[Lymphedema of the lower limbs: CT staging].
Identifieur interne : 000A60 ( Ncbi/Merge ); précédent : 000A59; suivant : 000A61[Lymphedema of the lower limbs: CT staging].
Auteurs : M. Marotel [France] ; R V Cluzan ; M. Pascot ; F. Alliot ; J L LasrySource :
- La Revue de medecine interne [ 0248-8663 ] ; 2002.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Jambe, Lymphoedème.
- imagerie diagnostique : Lymphoedème.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Indice de gravité médicale, Lymphoedème, Mâle, Sensibilité et spécificité, Tomodensitométrie.
English descriptors
- KwdEn :
- MESH :
- classification : Lymphedema.
- diagnostic imaging : Lymphedema.
- pathology : Leg, Lymphedema.
- Adult, Female, Humans, Male, Middle Aged, Sensitivity and Specificity, Severity of Illness Index, Tomography, X-Ray Computed.
Abstract
Routinely performed, CT is useful and reliable for staging lower limb lymphedema. We describe methods we utilized. We found in frequency order: skin thickening, subcutaneous tissues area increase in regard the safe limb, perimuscular aponevrosis thickening, fat infiltration: lines parallel to the skin, edematous areas along perimuscular aponevrosis, lines perpendicular to the skin. The lowest fat density is increased on the pathologic side. Subfascial compartment is slightly fattened. We found huge differences between primary and secondary lymphedema for the thigh. Same images may be generated by old or young lymphedema. Rarely useful for positive diagnosis, CT is indispensable for secondary lymphedema staging (initial staging or after a recent increase). It seems us indispensable for any pretherapeutic staging (whole objectively disorders, exact upper limit, infraclinic bilaterality).
PubMed: 12162203
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pubmed:12162203Le document en format XML
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<author><name sortKey="Marotel, M" sort="Marotel, M" uniqKey="Marotel M" first="M" last="Marotel">M. Marotel</name>
<affiliation wicri:level="3"><nlm:affiliation>Hôpital Saint-Michel, 33, rue Olivier-de-Serres, 75015 Paris, France. martine.marotel@hopital-saint-michel.org</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Hôpital Saint-Michel, 33, rue Olivier-de-Serres, 75015 Paris</wicri:regionArea>
<placeName><region type="region" nuts="2">Île-de-France</region>
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<author><name sortKey="Cluzan, R V" sort="Cluzan, R V" uniqKey="Cluzan R" first="R V" last="Cluzan">R V Cluzan</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
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<term>Leg (pathology)</term>
<term>Lymphedema (classification)</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Lymphedema (pathology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Sensitivity and Specificity</term>
<term>Severity of Illness Index</term>
<term>Tomography, X-Ray Computed</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Jambe (anatomopathologie)</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (anatomopathologie)</term>
<term>Lymphoedème (imagerie diagnostique)</term>
<term>Mâle</term>
<term>Sensibilité et spécificité</term>
<term>Tomodensitométrie</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Jambe</term>
<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>Lymphedema</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Lymphoedème</term>
<term>Mâle</term>
<term>Sensibilité et spécificité</term>
<term>Tomodensitométrie</term>
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<front><div type="abstract" xml:lang="en">Routinely performed, CT is useful and reliable for staging lower limb lymphedema. We describe methods we utilized. We found in frequency order: skin thickening, subcutaneous tissues area increase in regard the safe limb, perimuscular aponevrosis thickening, fat infiltration: lines parallel to the skin, edematous areas along perimuscular aponevrosis, lines perpendicular to the skin. The lowest fat density is increased on the pathologic side. Subfascial compartment is slightly fattened. We found huge differences between primary and secondary lymphedema for the thigh. Same images may be generated by old or young lymphedema. Rarely useful for positive diagnosis, CT is indispensable for secondary lymphedema staging (initial staging or after a recent increase). It seems us indispensable for any pretherapeutic staging (whole objectively disorders, exact upper limit, infraclinic bilaterality).</div>
</front>
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<Abstract><AbstractText>Routinely performed, CT is useful and reliable for staging lower limb lymphedema. We describe methods we utilized. We found in frequency order: skin thickening, subcutaneous tissues area increase in regard the safe limb, perimuscular aponevrosis thickening, fat infiltration: lines parallel to the skin, edematous areas along perimuscular aponevrosis, lines perpendicular to the skin. The lowest fat density is increased on the pathologic side. Subfascial compartment is slightly fattened. We found huge differences between primary and secondary lymphedema for the thigh. Same images may be generated by old or young lymphedema. Rarely useful for positive diagnosis, CT is indispensable for secondary lymphedema staging (initial staging or after a recent increase). It seems us indispensable for any pretherapeutic staging (whole objectively disorders, exact upper limit, infraclinic bilaterality).</AbstractText>
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