The CEAP-L classification for lymphedemas of the limbs: the Italian experience
Identifieur interne : 000658 ( PascalFrancis/Curation ); précédent : 000657; suivant : 000659The CEAP-L classification for lymphedemas of the limbs: the Italian experience
Auteurs : V. Gasbarro [Italie] ; S. Michelini [Italie] ; P. L. Antignani [Italie] ; E. Tsolaki [Italie] ; M. Ricci [Italie] ; C. Allegra [Italie]Source :
- International angiology [ 0392-9590 ] ; 2009.
Descripteurs français
- Pascal (Inist)
English descriptors
Abstract
Aim. A method to classificate lymphedema has been needed to gather all the important information on the clinical evolution of the disease using a common language and an easy clinical applicability. Methods. The proposal for a new classification of the limb lymphedema was inspired by the C.E.A.P classification for chronic venous insufficiency of the lower limb. The classification adopts the acronym C.E.A.P. by adding the letter L to underline the aspect "lymphedema" and is based on clinical data such as extension of lymphedema, presence of lymphangitis, leg ulcers and loss of functionality of the limb and instrumental criteria that permit to confirm and precise diagnosis. The Clinical classification is based on the most objective sign in these patients, the edema which is subdivided into 5 classes depending on the clinical manifestations. The etiological aspect considers 2 types of alterations of the lymphatic system: congenital and acquired. The anatomic is aimed to locate the anatomical structures involved. Pathophysiological conditions are gathered into 5 groups: agenesia or hypoplasia, hyperplasia, reflux, overload, obstruction. Results. The classification has already been appraised after 4 years of activity at the unit of Vascular and Endovascular Surgery of Ferrara, at the S. Giovanni Battista Hospital in Rome, at the Umberto I Ancona Hospital and at the S. Giovanni- Addolorata Hospital in Rome. Conclusion. The proposal for a new classification of lymphedema C.E.A.P - L was developed in order to categorize patients with definite and objective marks, creating clinical reports with a common vocabulary, clear to all clinicians, permitting to stage the disease, evaluate treatment and finally obtain epidemiological and statistical data.
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Michelini</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>San Giovanni Battista Hospital</s1><s2>Rome</s2><s3>ITA</s3><sZ>2 aut.</sZ></inist:fA14><country>Italie</country></affiliation></author><author><name sortKey="Antignani, P L" sort="Antignani, P L" uniqKey="Antignani P" first="P. L." last="Antignani">P. L. Antignani</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of angiology, San Giovanni-Addolorata Hospital</s1><s2>Rome</s2><s3>ITA</s3><sZ>3 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Italie</country></affiliation></author><author><name sortKey="Tsolaki, E" sort="Tsolaki, E" uniqKey="Tsolaki E" first="E." last="Tsolaki">E. Tsolaki</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Unit of Vascular and Endovascular Surgery, Department of Surgical, Anesthesiological and Radiological Sciences, Sant'Anna University Hospital, University of Ferrara</s1><s2>Ferrara</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Italie</country></affiliation></author><author><name sortKey="Ricci, M" sort="Ricci, M" uniqKey="Ricci M" first="M." last="Ricci">M. Ricci</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Umberto I Hospital</s1><s2>Ancona</s2><s3>ITA</s3><sZ>5 aut.</sZ></inist:fA14><country>Italie</country></affiliation></author><author><name sortKey="Allegra, C" sort="Allegra, C" uniqKey="Allegra C" first="C." last="Allegra">C. 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Gasbarro</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Unit of Vascular and Endovascular Surgery, Department of Surgical, Anesthesiological and Radiological Sciences, Sant'Anna University Hospital, University of Ferrara</s1><s2>Ferrara</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Italie</country></affiliation></author><author><name sortKey="Michelini, S" sort="Michelini, S" uniqKey="Michelini S" first="S." last="Michelini">S. Michelini</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>San Giovanni Battista Hospital</s1><s2>Rome</s2><s3>ITA</s3><sZ>2 aut.</sZ></inist:fA14><country>Italie</country></affiliation></author><author><name sortKey="Antignani, P L" sort="Antignani, P L" uniqKey="Antignani P" first="P. L." last="Antignani">P. L. Antignani</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of angiology, San Giovanni-Addolorata Hospital</s1><s2>Rome</s2><s3>ITA</s3><sZ>3 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Italie</country></affiliation></author><author><name sortKey="Tsolaki, E" sort="Tsolaki, E" uniqKey="Tsolaki E" first="E." last="Tsolaki">E. Tsolaki</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Unit of Vascular and Endovascular Surgery, Department of Surgical, Anesthesiological and Radiological Sciences, Sant'Anna University Hospital, University of Ferrara</s1><s2>Ferrara</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Italie</country></affiliation></author><author><name sortKey="Ricci, M" sort="Ricci, M" uniqKey="Ricci M" first="M." last="Ricci">M. Ricci</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Umberto I Hospital</s1><s2>Ancona</s2><s3>ITA</s3><sZ>5 aut.</sZ></inist:fA14><country>Italie</country></affiliation></author><author><name sortKey="Allegra, C" sort="Allegra, C" uniqKey="Allegra C" first="C." last="Allegra">C. Allegra</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of angiology, San Giovanni-Addolorata Hospital</s1><s2>Rome</s2><s3>ITA</s3><sZ>3 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Italie</country></affiliation></author></analytic><series><title level="j" type="main">International angiology</title><title level="j" type="abbreviated">Int. angiol.</title><idno type="ISSN">0392-9590</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">International angiology</title><title level="j" type="abbreviated">Int. angiol.</title><idno type="ISSN">0392-9590</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cardiovascular disease</term><term>Epidemiology</term><term>Italian</term><term>Lymphedema</term><term>Venous incompetence</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Insuffisance veineuse</term><term>Lymphoedème</term><term>Pathologie de l'appareil circulatoire</term><term>Italien</term><term>Epidémiologie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Aim. A method to classificate lymphedema has been needed to gather all the important information on the clinical evolution of the disease using a common language and an easy clinical applicability. Methods. The proposal for a new classification of the limb lymphedema was inspired by the C.E.A.P classification for chronic venous insufficiency of the lower limb. The classification adopts the acronym C.E.A.P. by adding the letter L to underline the aspect "lymphedema" and is based on clinical data such as extension of lymphedema, presence of lymphangitis, leg ulcers and loss of functionality of the limb and instrumental criteria that permit to confirm and precise diagnosis. The Clinical classification is based on the most objective sign in these patients, the edema which is subdivided into 5 classes depending on the clinical manifestations. The etiological aspect considers 2 types of alterations of the lymphatic system: congenital and acquired. The anatomic is aimed to locate the anatomical structures involved. Pathophysiological conditions are gathered into 5 groups: agenesia or hypoplasia, hyperplasia, reflux, overload, obstruction. Results. The classification has already been appraised after 4 years of activity at the unit of Vascular and Endovascular Surgery of Ferrara, at the S. Giovanni Battista Hospital in Rome, at the Umberto I Ancona Hospital and at the S. Giovanni- Addolorata Hospital in Rome. Conclusion. The proposal for a new classification of lymphedema C.E.A.P - L was developed in order to categorize patients with definite and objective marks, creating clinical reports with a common vocabulary, clear to all clinicians, permitting to stage the disease, evaluate treatment and finally obtain epidemiological and statistical data.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0392-9590</s0></fA01><fA03 i2="1"><s0>Int. angiol.</s0></fA03><fA05><s2>28</s2></fA05><fA06><s2>4</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>The CEAP-L classification for lymphedemas of the limbs: the Italian experience</s1></fA08><fA11 i1="01" i2="1"><s1>GASBARRO (V.)</s1></fA11><fA11 i1="02" i2="1"><s1>MICHELINI (S.)</s1></fA11><fA11 i1="03" i2="1"><s1>ANTIGNANI (P. L.)</s1></fA11><fA11 i1="04" i2="1"><s1>TSOLAKI (E.)</s1></fA11><fA11 i1="05" i2="1"><s1>RICCI (M.)</s1></fA11><fA11 i1="06" i2="1"><s1>ALLEGRA (C.)</s1></fA11><fA14 i1="01"><s1>Unit of Vascular and Endovascular Surgery, Department of Surgical, Anesthesiological and Radiological Sciences, Sant'Anna University Hospital, University of Ferrara</s1><s2>Ferrara</s2><s3>ITA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ></fA14><fA14 i1="02"><s1>San Giovanni Battista Hospital</s1><s2>Rome</s2><s3>ITA</s3><sZ>2 aut.</sZ></fA14><fA14 i1="03"><s1>Department of angiology, San Giovanni-Addolorata Hospital</s1><s2>Rome</s2><s3>ITA</s3><sZ>3 aut.</sZ><sZ>6 aut.</sZ></fA14><fA14 i1="04"><s1>Umberto I Hospital</s1><s2>Ancona</s2><s3>ITA</s3><sZ>5 aut.</sZ></fA14><fA20><s1>315-324</s1></fA20><fA21><s1>2009</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>19982</s2><s5>354000171188790100</s5></fA43><fA44><s0>0000</s0><s1>© 2009 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>44 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>09-0434710</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>International angiology</s0></fA64><fA66 i1="01"><s0>ITA</s0></fA66><fC01 i1="01" l="ENG"><s0>Aim. A method to classificate lymphedema has been needed to gather all the important information on the clinical evolution of the disease using a common language and an easy clinical applicability. Methods. The proposal for a new classification of the limb lymphedema was inspired by the C.E.A.P classification for chronic venous insufficiency of the lower limb. The classification adopts the acronym C.E.A.P. by adding the letter L to underline the aspect "lymphedema" and is based on clinical data such as extension of lymphedema, presence of lymphangitis, leg ulcers and loss of functionality of the limb and instrumental criteria that permit to confirm and precise diagnosis. The Clinical classification is based on the most objective sign in these patients, the edema which is subdivided into 5 classes depending on the clinical manifestations. The etiological aspect considers 2 types of alterations of the lymphatic system: congenital and acquired. The anatomic is aimed to locate the anatomical structures involved. Pathophysiological conditions are gathered into 5 groups: agenesia or hypoplasia, hyperplasia, reflux, overload, obstruction. Results. The classification has already been appraised after 4 years of activity at the unit of Vascular and Endovascular Surgery of Ferrara, at the S. Giovanni Battista Hospital in Rome, at the Umberto I Ancona Hospital and at the S. Giovanni- Addolorata Hospital in Rome. Conclusion. The proposal for a new classification of lymphedema C.E.A.P - L was developed in order to categorize patients with definite and objective marks, creating clinical reports with a common vocabulary, clear to all clinicians, permitting to stage the disease, evaluate treatment and finally obtain epidemiological and statistical data.</s0></fC01><fC02 i1="01" i2="X"><s0>002B12B03</s0></fC02><fC02 i1="02" i2="X"><s0>002B25F</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Insuffisance veineuse</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Venous incompetence</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Insuficiencia venosa</s0><s5>01</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Lymphoedème</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Lymphedema</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Linfedema</s0><s5>02</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Pathologie de l'appareil circulatoire</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Cardiovascular disease</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Aparato circulatorio patología</s0><s5>03</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Italien</s0><s5>09</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Italian</s0><s5>09</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Italiano</s0><s5>09</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Epidémiologie</s0><s5>10</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Epidemiology</s0><s5>10</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Epidemiología</s0><s5>10</s5></fC03><fC07 i1="01" i2="X" l="FRE"><s0>Pathologie des vaisseaux sanguins</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="ENG"><s0>Vascular disease</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="SPA"><s0>Vaso sanguíneo patología</s0><s5>37</s5></fC07><fC07 i1="02" i2="X" l="FRE"><s0>Pathologie des veines</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="ENG"><s0>Venous disease</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="SPA"><s0>Vena patología</s0><s5>38</s5></fC07><fC07 i1="03" i2="X" l="FRE"><s0>Pathologie des vaisseaux lymphatiques</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="ENG"><s0>Lymphatic vessel disease</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="SPA"><s0>Linfático patología</s0><s5>39</s5></fC07><fN21><s1>313</s1></fN21><fN44 i1="01"><s1>OTO</s1></fN44><fN82><s1>OTO</s1></fN82></pA></standard></inist></record>Pour manipuler ce document sous Unix (Dilib)
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