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A study on the pathogenesis of postmastectomy lymphedema.

Identifieur interne : 00BD23 ( Ncbi/Curation ); précédent : 00BD22; suivant : 00BD24

A study on the pathogenesis of postmastectomy lymphedema.

Auteurs : R. Abe

Source :

RBID : pubmed:982430

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English descriptors

Abstract

In order to study the causes of postmastectomy lymphedema, venography, lymphangiography and RISA absorption test were performed on the patients following radical mastectomy. Venous obstruction was a rare cause of postmastectomy lymphedema. Edema patterns in arm lymphangiography were observed in the patients with lymphedema and even in some of the non-edematous upper extremities. The finding of axillary lymphangiography was correlated with the degree of edema of the upper extremity. The absence of adequate lymphatic pathway across the axilla (type 2, collateral and type 3, blocking) was thought to provide the pathologic base for the postmastectomy lymphedema. RISA absorption test also provided precise information of the lymphatic flow in the extremity. It was lower in the patients with edema, as compared with the patients without edema.

PubMed: 982430

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Le document en format XML

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<title level="j">The Tohoku journal of experimental medicine</title>
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<term>Arm</term>
<term>Edema (complications)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (physiopathology)</term>
<term>Lymphography</term>
<term>Mastectomy (adverse effects)</term>
<term>Regional Blood Flow</term>
<term>Rheology</term>
<term>Serum Albumin, Radio-Iodinated</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Bras</term>
<term>Débit sanguin régional</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphe</term>
<term>Lymphoedème (imagerie diagnostique)</term>
<term>Lymphoedème (physiopathologie)</term>
<term>Lymphoedème (étiologie)</term>
<term>Lymphographie</term>
<term>Mastectomie (effets indésirables)</term>
<term>Oedème ()</term>
<term>Rhéologie</term>
<term>Sérumalbumine radioiodée</term>
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<term>Serum Albumin, Radio-Iodinated</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Mastectomy</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Edema</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="effets indésirables" xml:lang="fr">
<term>Mastectomie</term>
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<keywords scheme="MESH" qualifier="etiology" 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>Lymphoedème</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Lymphedema</term>
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<term>Lymphoedème</term>
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<term>Arm</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph</term>
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<term>Regional Blood Flow</term>
<term>Rheology</term>
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<term>Oedème</term>
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<div type="abstract" xml:lang="en">In order to study the causes of postmastectomy lymphedema, venography, lymphangiography and RISA absorption test were performed on the patients following radical mastectomy. Venous obstruction was a rare cause of postmastectomy lymphedema. Edema patterns in arm lymphangiography were observed in the patients with lymphedema and even in some of the non-edematous upper extremities. The finding of axillary lymphangiography was correlated with the degree of edema of the upper extremity. The absence of adequate lymphatic pathway across the axilla (type 2, collateral and type 3, blocking) was thought to provide the pathologic base for the postmastectomy lymphedema. RISA absorption test also provided precise information of the lymphatic flow in the extremity. It was lower in the patients with edema, as compared with the patients without edema.</div>
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