Therapeutic strategy for lower limb lymphedema and lymphatic fistula after resection of a malignant tumor in the hip joint region: a case report.
Identifieur interne : 002396 ( Main/Exploration ); précédent : 002395; suivant : 002397Therapeutic strategy for lower limb lymphedema and lymphatic fistula after resection of a malignant tumor in the hip joint region: a case report.
Auteurs : H. Hara [Japon] ; M. Mihara ; A. Hayashi ; M. Kanemaru ; T. Todokoro ; T. Yamamoto ; T. Iida ; R. Hino ; I. KoshimaSource :
- Microsurgery [ 1098-2752 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Arthroplastie prothétique de hanche, Articulation de la hanche, Complications postopératoires (), Dilatation pathologique, Facteurs temps, Femelle, Fistule (), Humains, Lymphoedème (), Lymphoedème (étiologie), Maladies lymphatiques (), Tumeurs du fémur (), Tumeurs neuroectodermiques primitives périphériques (), Vaisseaux lymphatiques (anatomopathologie).
- MESH :
- anatomopathologie : Vaisseaux lymphatiques.
- étiologie : Lymphoedème.
- Adulte, Arthroplastie prothétique de hanche, Articulation de la hanche, Complications postopératoires, Dilatation pathologique, Facteurs temps, Femelle, Fistule, Humains, Lymphoedème, Maladies lymphatiques, Tumeurs du fémur, Tumeurs neuroectodermiques primitives périphériques.
English descriptors
- KwdEn :
- Adult, Arthroplasty, Replacement, Hip, Dilatation, Pathologic, Female, Femoral Neoplasms (surgery), Fistula (surgery), Hip Joint, Humans, Lymphatic Diseases (surgery), Lymphatic Vessels (pathology), Lymphedema (etiology), Lymphedema (surgery), Neuroectodermal Tumors, Primitive, Peripheral (surgery), Postoperative Complications (surgery), Time Factors.
- MESH :
- etiology : Lymphedema.
- pathology : Lymphatic Vessels.
- surgery : Femoral Neoplasms, Fistula, Lymphatic Diseases, Lymphedema, Neuroectodermal Tumors, Primitive, Peripheral, Postoperative Complications.
- Adult, Arthroplasty, Replacement, Hip, Dilatation, Pathologic, Female, Hip Joint, Humans, Time Factors.
Abstract
Lymphatic fistula complicating lymphedema is thought to occur due to communication between lymph vessels and the skin, which has yet to be shown objectively. The objective of this case report is to show the pathology and treatment using simultaneous lymphatic fistula resection and lymphatico-venous anastomosis (LVA). A 40-year-old woman underwent extended resection and total hip arthroplasty for primitive neuroectodermal tumor in the right proximal femur 23 years ago. Right lower limb lymphedema developed immediately after surgery and lymphatic fistula appeared in the posterior thigh. On ICG lymphography, lymph reflux toward the distal side dispersing in a fan-shape reticular pattern from the lymphatic fistula region was noted after intracutaneous injection of ICG into the foot. We performed simultaneous lymphatic fistula resection and of LVA. Pathological examination showed that the epidermis and stratum corneum of the healthy skin were lost in the lymphatic fistula region. Dilated lymph vessels were open in this region. The examinations provide the first objective evidence that the cause of lymphatic fistula may be lymph reflux from lymphatic stems to precollectors through lymphatic perforators.
DOI: 10.1002/micr.22138
PubMed: 23908155
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 001989
- to stream PubMed, to step Curation: 001989
- to stream PubMed, to step Checkpoint: 001989
- to stream Ncbi, to step Merge: 005C03
- to stream Ncbi, to step Curation: 005C03
- to stream Ncbi, to step Checkpoint: 005C03
- to stream Main, to step Merge: 002399
- to stream Main, to step Curation: 002396
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Therapeutic strategy for lower limb lymphedema and lymphatic fistula after resection of a malignant tumor in the hip joint region: a case report.</title><author><name sortKey="Hara, H" sort="Hara, H" uniqKey="Hara H" first="H" last="Hara">H. Hara</name><affiliation wicri:level="4"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, The University of Tokyo, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, The University of Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="province">Région de Kantō</region></placeName><orgName type="university">Université de Tokyo</orgName></affiliation></author><author><name sortKey="Mihara, M" sort="Mihara, M" uniqKey="Mihara M" first="M" last="Mihara">M. Mihara</name></author><author><name sortKey="Hayashi, A" sort="Hayashi, A" uniqKey="Hayashi A" first="A" last="Hayashi">A. Hayashi</name></author><author><name sortKey="Kanemaru, M" sort="Kanemaru, M" uniqKey="Kanemaru M" first="M" last="Kanemaru">M. Kanemaru</name></author><author><name sortKey="Todokoro, T" sort="Todokoro, T" uniqKey="Todokoro T" first="T" last="Todokoro">T. Todokoro</name></author><author><name sortKey="Yamamoto, T" sort="Yamamoto, T" uniqKey="Yamamoto T" first="T" last="Yamamoto">T. Yamamoto</name></author><author><name sortKey="Iida, T" sort="Iida, T" uniqKey="Iida T" first="T" last="Iida">T. Iida</name></author><author><name sortKey="Hino, R" sort="Hino, R" uniqKey="Hino R" first="R" last="Hino">R. Hino</name></author><author><name sortKey="Koshima, I" sort="Koshima, I" uniqKey="Koshima I" first="I" last="Koshima">I. Koshima</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:23908155</idno><idno type="pmid">23908155</idno><idno type="doi">10.1002/micr.22138</idno><idno type="wicri:Area/PubMed/Corpus">001989</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001989</idno><idno type="wicri:Area/PubMed/Curation">001989</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001989</idno><idno type="wicri:Area/PubMed/Checkpoint">001989</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001989</idno><idno type="wicri:Area/Ncbi/Merge">005C03</idno><idno type="wicri:Area/Ncbi/Curation">005C03</idno><idno type="wicri:Area/Ncbi/Checkpoint">005C03</idno><idno type="wicri:Area/Main/Merge">002399</idno><idno type="wicri:Area/Main/Curation">002396</idno><idno type="wicri:Area/Main/Exploration">002396</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Therapeutic strategy for lower limb lymphedema and lymphatic fistula after resection of a malignant tumor in the hip joint region: a case report.</title><author><name sortKey="Hara, H" sort="Hara, H" uniqKey="Hara H" first="H" last="Hara">H. Hara</name><affiliation wicri:level="4"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, The University of Tokyo, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, The University of Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="province">Région de Kantō</region></placeName><orgName type="university">Université de Tokyo</orgName></affiliation></author><author><name sortKey="Mihara, M" sort="Mihara, M" uniqKey="Mihara M" first="M" last="Mihara">M. Mihara</name></author><author><name sortKey="Hayashi, A" sort="Hayashi, A" uniqKey="Hayashi A" first="A" last="Hayashi">A. Hayashi</name></author><author><name sortKey="Kanemaru, M" sort="Kanemaru, M" uniqKey="Kanemaru M" first="M" last="Kanemaru">M. Kanemaru</name></author><author><name sortKey="Todokoro, T" sort="Todokoro, T" uniqKey="Todokoro T" first="T" last="Todokoro">T. Todokoro</name></author><author><name sortKey="Yamamoto, T" sort="Yamamoto, T" uniqKey="Yamamoto T" first="T" last="Yamamoto">T. Yamamoto</name></author><author><name sortKey="Iida, T" sort="Iida, T" uniqKey="Iida T" first="T" last="Iida">T. Iida</name></author><author><name sortKey="Hino, R" sort="Hino, R" uniqKey="Hino R" first="R" last="Hino">R. Hino</name></author><author><name sortKey="Koshima, I" sort="Koshima, I" uniqKey="Koshima I" first="I" last="Koshima">I. Koshima</name></author></analytic><series><title level="j">Microsurgery</title><idno type="eISSN">1098-2752</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Arthroplasty, Replacement, Hip</term><term>Dilatation, Pathologic</term><term>Female</term><term>Femoral Neoplasms (surgery)</term><term>Fistula (surgery)</term><term>Hip Joint</term><term>Humans</term><term>Lymphatic Diseases (surgery)</term><term>Lymphatic Vessels (pathology)</term><term>Lymphedema (etiology)</term><term>Lymphedema (surgery)</term><term>Neuroectodermal Tumors, Primitive, Peripheral (surgery)</term><term>Postoperative Complications (surgery)</term><term>Time Factors</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Arthroplastie prothétique de hanche</term><term>Articulation de la hanche</term><term>Complications postopératoires ()</term><term>Dilatation pathologique</term><term>Facteurs temps</term><term>Femelle</term><term>Fistule ()</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Maladies lymphatiques ()</term><term>Tumeurs du fémur ()</term><term>Tumeurs neuroectodermiques primitives périphériques ()</term><term>Vaisseaux lymphatiques (anatomopathologie)</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Vaisseaux lymphatiques</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lymphatic Vessels</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Femoral Neoplasms</term><term>Fistula</term><term>Lymphatic Diseases</term><term>Lymphedema</term><term>Neuroectodermal Tumors, Primitive, Peripheral</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Arthroplasty, Replacement, Hip</term><term>Dilatation, Pathologic</term><term>Female</term><term>Hip Joint</term><term>Humans</term><term>Time Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Arthroplastie prothétique de hanche</term><term>Articulation de la hanche</term><term>Complications postopératoires</term><term>Dilatation pathologique</term><term>Facteurs temps</term><term>Femelle</term><term>Fistule</term><term>Humains</term><term>Lymphoedème</term><term>Maladies lymphatiques</term><term>Tumeurs du fémur</term><term>Tumeurs neuroectodermiques primitives périphériques</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lymphatic fistula complicating lymphedema is thought to occur due to communication between lymph vessels and the skin, which has yet to be shown objectively. The objective of this case report is to show the pathology and treatment using simultaneous lymphatic fistula resection and lymphatico-venous anastomosis (LVA). A 40-year-old woman underwent extended resection and total hip arthroplasty for primitive neuroectodermal tumor in the right proximal femur 23 years ago. Right lower limb lymphedema developed immediately after surgery and lymphatic fistula appeared in the posterior thigh. On ICG lymphography, lymph reflux toward the distal side dispersing in a fan-shape reticular pattern from the lymphatic fistula region was noted after intracutaneous injection of ICG into the foot. We performed simultaneous lymphatic fistula resection and of LVA. Pathological examination showed that the epidermis and stratum corneum of the healthy skin were lost in the lymphatic fistula region. Dilated lymph vessels were open in this region. The examinations provide the first objective evidence that the cause of lymphatic fistula may be lymph reflux from lymphatic stems to precollectors through lymphatic perforators.</div></front></TEI><affiliations><list><country><li>Japon</li></country><region><li>Région de Kantō</li></region><settlement><li>Tokyo</li></settlement><orgName><li>Université de Tokyo</li></orgName></list><tree><noCountry><name sortKey="Hayashi, A" sort="Hayashi, A" uniqKey="Hayashi A" first="A" last="Hayashi">A. Hayashi</name><name sortKey="Hino, R" sort="Hino, R" uniqKey="Hino R" first="R" last="Hino">R. Hino</name><name sortKey="Iida, T" sort="Iida, T" uniqKey="Iida T" first="T" last="Iida">T. Iida</name><name sortKey="Kanemaru, M" sort="Kanemaru, M" uniqKey="Kanemaru M" first="M" last="Kanemaru">M. Kanemaru</name><name sortKey="Koshima, I" sort="Koshima, I" uniqKey="Koshima I" first="I" last="Koshima">I. Koshima</name><name sortKey="Mihara, M" sort="Mihara, M" uniqKey="Mihara M" first="M" last="Mihara">M. Mihara</name><name sortKey="Todokoro, T" sort="Todokoro, T" uniqKey="Todokoro T" first="T" last="Todokoro">T. Todokoro</name><name sortKey="Yamamoto, T" sort="Yamamoto, T" uniqKey="Yamamoto T" first="T" last="Yamamoto">T. Yamamoto</name></noCountry><country name="Japon"><region name="Région de Kantō"><name sortKey="Hara, H" sort="Hara, H" uniqKey="Hara H" first="H" last="Hara">H. Hara</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002396 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 002396 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:23908155
|texte= Therapeutic strategy for lower limb lymphedema and lymphatic fistula after resection of a malignant tumor in the hip joint region: a case report.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:23908155" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a LymphedemaV1
| This area was generated with Dilib version V0.6.31. |  |