Serveur d'exploration sur le lymphœdème

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Proximal and distal patterns: Different spreading patterns of indocyanine green lymphography in secondary lower extremity lymphedema.

Identifieur interne : 007C06 ( Ncbi/Merge ); précédent : 007C05; suivant : 007C07

Proximal and distal patterns: Different spreading patterns of indocyanine green lymphography in secondary lower extremity lymphedema.

Auteurs : Kensuke Tashiro [Japon] ; Shuji Yamashita [Japon] ; Takafumi Saito [Japon] ; Takuya Iida [Japon] ; Isao Koshima [Japon]

Source :

RBID : pubmed:26644082

Descripteurs français

English descriptors

Abstract

As a clinical evaluation of secondary lymphedema of the leg, indocyanine green (ICG) lymphographic assessment has established its usefulness. In this study, we analyzed the ICG findings of patients with secondary lymphedema of the leg, focusing on the location and spreading pattern of dermal backflow (DBF).

DOI: 10.1016/j.bjps.2015.10.042
PubMed: 26644082

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pubmed:26644082

Le document en format XML

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<div type="abstract" xml:lang="en">As a clinical evaluation of secondary lymphedema of the leg, indocyanine green (ICG) lymphographic assessment has established its usefulness. In this study, we analyzed the ICG findings of patients with secondary lymphedema of the leg, focusing on the location and spreading pattern of dermal backflow (DBF).</div>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">As a clinical evaluation of secondary lymphedema of the leg, indocyanine green (ICG) lymphographic assessment has established its usefulness. In this study, we analyzed the ICG findings of patients with secondary lymphedema of the leg, focusing on the location and spreading pattern of dermal backflow (DBF).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Between April 2013 and June 2015, we investigated ICG findings performed on 90 patients with secondary lymphedema of the leg following malignant cancer resection. The patients comprised 88 women and two men; ICG lymphography was performed 12-24 h after the injection.</AbstractText>
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<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In the proximal pattern, the ICG injected into the distal part of the leg propelled to the proximal part, but an obstruction after lymphadenectomy caused ICG pooling to appear first on the proximal side. In the distal pattern, the lymphatic system hypoplasia of the leg may have already been present, and lymph node dissection might be the only trigger for the development of lymphedema. This classification may reflect the pumping function and preexisting hypoplasty of the lymphatic vessels, and provides a novel approach for the pathological evaluation of lymphedema. Patients with proximal pattern on ICG lymphography may well indicate lymphaticovenous anastomosis.</AbstractText>
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<Keyword MajorTopicYN="N">Distal pattern</Keyword>
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