Lymphoedema caused by idiopathic lymphatic thrombus.
Identifieur interne : 003443 ( Main/Exploration ); précédent : 003442; suivant : 003444Lymphoedema caused by idiopathic lymphatic thrombus.
Auteurs : Hisako Hara [Japon] ; Makoto Mihara ; Yukio Seki ; Isao KoshimaSource :
- Journal of plastic, reconstructive & aesthetic surgery : JPRAS [ 1878-0539 ] ; 2013.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Cellules endothéliales, Maladies lymphatiques, Thrombose.
- diagnostic : Maladies lymphatiques, Thrombose.
- étiologie : Lymphoedème.
- Adulte, Humains, Lymphoedème, Maladies lymphatiques, Mâle, Thrombose.
English descriptors
- KwdEn :
- MESH :
- complications : Lymphatic Diseases, Thrombosis.
- diagnosis : Lymphatic Diseases, Thrombosis.
- etiology : Lymphedema.
- pathology : Endothelial Cells, Lymphatic Diseases, Thrombosis.
- surgery : Lymphedema.
- Adult, Humans, Male.
Abstract
Primary lymphoedema includes some diseases whose genetic anomaly is detected and others whose pathology is unknown. In this article, we report a lymphatic thrombus found in a limb with lymphoedema during lymphatico-venous anastomosis (LVA). A 32-year-old man was aware of oedema in his left calcar pedis 3 years previously, which appeared without any trigger. Indocyanine green lymphography indicated lymphatic stasis in the left calf and thigh region, and we performed LVA for the patient. During the operation, we found yellow vessels, which were thought to be lymphatic vessels filled with a yellow solid substance, just beneath the superficial fascia at the left ankle. Pathological examination of the thrombi revealed hyaline material mixed with cell components. The cells were categorised as lymphatic endothelial cells, as they were positive for podoplanin. There was no evidence of malignancy. Causes of idiopathic lymphatic thrombus such as this may be one of the causes of so-called primary lymphoedema, and evaluation of such cases may be the first step towards elucidating the mechanisms involved in the development of primary lymphoedema.
DOI: 10.1016/j.bjps.2013.04.043
PubMed: 23643778
Affiliations:
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Electronic address: hisako_hara@hotmail.co.jp.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region><settlement type="city">Tokyo</settlement></placeName><orgName type="university">Université de Tokyo</orgName></affiliation></author><author><name sortKey="Mihara, Makoto" sort="Mihara, Makoto" uniqKey="Mihara M" first="Makoto" last="Mihara">Makoto Mihara</name></author><author><name sortKey="Seki, Yukio" sort="Seki, Yukio" uniqKey="Seki Y" first="Yukio" last="Seki">Yukio Seki</name></author><author><name sortKey="Koshima, Isao" sort="Koshima, Isao" uniqKey="Koshima I" first="Isao" last="Koshima">Isao Koshima</name></author></analytic><series><title level="j">Journal of plastic, reconstructive & aesthetic surgery : JPRAS</title><idno type="eISSN">1878-0539</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Endothelial Cells (pathology)</term><term>Humans</term><term>Lymphatic Diseases (complications)</term><term>Lymphatic Diseases (diagnosis)</term><term>Lymphatic Diseases (pathology)</term><term>Lymphedema (etiology)</term><term>Lymphedema (surgery)</term><term>Male</term><term>Thrombosis (complications)</term><term>Thrombosis (diagnosis)</term><term>Thrombosis (pathology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Cellules endothéliales (anatomopathologie)</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Maladies lymphatiques ()</term><term>Maladies lymphatiques (anatomopathologie)</term><term>Maladies lymphatiques (diagnostic)</term><term>Mâle</term><term>Thrombose ()</term><term>Thrombose (anatomopathologie)</term><term>Thrombose (diagnostic)</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Cellules endothéliales</term><term>Maladies lymphatiques</term><term>Thrombose</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Lymphatic Diseases</term><term>Thrombosis</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphatic Diseases</term><term>Thrombosis</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Maladies lymphatiques</term><term>Thrombose</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Endothelial Cells</term><term>Lymphatic Diseases</term><term>Thrombosis</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Humans</term><term>Male</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Humains</term><term>Lymphoedème</term><term>Maladies lymphatiques</term><term>Mâle</term><term>Thrombose</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Primary lymphoedema includes some diseases whose genetic anomaly is detected and others whose pathology is unknown. In this article, we report a lymphatic thrombus found in a limb with lymphoedema during lymphatico-venous anastomosis (LVA). A 32-year-old man was aware of oedema in his left calcar pedis 3 years previously, which appeared without any trigger. Indocyanine green lymphography indicated lymphatic stasis in the left calf and thigh region, and we performed LVA for the patient. During the operation, we found yellow vessels, which were thought to be lymphatic vessels filled with a yellow solid substance, just beneath the superficial fascia at the left ankle. Pathological examination of the thrombi revealed hyaline material mixed with cell components. The cells were categorised as lymphatic endothelial cells, as they were positive for podoplanin. There was no evidence of malignancy. Causes of idiopathic lymphatic thrombus such as this may be one of the causes of so-called primary lymphoedema, and evaluation of such cases may be the first step towards elucidating the mechanisms involved in the development of primary lymphoedema.</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="Koshima, Isao" sort="Koshima, Isao" uniqKey="Koshima I" first="Isao" last="Koshima">Isao Koshima</name><name sortKey="Mihara, Makoto" sort="Mihara, Makoto" uniqKey="Mihara M" first="Makoto" last="Mihara">Makoto Mihara</name><name sortKey="Seki, Yukio" sort="Seki, Yukio" uniqKey="Seki Y" first="Yukio" last="Seki">Yukio Seki</name></noCountry><country name="Japon"><region name="Région de Kantō"><name sortKey="Hara, Hisako" sort="Hara, Hisako" uniqKey="Hara H" first="Hisako" last="Hara">Hisako Hara</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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