Lymphedema: From diagnosis to treatment
Identifieur interne : 004882 ( Pmc/Corpus ); précédent : 004881; suivant : 004883Lymphedema: From diagnosis to treatment
Auteurs : O Uz Kay Ran ; Carolyn De La Cruz ; Kaori Tane ; Atilla SoranSource :
- Turkish Journal of Surgery [ 2564-6850 ] ; 2017.
Abstract
Lymphedema is a chronic and progressive disorder resulting from impaired lymphatic system function. In developed countries, upper extremity lymphedema is mainly the consequence of breast cancer surgery in which axillary lymph node dissection and radiation alter upper extremity lymphatic flow.
Diagnosis of lymphedema is made clinically. Nevertheless, there are numerous diagnostic tools available for disease staging. Recently, a new technology namely magnetic resonance lymphangiography has emerged in the medical field to assist in both diagnosis and management.
There are non-surgical and surgical treatment options available. Non-surgical methods are always the first-line treatment; however, surgical options can be explored in appropriate patients. Recent studies focus on the prevention of lymphedema using surgical techniques utilizing axillary reverse mapping to delineate arm lymphatics from axillary lymphatics.
Finding the most suitable technique for each type of lymphedema with variable stages is one of the most complicated decisions for practitioners. More studies are needed to reveal the exact biology of lymphedema to ensure complete understanding of the disease and improve outcomes.
Url:
DOI: 10.5152/turkjsurg.2017.3870
PubMed: 28740950
PubMed Central: 5508242
Links to Exploration step
PMC:5508242Le document en format XML
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<author><name sortKey="Kay Ran, O Uz" sort="Kay Ran, O Uz" uniqKey="Kay Ran O" first="O Uz" last="Kay Ran">O Uz Kay Ran</name>
<affiliation><nlm:aff id="af1-tjs-33-2-51">Division of Breast Surgery and Lymphedema Program, Magee-Womens Hospital of University of Pittsburgh Medical Center, Pittsburgh, USA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="af2-tjs-33-2-51">Department of Plastic and Reconstructive Surgery, Baltalimani Hospital, İstanbul, Turkey</nlm:aff>
</affiliation>
</author>
<author><name sortKey="De La Cruz, Carolyn" sort="De La Cruz, Carolyn" uniqKey="De La Cruz C" first="Carolyn" last="De La Cruz">Carolyn De La Cruz</name>
<affiliation><nlm:aff id="af3-tjs-33-2-51">Department of Plastic and Reconstructive Surgery, University of Pittsburgh Medical Center, Pittsburgh, USA</nlm:aff>
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<author><name sortKey="Tane, Kaori" sort="Tane, Kaori" uniqKey="Tane K" first="Kaori" last="Tane">Kaori Tane</name>
<affiliation><nlm:aff id="af1-tjs-33-2-51">Division of Breast Surgery and Lymphedema Program, Magee-Womens Hospital of University of Pittsburgh Medical Center, Pittsburgh, USA</nlm:aff>
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<author><name sortKey="Soran, Atilla" sort="Soran, Atilla" uniqKey="Soran A" first="Atilla" last="Soran">Atilla Soran</name>
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<affiliation><nlm:aff id="af1-tjs-33-2-51">Division of Breast Surgery and Lymphedema Program, Magee-Womens Hospital of University of Pittsburgh Medical Center, Pittsburgh, USA</nlm:aff>
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<affiliation><nlm:aff id="af2-tjs-33-2-51">Department of Plastic and Reconstructive Surgery, Baltalimani Hospital, İstanbul, Turkey</nlm:aff>
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<author><name sortKey="De La Cruz, Carolyn" sort="De La Cruz, Carolyn" uniqKey="De La Cruz C" first="Carolyn" last="De La Cruz">Carolyn De La Cruz</name>
<affiliation><nlm:aff id="af3-tjs-33-2-51">Department of Plastic and Reconstructive Surgery, University of Pittsburgh Medical Center, Pittsburgh, USA</nlm:aff>
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<author><name sortKey="Tane, Kaori" sort="Tane, Kaori" uniqKey="Tane K" first="Kaori" last="Tane">Kaori Tane</name>
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<series><title level="j">Turkish Journal of Surgery</title>
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<front><div type="abstract" xml:lang="en"><p>Lymphedema is a chronic and progressive disorder resulting from impaired lymphatic system function. In developed countries, upper extremity lymphedema is mainly the consequence of breast cancer surgery in which axillary lymph node dissection and radiation alter upper extremity lymphatic flow.</p>
<p>Diagnosis of lymphedema is made clinically. Nevertheless, there are numerous diagnostic tools available for disease staging. Recently, a new technology namely magnetic resonance lymphangiography has emerged in the medical field to assist in both diagnosis and management.</p>
<p>There are non-surgical and surgical treatment options available. Non-surgical methods are always the first-line treatment; however, surgical options can be explored in appropriate patients. Recent studies focus on the prevention of lymphedema using surgical techniques utilizing axillary reverse mapping to delineate arm lymphatics from axillary lymphatics.</p>
<p>Finding the most suitable technique for each type of lymphedema with variable stages is one of the most complicated decisions for practitioners. More studies are needed to reveal the exact biology of lymphedema to ensure complete understanding of the disease and improve outcomes.</p>
</div>
</front>
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<pmc article-type="review-article"><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">Turk J Surg</journal-id>
<journal-id journal-id-type="iso-abbrev">Turk J Surg</journal-id>
<journal-title-group><journal-title>Turkish Journal of Surgery</journal-title>
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<issn pub-type="ppub">2564-6850</issn>
<issn pub-type="epub">2564-7032</issn>
<publisher><publisher-name>Turkish Journal of Surgery</publisher-name>
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<article-id pub-id-type="pmc">5508242</article-id>
<article-id pub-id-type="doi">10.5152/turkjsurg.2017.3870</article-id>
<article-id pub-id-type="publisher-id">tjs-33-2-51</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Invited Review</subject>
</subj-group>
</article-categories>
<title-group><article-title>Lymphedema: From diagnosis to treatment</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Kayıran</surname>
<given-names>Oğuz</given-names>
</name>
<xref ref-type="aff" rid="af1-tjs-33-2-51">1</xref>
<xref ref-type="aff" rid="af2-tjs-33-2-51">2</xref>
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<contrib contrib-type="author"><name><surname>De La Cruz</surname>
<given-names>Carolyn</given-names>
</name>
<xref ref-type="aff" rid="af3-tjs-33-2-51">3</xref>
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<contrib contrib-type="author"><name><surname>Tane</surname>
<given-names>Kaori</given-names>
</name>
<xref ref-type="aff" rid="af1-tjs-33-2-51">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Soran</surname>
<given-names>Atilla</given-names>
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<xref ref-type="aff" rid="af1-tjs-33-2-51">1</xref>
<xref ref-type="corresp" rid="c1-tjs-33-2-51"></xref>
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<aff id="af1-tjs-33-2-51"><label>1</label>
Division of Breast Surgery and Lymphedema Program, Magee-Womens Hospital of University of Pittsburgh Medical Center, Pittsburgh, USA</aff>
<aff id="af2-tjs-33-2-51"><label>2</label>
Department of Plastic and Reconstructive Surgery, Baltalimani Hospital, İstanbul, Turkey</aff>
<aff id="af3-tjs-33-2-51"><label>3</label>
Department of Plastic and Reconstructive Surgery, University of Pittsburgh Medical Center, Pittsburgh, USA</aff>
<author-notes><corresp id="c1-tjs-33-2-51">Address for Correspondence: Atilla Soran, e-mail: <email>asoran@upmc.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="collection"><year>2017</year>
</pub-date>
<pub-date pub-type="epub"><day>01</day>
<month>6</month>
<year>2017</year>
</pub-date>
<volume>33</volume>
<issue>2</issue>
<fpage>51</fpage>
<lpage>57</lpage>
<history><date date-type="received"><day>17</day>
<month>3</month>
<year>2017</year>
</date>
<date date-type="accepted"><day>20</day>
<month>3</month>
<year>2017</year>
</date>
</history>
<permissions><copyright-statement>©Copyright 2017 by the Turkish Surgical Association</copyright-statement>
<copyright-year>2017</copyright-year>
</permissions>
<abstract><p>Lymphedema is a chronic and progressive disorder resulting from impaired lymphatic system function. In developed countries, upper extremity lymphedema is mainly the consequence of breast cancer surgery in which axillary lymph node dissection and radiation alter upper extremity lymphatic flow.</p>
<p>Diagnosis of lymphedema is made clinically. Nevertheless, there are numerous diagnostic tools available for disease staging. Recently, a new technology namely magnetic resonance lymphangiography has emerged in the medical field to assist in both diagnosis and management.</p>
<p>There are non-surgical and surgical treatment options available. Non-surgical methods are always the first-line treatment; however, surgical options can be explored in appropriate patients. Recent studies focus on the prevention of lymphedema using surgical techniques utilizing axillary reverse mapping to delineate arm lymphatics from axillary lymphatics.</p>
<p>Finding the most suitable technique for each type of lymphedema with variable stages is one of the most complicated decisions for practitioners. More studies are needed to reveal the exact biology of lymphedema to ensure complete understanding of the disease and improve outcomes.</p>
</abstract>
<kwd-group><kwd>Diagnosis</kwd>
<kwd>lymphedema</kwd>
<kwd>treatment</kwd>
</kwd-group>
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