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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Massive localized lymphedema: A case series and literature review</title>
<author><name sortKey="Evans, Robin James" sort="Evans, Robin James" uniqKey="Evans R" first="Robin James" last="Evans">Robin James Evans</name>
</author>
<author><name sortKey="Scilley, Chris" sort="Scilley, Chris" uniqKey="Scilley C" first="Chris" last="Scilley">Chris Scilley</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">22942667</idno>
<idno type="pmc">3269338</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3269338</idno>
<idno type="RBID">PMC:3269338</idno>
<date when="2011">2011</date>
<idno type="wicri:Area/Pmc/Corpus">002013</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002013</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Massive localized lymphedema: A case series and literature review</title>
<author><name sortKey="Evans, Robin James" sort="Evans, Robin James" uniqKey="Evans R" first="Robin James" last="Evans">Robin James Evans</name>
</author>
<author><name sortKey="Scilley, Chris" sort="Scilley, Chris" uniqKey="Scilley C" first="Chris" last="Scilley">Chris Scilley</name>
</author>
</analytic>
<series><title level="j">The Canadian Journal of Plastic Surgery</title>
<idno type="ISSN">1195-2199</idno>
<idno type="eISSN">1918-1507</idno>
<imprint><date when="2011">2011</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p>Massive localized lymphedema (MLL) has received very little attention in the literature, mainly because it is misdiagnosed as well-differentiated liposarcoma. MLL is painless and often malignant, and usually presents in morbidly obese patients. Two cases of MLL are discussed in this article – both in women who weighed more than 200 kg – to assist physicians in decision making.</p>
</div>
</front>
</TEI>
<pmc article-type="case-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Can J Plast Surg</journal-id>
<journal-id journal-id-type="publisher-id">PGI</journal-id>
<journal-title-group><journal-title>The Canadian Journal of Plastic Surgery</journal-title>
</journal-title-group>
<issn pub-type="ppub">1195-2199</issn>
<issn pub-type="epub">1918-1507</issn>
<publisher><publisher-name>Pulsus Group Inc</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22942667</article-id>
<article-id pub-id-type="pmc">3269338</article-id>
<article-id pub-id-type="publisher-id">cjps19e030</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Massive localized lymphedema: A case series and literature review</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Evans</surname>
<given-names>Robin James</given-names>
</name>
<degrees>MD FRCSC</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Scilley</surname>
<given-names>Chris</given-names>
</name>
<degrees>MD FRCSC</degrees>
<xref ref-type="corresp" rid="c1-cjps19e030"></xref>
</contrib>
<aff id="af1-cjps19e030">Division of Plastic Surgery, Department of Surgery, University of Western Ontario, London, Ontario</aff>
</contrib-group>
<author-notes><corresp id="c1-cjps19e030">Correspondence: Dr Chris Scilley, London Health Sciences Centre – Victoria Campus Room E2-214, 800 Commisioners Road East, PO Box 5010, London, Ontario N6A 5W9. Telephone 519-667-6755, fax 519-667-6627, e-mail <email>cscilley@uwo.ca</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><season>Autumn</season>
<year>2011</year>
</pub-date>
<volume>19</volume>
<issue>3</issue>
<fpage>e30</fpage>
<lpage>e31</lpage>
<permissions><copyright-statement>© 2011, Pulsus Group Inc. All rights reserved</copyright-statement>
<copyright-year>2011</copyright-year>
</permissions>
<abstract abstract-type="toc"><p>Massive localized lymphedema (MLL) has received very little attention in the literature, mainly because it is misdiagnosed as well-differentiated liposarcoma. MLL is painless and often malignant, and usually presents in morbidly obese patients. Two cases of MLL are discussed in this article – both in women who weighed more than 200 kg – to assist physicians in decision making.</p>
</abstract>
<abstract><p>A large, deep, soft tissue mass is often malignant in nature; however, a recent study described a large soft tissue mass present in morbidly obese patients that was found to be benign. Massive localized lymphedema (MLL) is a large pedunculated lymphadematous mass found in the lower extremity of morbidly obese patients. MLL often enlarges over many years and may interfere with mobility. Although histologically similar to well-differentiated liposarcoma, MLL has recently emerged as a separate, benign clinical entity. The pathophysiology of MLL is yet to be understood. A literature review, and the authors’ experiences are discussed to assist in clinical decision making.</p>
</abstract>
<trans-abstract xml:lang="fr"><p>Une masse grosse et profonde de tissus mous est souvent de nature maligne, mais une étude récente a décrit la présence d’une grosse masse de tissus mous de nature bénigne chez des patients ayant une obésité morbide. Le lymphœdème massif localisé (LML) est une grosse masse lymphœdémateuse pédonculée présente sur les membres inférieurs de patients ayant une obésité morbide. Il grossit souvent en l’espace de plusieurs années et peut nuire à la mobilité. Même s’il est histologiquement similaire à un liposarcome bien différencié, le LML a récemment émergé comme une entité clinique bénigne distincte. La physiopathologie du LML n’est pas encore comprise. Une analyse bibliographique et les expériences des auteurs sont exposées pour contribuer à la prise de décision clinique.</p>
</trans-abstract>
<kwd-group><kwd>Liposarcoma</kwd>
<kwd>Lymphedema</kwd>
<kwd>Massive localized lymphedema</kwd>
<kwd>Obesity</kwd>
<kwd>Soft tissue tumour</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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