LymphedemaV1, Main, Merge, bibRecord, 009C43

Value of isotope lymphography in the diagnosis of lymphoedema of the leg

Identifieur interne : 009C43 ( Main/Merge ); précédent : 009C42; suivant : 009C44

Value of isotope lymphography in the diagnosis of lymphoedema of the leg

Auteurs : K. G. Burnand [Royaume-Uni] ; C. L. Mcguinness [Royaume-Uni] ; N. R. F. Lagattolla [Royaume-Uni] ; N. L. Browse [Royaume-Uni] ; A. El-Aradi [Royaume-Uni] ; T. Nunan [Bahreïn]

Source :

British journal of surgery [ 0007-1323 ] ; 2002.

RBID : Pascal:04-0002147

Descripteurs français

Pascal (Inist)
- Lymphoedème, Jambe, Analyse isotopique, Lymphographie, Sensibilité, Précision, Homme.
Wicri :
- topic : Homme.

English descriptors

KwdEn :
- Accuracy, Human, Isotopic analysis, Leg, Lymphedema, Lymphography, Sensitivity.

Abstract

Background: Isotope lymphography has largely replaced contrast lymphography in the diagnosis of lymphoedema. Its accuracy has only been assessed in small studies and it is not known if it can identify patients with a proximal lymphatic obstruction who may be suitable for lymphatic bypass surgery. Methods: Three hundred and ninety-five patients suspected to have lymphoedema were investigated by isotope lymphography between 1985 and 1995. Contrast lymphography was also carried out in 29 of these patients because the isotope results were thought to be misleading, or because lymphatic bypass surgery was being considered. Results: In the 29 patients who had both investigations isotope lymphography detected 20 of 24 abnormal lymphatic systems. Four legs with obstructed groin lymphatics were reported as normal. Two legs with normal contrast lymphograms were erroneously diagnosed as having lymphoedema in the isotope study. Detectable groin nodes on the scintigrams were indicative of either normal lymphatics or proximal lymphatic obstruction. An increase in isotope uptake over 30-60 min of less than 50 per cent, or a total absence of isotope within groin nodes, was a sensitive indicator that patients were unsuitable for lymphatic bypass surgery. Conclusion: Isotope lymphography is a moderately sensitive test for lymphoedema, which will mistakenly classify some normal legs as lymphoedematous. It will usually correctly identify patients who are suitable for lymphatic bypass surgery.

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Pascal:04-0002147

Le document en format XML

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<author><name sortKey="Burnand, K G" sort="Burnand, K G" uniqKey="Burnand K" first="K. G." last="Burnand">K. G. Burnand</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Value of isotope lymphography in the diagnosis of lymphoedema of the leg</title>
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<author><name sortKey="Mcguinness, C L" sort="Mcguinness, C L" uniqKey="Mcguinness C" first="C. L." last="Mcguinness">C. L. Mcguinness</name>
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<author><name sortKey="El Aradi, A" sort="El Aradi, A" uniqKey="El Aradi A" first="A." last="El-Aradi">A. El-Aradi</name>
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<series><title level="j" type="main">British journal of surgery</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accuracy</term>
<term>Human</term>
<term>Isotopic analysis</term>
<term>Leg</term>
<term>Lymphedema</term>
<term>Lymphography</term>
<term>Sensitivity</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Lymphoedème</term>
<term>Jambe</term>
<term>Analyse isotopique</term>
<term>Lymphographie</term>
<term>Sensibilité</term>
<term>Précision</term>
<term>Homme</term>
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<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term>
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<front><div type="abstract" xml:lang="en">Background: Isotope lymphography has largely replaced contrast lymphography in the diagnosis of lymphoedema. Its accuracy has only been assessed in small studies and it is not known if it can identify patients with a proximal lymphatic obstruction who may be suitable for lymphatic bypass surgery. Methods: Three hundred and ninety-five patients suspected to have lymphoedema were investigated by isotope lymphography between 1985 and 1995. Contrast lymphography was also carried out in 29 of these patients because the isotope results were thought to be misleading, or because lymphatic bypass surgery was being considered. Results: In the 29 patients who had both investigations isotope lymphography detected 20 of 24 abnormal lymphatic systems. Four legs with obstructed groin lymphatics were reported as normal. Two legs with normal contrast lymphograms were erroneously diagnosed as having lymphoedema in the isotope study. Detectable groin nodes on the scintigrams were indicative of either normal lymphatics or proximal lymphatic obstruction. An increase in isotope uptake over 30-60 min of less than 50 per cent, or a total absence of isotope within groin nodes, was a sensitive indicator that patients were unsuitable for lymphatic bypass surgery. Conclusion: Isotope lymphography is a moderately sensitive test for lymphoedema, which will mistakenly classify some normal legs as lymphoedematous. It will usually correctly identify patients who are suitable for lymphatic bypass surgery.</div>
</front>
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Value of isotope lymphography in the diagnosis of lymphoedema of the leg

Value of isotope lymphography in the diagnosis of lymphoedema of the leg

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri