo S" first="Shiteng" last="Suo">Shiteng Suo</name></author><author><name sortKey="Xu, Jianrong" sort="Xu, Jianrong" uniqKey="Xu J" first="Jianrong" last="Xu">Jianrong Xu</name></author></analytic><series><title level="j">Medicine</title><idno type="ISSN">0025-7974</idno><idno type="eISSN">1536-5964</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Genital Diseases, Male (diagnostic imaging)</term><term>Genital Diseases, Male (rehabilitation)</term><term>Genital Diseases, Male (surgery)</term><term>Humans</term><term>Lymph Nodes (diagnostic imaging)</term><term>Lymphatic Vessels (diagnostic imaging)</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (rehabilitation)</term><term>Lymphedema (surgery)</term><term>Lymphography (methods)</term><term>Magnetic Resonance Imaging (methods)</term><term>Male</term><term>Prospective Studies</term><term>Retrospective Studies</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Humains</term><term>Imagerie par résonance magnétique ()</term><term>Lymphoedème ()</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphoedème (rééducation et réadaptation)</term><term>Lymphographie ()</term><term>Maladies de l'appareil génital mâle ()</term><term>Maladies de l'appareil génital mâle (imagerie diagnostique)</term><term>Maladies de l'appareil génital mâle (rééducation et réadaptation)</term><term>Mâle</term><term>Noeuds lymphatiques (imagerie diagnostique)</term><term>Résultat thérapeutique</term><term>Vaisseaux lymphatiques (imagerie diagnostique)</term><term>Études prospectives</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Genital Diseases, Male</term><term>Lymph Nodes</term><term>Lymphatic Vessels</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Lymphoedème</term><term>Maladies de l'appareil génital mâle</term><term>Noeuds lymphatiques</term><term>Vaisseaux lymphatiques</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymphography</term><term>Magnetic Resonance Imaging</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Genital Diseases, Male</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Lymphoedème</term><term>Maladies de l'appareil génital mâle</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Genital Diseases, Male</term><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Male</term><term>Prospective Studies</term><term>Retrospective Studies</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Humains</term><term>Imagerie par résonance magnétique</term><term>Lymphoedème</term><term>Lymphographie</term><term>Maladies de l'appareil génital mâle</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Études prospectives</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><p>Treatment for chronic male genital lymphedema (GL) is limited. No standard treatment or validated instrument to assess GL is available. The aim of this study was to explore whether magnetic resonance lymphography (MRL) could be used to assess GL, select proper treatment for patients, and monitor postoperative progress.</p><p>This is a retrospective analysis of a prospectively acquired cohort of men with GL presenting for MRL over a 7-year period. Thirty-six of 47 eligible men were included. All men were offered preoperative and postoperative MRL and assigned a morphology and function classification. Men with mild, moderate, and severe nodal dysfunction underwent complex decongestive physiotherapy (CDP), lymphoveneous microsurgery, and surgical excision, respectively. The volume reductions in the genitalia of patients with mild and moderate nodal dysfunction were recorded and compared using Student <italic>t</italic> test.</p><p>The abnormal superficial and deep lymphatic vessels in the lymphedematous genitalia were detected by MRL, and inguinal lymph node dysfunction was classified by MRL. Seven patients with mild dysfunction who underwent CDP showed a more significant mean volume reduction in the genitalia than did 9 patients with moderate dysfunction. Three patients with hyperplasia and moderate dysfunction who underwent microsurgical operations and 17 patients with hypoplasia and moderate or severe nodal dysfunction who underwent surgical excision had excellent cosmetic results with no lymphedema at the 3- to 5-year follow-up.</p><p>MRL can be used to assess morphological and functional lymphatic abnormalities in GL, preoperatively select appropriate treatment, and postoperatively evaluate treatment outcomes.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Moffatt, Cj" uniqKey="Moffatt C">CJ Moffatt</name></author><author><name sortKey="Franks, Pj" uniqKey="Franks P">PJ Franks</name></author><author><name sortKey="Doherty, Dc" uniqKey="Doherty D">DC Doherty</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dandapat, Mc" uniqKey="Dandapat M">MC Dandapat</name></author><author><name sortKey="Mohapatro, Sk" uniqKey="Mohapatro S">SK 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Yaycioglu</name></author><author><name sortKey="Aydin, M" uniqKey="Aydin M">M Aydin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Maegawa, J" uniqKey="Maegawa J">J Maegawa</name></author><author><name sortKey="Mikami, T" uniqKey="Mikami T">T Mikami</name></author><author><name sortKey="Yamamoto, Y" uniqKey="Yamamoto Y">Y Yamamoto</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Suami, H" uniqKey="Suami H">H Suami</name></author><author><name sortKey="Pan, Wr" uniqKey="Pan W">WR Pan</name></author><author><name sortKey="Taylor, Gi" uniqKey="Taylor G">GI Taylor</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mukenge, S" uniqKey="Mukenge S">S Mukenge</name></author><author><name sortKey="Pulitano, C" uniqKey="Pulitano C">C Pulitano</name></author><author><name sortKey="Colombo, R" uniqKey="Colombo R">R Colombo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Otsuki, Y" uniqKey="Otsuki Y">Y Otsuki</name></author><author><name sortKey="Yamada, K" uniqKey="Yamada K">K Yamada</name></author><author><name sortKey="Hasegawa, K" uniqKey="Hasegawa K">K Hasegawa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Huang, Gk" uniqKey="Huang G">GK Huang</name></author><author><name sortKey="Hu, Rq" uniqKey="Hu R">RQ Hu</name></author><author><name sortKey="Liu, Zz" uniqKey="Liu Z">ZZ Liu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Huang, Gk" uniqKey="Huang G">GK Huang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vaught, Sk" uniqKey="Vaught S">SK Vaught</name></author><author><name sortKey="Litvak, As" uniqKey="Litvak A">AS Litvak</name></author><author><name sortKey="Mcroberts, Jw" uniqKey="Mcroberts J">JW McRoberts</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Malloy, Tr" uniqKey="Malloy T">TR Malloy</name></author><author><name sortKey="Wein, Aj" uniqKey="Wein A">AJ Wein</name></author><author><name sortKey="Gross, P" uniqKey="Gross P">P Gross</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Steinberg, J" uniqKey="Steinberg J">J Steinberg</name></author><author><name sortKey="Kim, Ed" uniqKey="Kim E">ED Kim</name></author><author><name sortKey="Mcvary, Kt" uniqKey="Mcvary K">KT McVary</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Jiang, Zhaohua" sort="Jiang, Zhaohua" uniqKey="Jiang Z" first="Zhaohua" last="Jiang">Zhaohua Jiang</name><name sortKey="Lu, Qing" sort="Lu, Qing" uniqKey="Lu Q" first="Qing" last="Lu">Qing Lu</name><name sortKey="Suo, Shiteng" sort="Suo, Shiteng" uniqKey="Suo S" first="Shiteng" last="Suo">Shiteng Suo</name><name sortKey="Wu, Guangyu" sort="Wu, Guangyu" uniqKey="Wu G" first="Guangyu" last="Wu">Guangyu Wu</name><name sortKey="Wu, Lianming" sort="Wu, Lianming" uniqKey="Wu L" first="Lianming" last="Wu">Lianming Wu</name><name sortKey="Xu, Jianrong" sort="Xu, Jianrong" uniqKey="Xu J" first="Jianrong" last="Xu">Jianrong Xu</name><name sortKey="Zhao, Zizhou" sort="Zhao, Zizhou" uniqKey="Zhao Z" first="Zizhou" last="Zhao">Zizhou Zhao</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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