Natural history of lymph pumping pressure after pelvic lymphadenectomy.
Identifieur interne : 004090 ( Main/Exploration ); précédent : 004089; suivant : 004091Natural history of lymph pumping pressure after pelvic lymphadenectomy.
Auteurs : T. Okitsu [Japon] ; T. Tsuji ; T. Fujii ; M. Mihara ; H. Hara ; I. Kisu ; D. Aoki ; C. Miyata ; Y. Otaka ; M. LiuSource :
- Lymphology [ 0024-7766 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Femelle, Histoire naturelle, Humains, Jeune adulte, Lymphadénectomie (effets indésirables), Lymphoedème (diagnostic), Lymphoedème (étiologie), Lymphographie, Métastase lymphatique, Noeuds lymphatiques (), Noeuds lymphatiques (imagerie diagnostique), Noeuds lymphatiques (physiopathologie), Pelvis (), Pelvis (anatomopathologie), Pression, Pronostic, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de l'appareil génital féminin (), Vert indocyanine, Études de suivi, Études prospectives.
- MESH :
- anatomopathologie : Pelvis.
- diagnostic : Lymphoedème.
- effets indésirables : Lymphadénectomie.
- imagerie diagnostique : Noeuds lymphatiques.
- physiopathologie : Noeuds lymphatiques.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Femelle, Histoire naturelle, Humains, Jeune adulte, Lymphographie, Métastase lymphatique, Noeuds lymphatiques, Pelvis, Pression, Pronostic, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de l'appareil génital féminin, Vert indocyanine, Études de suivi, Études prospectives.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Female, Follow-Up Studies, Genital Neoplasms, Female (surgery), Humans, Indocyanine Green, Lymph Node Excision (adverse effects), Lymph Nodes (diagnostic imaging), Lymph Nodes (physiopathology), Lymph Nodes (surgery), Lymphatic Metastasis, Lymphedema (diagnosis), Lymphedema (etiology), Lymphography, Middle Aged, Natural History, Pelvis (pathology), Pelvis (surgery), Pressure, Prognosis, Prospective Studies, Young Adult.
- MESH :
- chemical : Indocyanine Green.
- adverse effects : Lymph Node Excision.
- diagnosis : Lymphedema.
- diagnostic imaging : Lymph Nodes.
- etiology : Lymphedema.
- pathology : Pelvis.
- physiopathology : Lymph Nodes.
- surgery : Genital Neoplasms, Female, Lymph Nodes, Pelvis.
- Adult, Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Lymphatic Metastasis, Lymphography, Middle Aged, Natural History, Pressure, Prognosis, Prospective Studies, Young Adult.
Abstract
Lower limb lymphedema is difficult to prevent and diagnose early because its natural history is unclear. Therefore, the aim of this study was to clarify its pathogenesis and to identify risk factors that may lead to early diagnosis. In 29 patients, aged 25 to 74 years with cervical, uterine, or ovarian cancer who underwent pelvic lymphadenectomy, indocyanine green fluorescence lymphangiography was performed with an infrared camera system, and lymph pumping pressure was measured indirectly preoperatively, and one, two, three, and six months postoperatively. Of these 29 patients, 22 (75.9%) completed the examinations. In the non-lymphedema group, the average lymph pumping pressure did not change significantly at postoperative follow-up compared with preoperative values. On the other hand, lymph pumping pressure increased at various time points in five patients who developed early lymphatic changes with dermal diffusion at the level of the proximal femur. An increase in lymph flow path resistance due to pelvic lymphadenectomy resulted in an initial increase in lymph pumping pressure, followed by a subsequent decrease, in the early lymphatic changes group. This trend in the pressure change signifies that the lymph vessels became dysfunctional as they were overwhelmed by the overload condition and this feature may be a clinically useful signal for the early diagnosis of developing lymphedema.
PubMed: 23700763
Affiliations:
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Fujii</name></author><author><name sortKey="Mihara, M" sort="Mihara, M" uniqKey="Mihara M" first="M" last="Mihara">M. Mihara</name></author><author><name sortKey="Hara, H" sort="Hara, H" uniqKey="Hara H" first="H" last="Hara">H. Hara</name></author><author><name sortKey="Kisu, I" sort="Kisu, I" uniqKey="Kisu I" first="I" last="Kisu">I. Kisu</name></author><author><name sortKey="Aoki, D" sort="Aoki, D" uniqKey="Aoki D" first="D" last="Aoki">D. Aoki</name></author><author><name sortKey="Miyata, C" sort="Miyata, C" uniqKey="Miyata C" first="C" last="Miyata">C. Miyata</name></author><author><name sortKey="Otaka, Y" sort="Otaka, Y" uniqKey="Otaka Y" first="Y" last="Otaka">Y. Otaka</name></author><author><name sortKey="Liu, M" sort="Liu, M" uniqKey="Liu M" first="M" last="Liu">M. Liu</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:23700763</idno><idno type="pmid">23700763</idno><idno type="wicri:Area/PubMed/Corpus">001B33</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001B33</idno><idno type="wicri:Area/PubMed/Curation">001B33</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001B33</idno><idno type="wicri:Area/PubMed/Checkpoint">001B33</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001B33</idno><idno type="wicri:Area/Ncbi/Merge">005936</idno><idno type="wicri:Area/Ncbi/Curation">005936</idno><idno type="wicri:Area/Ncbi/Checkpoint">005936</idno><idno type="wicri:doubleKey">0024-7766:2012:Okitsu T:natural:history:of</idno><idno type="wicri:Area/Main/Merge">004104</idno><idno type="wicri:Area/Main/Curation">004090</idno><idno type="wicri:Area/Main/Exploration">004090</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Natural history of lymph pumping pressure after pelvic lymphadenectomy.</title><author><name sortKey="Okitsu, T" sort="Okitsu, T" uniqKey="Okitsu T" first="T" last="Okitsu">T. Okitsu</name><affiliation wicri:level="3"><nlm:affiliation>Department of Rehabilitation Medicine, School of Medicine, Keio University, Tokyo, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Rehabilitation Medicine, School of Medicine, Keio University, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation></author><author><name sortKey="Tsuji, T" sort="Tsuji, T" uniqKey="Tsuji T" first="T" last="Tsuji">T. Tsuji</name></author><author><name sortKey="Fujii, T" sort="Fujii, T" uniqKey="Fujii T" first="T" last="Fujii">T. Fujii</name></author><author><name sortKey="Mihara, M" sort="Mihara, M" uniqKey="Mihara M" first="M" last="Mihara">M. Mihara</name></author><author><name sortKey="Hara, H" sort="Hara, H" uniqKey="Hara H" first="H" last="Hara">H. Hara</name></author><author><name sortKey="Kisu, I" sort="Kisu, I" uniqKey="Kisu I" first="I" last="Kisu">I. Kisu</name></author><author><name sortKey="Aoki, D" sort="Aoki, D" uniqKey="Aoki D" first="D" last="Aoki">D. Aoki</name></author><author><name sortKey="Miyata, C" sort="Miyata, C" uniqKey="Miyata C" first="C" last="Miyata">C. Miyata</name></author><author><name sortKey="Otaka, Y" sort="Otaka, Y" uniqKey="Otaka Y" first="Y" last="Otaka">Y. Otaka</name></author><author><name sortKey="Liu, M" sort="Liu, M" uniqKey="Liu M" first="M" last="Liu">M. Liu</name></author></analytic><series><title level="j">Lymphology</title><idno type="ISSN">0024-7766</idno><imprint><date when="2012" type="published">2012</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>Female</term><term>Follow-Up Studies</term><term>Genital Neoplasms, Female (surgery)</term><term>Humans</term><term>Indocyanine Green</term><term>Lymph Node Excision (adverse effects)</term><term>Lymph Nodes (diagnostic imaging)</term><term>Lymph Nodes (physiopathology)</term><term>Lymph Nodes (surgery)</term><term>Lymphatic Metastasis</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (etiology)</term><term>Lymphography</term><term>Middle Aged</term><term>Natural History</term><term>Pelvis (pathology)</term><term>Pelvis (surgery)</term><term>Pressure</term><term>Prognosis</term><term>Prospective Studies</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Histoire naturelle</term><term>Humains</term><term>Jeune adulte</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème (diagnostic)</term><term>Lymphoedème (étiologie)</term><term>Lymphographie</term><term>Métastase lymphatique</term><term>Noeuds lymphatiques ()</term><term>Noeuds lymphatiques (imagerie diagnostique)</term><term>Noeuds lymphatiques (physiopathologie)</term><term>Pelvis ()</term><term>Pelvis (anatomopathologie)</term><term>Pression</term><term>Pronostic</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs de l'appareil génital féminin ()</term><term>Vert indocyanine</term><term>Études de suivi</term><term>Études prospectives</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Indocyanine Green</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Pelvis</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymph Nodes</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Noeuds lymphatiques</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Pelvis</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Noeuds lymphatiques</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lymph Nodes</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Genital Neoplasms, Female</term><term>Lymph Nodes</term><term>Pelvis</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>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Lymphatic Metastasis</term><term>Lymphography</term><term>Middle Aged</term><term>Natural History</term><term>Pressure</term><term>Prognosis</term><term>Prospective Studies</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Histoire naturelle</term><term>Humains</term><term>Jeune adulte</term><term>Lymphographie</term><term>Métastase lymphatique</term><term>Noeuds lymphatiques</term><term>Pelvis</term><term>Pression</term><term>Pronostic</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs de l'appareil génital féminin</term><term>Vert indocyanine</term><term>Études de suivi</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lower limb lymphedema is difficult to prevent and diagnose early because its natural history is unclear. Therefore, the aim of this study was to clarify its pathogenesis and to identify risk factors that may lead to early diagnosis. In 29 patients, aged 25 to 74 years with cervical, uterine, or ovarian cancer who underwent pelvic lymphadenectomy, indocyanine green fluorescence lymphangiography was performed with an infrared camera system, and lymph pumping pressure was measured indirectly preoperatively, and one, two, three, and six months postoperatively. Of these 29 patients, 22 (75.9%) completed the examinations. In the non-lymphedema group, the average lymph pumping pressure did not change significantly at postoperative follow-up compared with preoperative values. On the other hand, lymph pumping pressure increased at various time points in five patients who developed early lymphatic changes with dermal diffusion at the level of the proximal femur. An increase in lymph flow path resistance due to pelvic lymphadenectomy resulted in an initial increase in lymph pumping pressure, followed by a subsequent decrease, in the early lymphatic changes group. This trend in the pressure change signifies that the lymph vessels became dysfunctional as they were overwhelmed by the overload condition and this feature may be a clinically useful signal for the early diagnosis of developing lymphedema.</div></front></TEI><affiliations><list><country><li>Japon</li></country><region><li>Région de Kantō</li></region><settlement><li>Tokyo</li></settlement></list><tree><noCountry><name sortKey="Aoki, D" sort="Aoki, D" uniqKey="Aoki D" first="D" last="Aoki">D. Aoki</name><name sortKey="Fujii, T" sort="Fujii, T" uniqKey="Fujii T" first="T" last="Fujii">T. Fujii</name><name sortKey="Hara, H" sort="Hara, H" uniqKey="Hara H" first="H" last="Hara">H. Hara</name><name sortKey="Kisu, I" sort="Kisu, I" uniqKey="Kisu I" first="I" last="Kisu">I. Kisu</name><name sortKey="Liu, M" sort="Liu, M" uniqKey="Liu M" first="M" last="Liu">M. Liu</name><name sortKey="Mihara, M" sort="Mihara, M" uniqKey="Mihara M" first="M" last="Mihara">M. Mihara</name><name sortKey="Miyata, C" sort="Miyata, C" uniqKey="Miyata C" first="C" last="Miyata">C. Miyata</name><name sortKey="Otaka, Y" sort="Otaka, Y" uniqKey="Otaka Y" first="Y" last="Otaka">Y. Otaka</name><name sortKey="Tsuji, T" sort="Tsuji, T" uniqKey="Tsuji T" first="T" last="Tsuji">T. Tsuji</name></noCountry><country name="Japon"><region name="Région de Kantō"><name sortKey="Okitsu, T" sort="Okitsu, T" uniqKey="Okitsu T" first="T" last="Okitsu">T. Okitsu</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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