Types of lymphoscintigraphy and indications for lymphaticovenous anastomosis.
Identifieur interne : 003E47 ( Ncbi/Curation ); précédent : 003E46; suivant : 003E48Types of lymphoscintigraphy and indications for lymphaticovenous anastomosis.
Auteurs : Jiro Maegawa [Japon] ; Taro Mikami ; Yasushi Yamamoto ; Toshihiko Satake ; Shinji KobayashiSource :
- Microsurgery [ 1098-2752 ] ; 2010.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Anastomose chirurgicale (), Femelle, Humains, Lymphoedème (), Lymphoedème (anatomopathologie), Lymphoedème (imagerie diagnostique), Lymphoscintigraphie, Microchirurgie (), Mâle, Scintigraphie (), Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de l'utérus (), Vaisseaux lymphatiques ().
- MESH :
- anatomopathologie : Lymphoedème.
- imagerie diagnostique : Lymphoedème.
- Adulte, Adulte d'âge moyen, Anastomose chirurgicale, Femelle, Humains, Lymphoedème, Lymphoscintigraphie, Microchirurgie, Mâle, Scintigraphie, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de l'utérus, Vaisseaux lymphatiques.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Anastomosis, Surgical (methods), Female, Humans, Lymphatic Vessels (surgery), Lymphedema (classification), Lymphedema (diagnostic imaging), Lymphedema (pathology), Lymphedema (surgery), Lymphoscintigraphy, Male, Microsurgery (methods), Middle Aged, Radionuclide Imaging (methods), Uterine Neoplasms (surgery).
- MESH :
- classification : Lymphedema.
- diagnostic imaging : Lymphedema.
- methods : Anastomosis, Surgical, Microsurgery, Radionuclide Imaging.
- pathology : Lymphedema.
- surgery : Lymphatic Vessels, Lymphedema, Uterine Neoplasms.
- Adult, Aged, Aged, 80 and over, Female, Humans, Lymphoscintigraphy, Male, Middle Aged.
Abstract
Several authors have reported the usefulness and benefits of lymphoscintigraphy. However, it is insufficient to indicate microvascular treatment based on lymphedema. Here, we present the relationships between lymphoscintigraphic types and indications for lymphatic microsurgery. Preoperative lymphoscintigraphy was performed in 142 limbs with secondary lymphedema of the lower extremity. The images obtained were classified into five types. Type I: Visible inguinal lymph nodes, lymphatics along the saphenous vein and/or collateral lymphatics. Type II: Dermal backflow in the thigh and stasis of an isotopic material in the lymphatics. Type III: Dermal backflow in the thigh and leg. Type IV: Dermal backflow in the leg. Type V: Radiolabeled colloid remaining in the foot. Lymphaticovenous anastomosis was performed in 35 limbs. The average number of anastomoses per limb was 3.3 in type II, 4.4 in type III, 3.6 in type IV, and 3 in type V. The highest number of anastomosis was performed in type III. In conclusion, type III is suggested to be the best indication for anastomosis compared with types IV and V.
DOI: 10.1002/micr.20772
PubMed: 20878726
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pubmed:20878726Le document en format XML
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<term>Female</term>
<term>Humans</term>
<term>Lymphatic Vessels (surgery)</term>
<term>Lymphedema (classification)</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Lymphedema (pathology)</term>
<term>Lymphedema (surgery)</term>
<term>Lymphoscintigraphy</term>
<term>Male</term>
<term>Microsurgery (methods)</term>
<term>Middle Aged</term>
<term>Radionuclide Imaging (methods)</term>
<term>Uterine Neoplasms (surgery)</term>
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<term>Adulte d'âge moyen</term>
<term>Anastomose chirurgicale ()</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (anatomopathologie)</term>
<term>Lymphoedème (imagerie diagnostique)</term>
<term>Lymphoscintigraphie</term>
<term>Microchirurgie ()</term>
<term>Mâle</term>
<term>Scintigraphie ()</term>
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<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs de l'utérus ()</term>
<term>Vaisseaux lymphatiques ()</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Lymphoedème</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Lymphoedème</term>
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<term>Microsurgery</term>
<term>Radionuclide Imaging</term>
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<term>Lymphedema</term>
<term>Uterine Neoplasms</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphoscintigraphy</term>
<term>Male</term>
<term>Middle Aged</term>
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<term>Adulte d'âge moyen</term>
<term>Anastomose chirurgicale</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème</term>
<term>Lymphoscintigraphie</term>
<term>Microchirurgie</term>
<term>Mâle</term>
<term>Scintigraphie</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs de l'utérus</term>
<term>Vaisseaux lymphatiques</term>
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<front><div type="abstract" xml:lang="en">Several authors have reported the usefulness and benefits of lymphoscintigraphy. However, it is insufficient to indicate microvascular treatment based on lymphedema. Here, we present the relationships between lymphoscintigraphic types and indications for lymphatic microsurgery. Preoperative lymphoscintigraphy was performed in 142 limbs with secondary lymphedema of the lower extremity. The images obtained were classified into five types. Type I: Visible inguinal lymph nodes, lymphatics along the saphenous vein and/or collateral lymphatics. Type II: Dermal backflow in the thigh and stasis of an isotopic material in the lymphatics. Type III: Dermal backflow in the thigh and leg. Type IV: Dermal backflow in the leg. Type V: Radiolabeled colloid remaining in the foot. Lymphaticovenous anastomosis was performed in 35 limbs. The average number of anastomoses per limb was 3.3 in type II, 4.4 in type III, 3.6 in type IV, and 3 in type V. The highest number of anastomosis was performed in type III. In conclusion, type III is suggested to be the best indication for anastomosis compared with types IV and V.</div>
</front>
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