Lymphoscintigraphy in lymphedema: an aid to microsurgery.
Identifieur interne : 00E990 ( Main/Exploration ); précédent : 00E989; suivant : 00E991Lymphoscintigraphy in lymphedema: an aid to microsurgery.
Auteurs : M. Vaqueiro ; P. Gloviczki ; J. Fisher ; L H Hollier ; A. Schirger ; H W WahnerSource :
- Journal of nuclear medicine : official publication, Society of Nuclear Medicine [ 0161-5505 ] ; 1986.
Descripteurs français
- KwdFr :
- MESH :
- imagerie diagnostique : Lymphoedème.
- Adolescent, Adulte, Adulte d'âge moyen, Antimoine, Composés du technétium, Enfant, Femelle, Humains, Lymphoedème, Lymphoscintigraphie, Microchirurgie, Mâle, Sujet âgé, Système lymphatique, Technétium.
English descriptors
- KwdEn :
- MESH :
- chemical : Antimony, Technetium, Technetium Compounds.
- diagnostic imaging : Lymphedema.
- methods : Microsurgery.
- surgery : Lymphatic System, Lymphedema.
- Adolescent, Adult, Aged, Child, Female, Humans, Lymphoscintigraphy, Male, Middle Aged.
Abstract
The role of lymphoscintigraphy, performed with 99mTc-labeled antimony sulfur colloid, in the diagnosis of lymphedema and as a test for selection of patients for microvascular operation was evaluated in 32 patients with primary and secondary lymphedema and four patients with other causes of leg edema. Lymphoscintigraphy clearly demonstrated if edema was of lymphatic origin. Five different image patterns were identified; abnormal image patterns could not be predicted from clinical history or physical findings. Quantitative evaluation of removal of the radioactive colloid from the injection site and appearance in lymph node sites and liver was of limited usefulness. Nine patients underwent various surgical procedures before or after lymphoscintigraphy. Lympho-venous anastomoses were possible only in patients who had patent lymph channels visible on lymphoscintigrams. Based on initial experience, lymphoscintigraphy seems to be useful to select patients for microvascular operation.
PubMed: 3723188
Affiliations:
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Le document en format XML
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<term>Female</term>
<term>Humans</term>
<term>Lymphatic System (surgery)</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Lymphedema (surgery)</term>
<term>Lymphoscintigraphy</term>
<term>Male</term>
<term>Microsurgery (methods)</term>
<term>Middle Aged</term>
<term>Technetium</term>
<term>Technetium Compounds</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Antimoine</term>
<term>Composés du technétium</term>
<term>Enfant</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (imagerie diagnostique)</term>
<term>Lymphoscintigraphie</term>
<term>Microchirurgie ()</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Système lymphatique ()</term>
<term>Technétium</term>
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<term>Technetium</term>
<term>Technetium Compounds</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphatic System</term>
<term>Lymphedema</term>
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<term>Aged</term>
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<term>Lymphoscintigraphy</term>
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<term>Middle Aged</term>
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<term>Adulte d'âge moyen</term>
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<term>Composés du technétium</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème</term>
<term>Lymphoscintigraphie</term>
<term>Microchirurgie</term>
<term>Mâle</term>
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<term>Système lymphatique</term>
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<front><div type="abstract" xml:lang="en">The role of lymphoscintigraphy, performed with 99mTc-labeled antimony sulfur colloid, in the diagnosis of lymphedema and as a test for selection of patients for microvascular operation was evaluated in 32 patients with primary and secondary lymphedema and four patients with other causes of leg edema. Lymphoscintigraphy clearly demonstrated if edema was of lymphatic origin. Five different image patterns were identified; abnormal image patterns could not be predicted from clinical history or physical findings. Quantitative evaluation of removal of the radioactive colloid from the injection site and appearance in lymph node sites and liver was of limited usefulness. Nine patients underwent various surgical procedures before or after lymphoscintigraphy. Lympho-venous anastomoses were possible only in patients who had patent lymph channels visible on lymphoscintigrams. Based on initial experience, lymphoscintigraphy seems to be useful to select patients for microvascular operation.</div>
</front>
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<name sortKey="Gloviczki, P" sort="Gloviczki, P" uniqKey="Gloviczki P" first="P" last="Gloviczki">P. Gloviczki</name>
<name sortKey="Hollier, L H" sort="Hollier, L H" uniqKey="Hollier L" first="L H" last="Hollier">L H Hollier</name>
<name sortKey="Schirger, A" sort="Schirger, A" uniqKey="Schirger A" first="A" last="Schirger">A. Schirger</name>
<name sortKey="Vaqueiro, M" sort="Vaqueiro, M" uniqKey="Vaqueiro M" first="M" last="Vaqueiro">M. Vaqueiro</name>
<name sortKey="Wahner, H W" sort="Wahner, H W" uniqKey="Wahner H" first="H W" last="Wahner">H W Wahner</name>
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