Serveur d'exploration sur le lymphœdème

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Pathological Investigation of Acquired Lymphangiectasia Accompanied by Lower Limb Lymphedema: Lymphocyte Infiltration in the Dermis and Epidermis.

Identifieur interne : 008765 ( Ncbi/Merge ); précédent : 008764; suivant : 008766

Pathological Investigation of Acquired Lymphangiectasia Accompanied by Lower Limb Lymphedema: Lymphocyte Infiltration in the Dermis and Epidermis.

Auteurs : Hisako Hara [Japon] ; Makoto Mihara [Japon] ; Takashi Anan [Japon] ; Takaya Fukumoto [Japon] ; Mitsunaga Narushima [Japon] ; Takuya Iida [Japon] ; Isao Koshima [Japon]

Source :

RBID : pubmed:27599121

Descripteurs français

English descriptors

Abstract

Sometimes acquired lymphangiectasia (lymphangioma circumscriptum), the pathological mechanism of which is unknown, accompanies lymphedema. The purpose of this study was to better understand the pathological changes present in acquired lymphangiectasia.

DOI: 10.1089/lrb.2016.0016
PubMed: 27599121

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pubmed:27599121

Le document en format XML

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<term>Dermis (immunology)</term>
<term>Dermis (pathology)</term>
<term>Endothelium, Vascular (immunology)</term>
<term>Endothelium, Vascular (pathology)</term>
<term>Epidermis (immunology)</term>
<term>Epidermis (pathology)</term>
<term>Female</term>
<term>Humans</term>
<term>Inflammation (immunology)</term>
<term>Inflammation (pathology)</term>
<term>Lower Extremity (pathology)</term>
<term>Lymphangiectasis (etiology)</term>
<term>Lymphangiectasis (pathology)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (pathology)</term>
<term>Middle Aged</term>
<term>Ovarian Neoplasms (complications)</term>
<term>Prognosis</term>
<term>Retrospective Studies</term>
<term>T-Lymphocytes (immunology)</term>
<term>T-Lymphocytes (pathology)</term>
<term>Uterine Cervical Neoplasms (complications)</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Cellules cultivées</term>
<term>Derme (anatomopathologie)</term>
<term>Derme (immunologie)</term>
<term>Endothélium vasculaire (anatomopathologie)</term>
<term>Endothélium vasculaire (immunologie)</term>
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<term>Lymphocytes T (anatomopathologie)</term>
<term>Lymphocytes T (immunologie)</term>
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<term>Lymphoedème (étiologie)</term>
<term>Membre inférieur (anatomopathologie)</term>
<term>Pronostic</term>
<term>Sujet âgé</term>
<term>Tumeurs de l'ovaire ()</term>
<term>Tumeurs du col de l'utérus ()</term>
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<term>Épiderme (immunologie)</term>
<term>Études rétrospectives</term>
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<term>Derme</term>
<term>Endothélium vasculaire</term>
<term>Inflammation</term>
<term>Lymphangiectasie</term>
<term>Lymphocytes T</term>
<term>Lymphoedème</term>
<term>Membre inférieur</term>
<term>Épiderme</term>
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<term>Ovarian Neoplasms</term>
<term>Uterine Cervical Neoplasms</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphangiectasis</term>
<term>Lymphedema</term>
</keywords>
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<term>Derme</term>
<term>Endothélium vasculaire</term>
<term>Inflammation</term>
<term>Lymphocytes T</term>
<term>Épiderme</term>
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<term>T-Lymphocytes</term>
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<term>Endothelium, Vascular</term>
<term>Epidermis</term>
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<term>Lower Extremity</term>
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<term>Lymphedema</term>
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<term>Lymphangiectasie</term>
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<term>Aged</term>
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<term>Humains</term>
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<term>Sujet âgé</term>
<term>Tumeurs de l'ovaire</term>
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<front>
<div type="abstract" xml:lang="en">Sometimes acquired lymphangiectasia (lymphangioma circumscriptum), the pathological mechanism of which is unknown, accompanies lymphedema. The purpose of this study was to better understand the pathological changes present in acquired lymphangiectasia.</div>
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<DateCreated>
<Year>2016</Year>
<Month>09</Month>
<Day>16</Day>
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<Year>2017</Year>
<Month>07</Month>
<Day>21</Day>
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<Year>2017</Year>
<Month>07</Month>
<Day>21</Day>
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<ISSN IssnType="Electronic">1557-8585</ISSN>
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<Issue>3</Issue>
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<Year>2016</Year>
<Month>Sep</Month>
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<Title>Lymphatic research and biology</Title>
<ISOAbbreviation>Lymphat Res Biol</ISOAbbreviation>
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<ArticleTitle>Pathological Investigation of Acquired Lymphangiectasia Accompanied by Lower Limb Lymphedema: Lymphocyte Infiltration in the Dermis and Epidermis.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Sometimes acquired lymphangiectasia (lymphangioma circumscriptum), the pathological mechanism of which is unknown, accompanies lymphedema. The purpose of this study was to better understand the pathological changes present in acquired lymphangiectasia.</AbstractText>
<AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">We examined the pathological characteristics of acquired lymphangiectasia with lymphedema among patients treated at the University of Tokyo Hospital from March 2008 to December 2015. In total, 16 biopsies from 10 patients were investigated. The average age of the patients was 57.2 years (range 43-69), and all were female with secondary lymphedema. Surgical specimens were fixed in formalin, and tissue sections were stained with hematoxylin-eosin. Additional immunostaining (podoplanin, lymphatic vessel endothelial hyaluronan receptor [LYVE] -1, CD4, CD8, CD20, and CD31) was performed in cases 1-3 and 8-10. Dilation of lymphatic vessels in the papillary dermis was present in all 10 cases. Infiltration of inflammatory cells, most of which were lymphocytes, was also observed in the dermis and the epidermis in all cases, even though there were no clinical signs of inflammation. The infiltrating lymphocytes were mainly CD4+ T cells, and less commonly, CD8+ T cells and CD20+ B cells. The number of three types of lymphocytes was significantly larger in the superficial layer of the dermis than in the deep layer, which may indicate that they oozed out from the dilated lymphatic vessels located in the superficial dermis. CD8+ T cells infiltrated the epidermis in seven of eight specimens. In case 4, coagulated lymphatic fluid inside the lymphatic vessel was observed. Proliferation of collagenous fiber in the dermis and acanthosis were observed.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Lymphatic dilation and proliferation of collagenous fiber in the dermis were seen in cases of acquired lymphangiectasia (lymphangioma circumscriptum). Constant infiltration of lymphocytes in the dermis and the epidermis may have a relation to frequent cellulitis, which is often seen in lymphedema patients.</AbstractText>
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<Affiliation>2 Department of Plastic and Reconstructive Surgery, The University of Tokyo Hospital , Tokyo, Japan .</Affiliation>
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<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D013601" MajorTopicYN="N">T-Lymphocytes</DescriptorName>
<QualifierName UI="Q000276" MajorTopicYN="N">immunology</QualifierName>
<QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D002583" MajorTopicYN="N">Uterine Cervical Neoplasms</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
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<PubMedPubDate PubStatus="entrez">
<Year>2016</Year>
<Month>9</Month>
<Day>7</Day>
<Hour>6</Hour>
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<PubMedPubDate PubStatus="pubmed">
<Year>2016</Year>
<Month>9</Month>
<Day>7</Day>
<Hour>6</Hour>
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<PubMedPubDate PubStatus="medline">
<Year>2017</Year>
<Month>7</Month>
<Day>22</Day>
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</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">27599121</ArticleId>
<ArticleId IdType="doi">10.1089/lrb.2016.0016</ArticleId>
</ArticleIdList>
</PubmedData>
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<affiliations>
<list>
<country>
<li>Japon</li>
</country>
<region>
<li>Région de Kantō</li>
</region>
<settlement>
<li>Tokyo</li>
</settlement>
</list>
<tree>
<country name="Japon">
<noRegion>
<name sortKey="Hara, Hisako" sort="Hara, Hisako" uniqKey="Hara H" first="Hisako" last="Hara">Hisako Hara</name>
</noRegion>
<name sortKey="Anan, Takashi" sort="Anan, Takashi" uniqKey="Anan T" first="Takashi" last="Anan">Takashi Anan</name>
<name sortKey="Fukumoto, Takaya" sort="Fukumoto, Takaya" uniqKey="Fukumoto T" first="Takaya" last="Fukumoto">Takaya Fukumoto</name>
<name sortKey="Iida, Takuya" sort="Iida, Takuya" uniqKey="Iida T" first="Takuya" last="Iida">Takuya Iida</name>
<name sortKey="Koshima, Isao" sort="Koshima, Isao" uniqKey="Koshima I" first="Isao" last="Koshima">Isao Koshima</name>
<name sortKey="Mihara, Makoto" sort="Mihara, Makoto" uniqKey="Mihara M" first="Makoto" last="Mihara">Makoto Mihara</name>
<name sortKey="Narushima, Mitsunaga" sort="Narushima, Mitsunaga" uniqKey="Narushima M" first="Mitsunaga" last="Narushima">Mitsunaga Narushima</name>
</country>
</tree>
</affiliations>
</record>

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