Lymphedema : classification, diagnosis and therapy
Identifieur interne : 00B671 ( Main/Exploration ); précédent : 00B670; suivant : 00B672Lymphedema : classification, diagnosis and therapy
Auteurs : A. Szuba [États-Unis] ; S. G. Rockson [États-Unis]Source :
- Vascular medicine : (London) [ 1358-863X ] ; 1998.
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Lymphoedème.
- étiologie : Lymphoedème.
- Pascal (Inist)
- Wicri :
- topic : Classification, Homme.
English descriptors
- KwdEn :
- Classification, Combined Modality Therapy, Diagnosis, Human, Humans, Lymphedema, Lymphedema (classification), Lymphedema (diagnosis), Lymphedema (etiology), Lymphedema (therapy), Magnetic Resonance Imaging, Microsurgery, Radionuclide Imaging, Symptomatology, Technique, Tomography, X-Ray Computed, Treatment, Treatment Outcome, Ultrasonography.
- MESH :
- classification : Lymphedema.
- diagnosis : Lymphedema.
- etiology : Lymphedema.
- therapy : Lymphedema.
- Combined Modality Therapy, Humans, Magnetic Resonance Imaging, Microsurgery, Radionuclide Imaging, Tomography, X-Ray Computed, Treatment Outcome, Ultrasonography.
Abstract
This review presents the diagnostic features, the pathophysiology and the available therapies for lymphedema. This disease is often able to be diagnosed by its characteristic cliniccal presentation, yet, in some cases, ancillary tests might be necessary to establish the diagnosis, particularly in the early stages of the disease and in edemas of mixed etiology. These diagnostic modalities are also useful in clinical studies. Available modalities include isotopic lymphoscintigraphy, indirect and direct lymphography, magnetic resonance imaging, computed tomography and ultrasonography. Lymphedema may be primary or secondary to the presence of other diseases and/or to the consequences of surgery. Primary lymphedema may occur at any phase of life but it most commonly appears at puberty. Secondary lymphedema is encountered more often. The most prevalent worldwide cause of lymphedema is filariasis, which is particularly common in south-east Asia. In the USA, postsurgical lymphedema of the extremity prevails. Complications of chronic limb lymphedema include recurrent cellulitis and lymphangiosarcoma. Most patients are treated conservatively, by means of various forms of compression therapy, including complex physical therapy, pneumatic pumps and compressive garments. Volume reducing surgery is performed rarely. Lymphatic microsurgery is still in an experimental stage, although a few centers consistently report favorable outcomes.
Affiliations:
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Szuba</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Division of Cardiovascular Medicine, Stanford University School of Medicine</s1><s2>Stanford, CA</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Rockson, S G" sort="Rockson, S G" uniqKey="Rockson S" first="S. G." last="Rockson">S. G. Rockson</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Division of Cardiovascular Medicine, Stanford University School of Medicine</s1><s2>Stanford, CA</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Californie</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Vascular medicine : (London)</title><title level="j" type="abbreviated">Vasc. med. : (Lond.)</title><idno type="ISSN">1358-863X</idno><imprint><date when="1998">1998</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Vascular medicine : (London)</title><title level="j" type="abbreviated">Vasc. med. : (Lond.)</title><idno type="ISSN">1358-863X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Classification</term><term>Combined Modality Therapy</term><term>Diagnosis</term><term>Human</term><term>Humans</term><term>Lymphedema</term><term>Lymphedema (classification)</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (etiology)</term><term>Lymphedema (therapy)</term><term>Magnetic Resonance Imaging</term><term>Microsurgery</term><term>Radionuclide Imaging</term><term>Symptomatology</term><term>Technique</term><term>Tomography, X-Ray Computed</term><term>Treatment</term><term>Treatment Outcome</term><term>Ultrasonography</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Association thérapeutique</term><term>Humains</term><term>Imagerie par résonance magnétique</term><term>Lymphoedème ()</term><term>Lymphoedème (diagnostic)</term><term>Lymphoedème (étiologie)</term><term>Microchirurgie</term><term>Résultat thérapeutique</term><term>Scintigraphie</term><term>Tomodensitométrie</term><term>Échographie</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Lymphedema</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="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="therapy" 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>Combined Modality Therapy</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Microsurgery</term><term>Radionuclide Imaging</term><term>Tomography, X-Ray Computed</term><term>Treatment Outcome</term><term>Ultrasonography</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Association thérapeutique</term><term>Humains</term><term>Imagerie par résonance magnétique</term><term>Lymphoedème</term><term>Classification</term><term>Microchirurgie</term><term>Résultat thérapeutique</term><term>Scintigraphie</term><term>Symptomatologie</term><term>Diagnostic</term><term>Tomodensitométrie</term><term>Traitement</term><term>Technique</term><term>Homme</term><term>Échographie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Classification</term><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This review presents the diagnostic features, the pathophysiology and the available therapies for lymphedema. This disease is often able to be diagnosed by its characteristic cliniccal presentation, yet, in some cases, ancillary tests might be necessary to establish the diagnosis, particularly in the early stages of the disease and in edemas of mixed etiology. These diagnostic modalities are also useful in clinical studies. Available modalities include isotopic lymphoscintigraphy, indirect and direct lymphography, magnetic resonance imaging, computed tomography and ultrasonography. Lymphedema may be primary or secondary to the presence of other diseases and/or to the consequences of surgery. Primary lymphedema may occur at any phase of life but it most commonly appears at puberty. Secondary lymphedema is encountered more often. The most prevalent worldwide cause of lymphedema is filariasis, which is particularly common in south-east Asia. In the USA, postsurgical lymphedema of the extremity prevails. Complications of chronic limb lymphedema include recurrent cellulitis and lymphangiosarcoma. Most patients are treated conservatively, by means of various forms of compression therapy, including complex physical therapy, pneumatic pumps and compressive garments. Volume reducing surgery is performed rarely. Lymphatic microsurgery is still in an experimental stage, although a few centers consistently report favorable outcomes.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><country name="États-Unis"><region name="Californie"><name sortKey="Szuba, A" sort="Szuba, A" uniqKey="Szuba A" first="A." last="Szuba">A. Szuba</name></region><name sortKey="Rockson, S G" sort="Rockson, S G" uniqKey="Rockson S" first="S. G." last="Rockson">S. G. Rockson</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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