Bilateral axillary lymph node uptake of radiotracer during lower extremity and scrotal lymphoscintigraphy in a case of primary scrotal lymphoedema
Identifieur interne : 002242 ( Pmc/Curation ); précédent : 002241; suivant : 002243Bilateral axillary lymph node uptake of radiotracer during lower extremity and scrotal lymphoscintigraphy in a case of primary scrotal lymphoedema
Auteurs : Anuj Jain [Inde] ; Abhinav Jaimini [Inde]Source :
- Indian Journal of Nuclear Medicine : IJNM : The Official Journal of the Society of Nuclear Medicine, India [ 0972-3919 ] ; 2011.
Abstract
Lymphoscintigraphy is a useful technique for the evaluation of lymphatic function in the presence of limb swelling. The authors report a case where genital swelling in a 20-year-old man was investigated by lymphoscintigraphy. We performed lower limb lymphoscintigraphy and scrotal lymphoscintigraphy in the patient on two different days. Lower limb revealed dermal backflow pattern in lower limbs, inguinoscrotal reflux of the lymph and unexpected avid radiotracer uptake in the axillae bilaterally. Scrotal lymphoscintigraphy revealed slow movement of the lymph from the scrotal skin and again unexpected avid radiotracer uptake in the axillae bilaterally. Findings were concluded as congenital hypoplasia of lymphatics in lower limbs, congenital lymphectasia/compensatory megalymphatics in scrotum and aberrant lymphatic pathway, possibly due to malfunctioning/nonfunctioning thoracic duct.
Url:
DOI: 10.4103/0972-3919.106710
PubMed: 23559718
PubMed Central: 3613629
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<pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Indian J Nucl Med</journal-id>
<journal-id journal-id-type="iso-abbrev">Indian J Nucl Med</journal-id>
<journal-id journal-id-type="publisher-id">IJNM</journal-id>
<journal-title-group><journal-title>Indian Journal of Nuclear Medicine : IJNM : The Official Journal of the Society of Nuclear Medicine, India</journal-title>
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<issn pub-type="ppub">0972-3919</issn>
<issn pub-type="epub">0974-0244</issn>
<publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name>
<publisher-loc>India</publisher-loc>
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<article-meta><article-id pub-id-type="pmid">23559718</article-id>
<article-id pub-id-type="pmc">3613629</article-id>
<article-id pub-id-type="publisher-id">IJNM-26-199</article-id>
<article-id pub-id-type="doi">10.4103/0972-3919.106710</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Bilateral axillary lymph node uptake of radiotracer during lower extremity and scrotal lymphoscintigraphy in a case of primary scrotal lymphoedema</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Jain</surname>
<given-names>Anuj</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jaimini</surname>
<given-names>Abhinav</given-names>
</name>
<xref ref-type="aff" rid="aff2">1</xref>
</contrib>
</contrib-group>
<aff id="aff1">Department of Nuclear Medicine and PET/CT, Vijaya Diagnostic Centre Pvt. Ltd, Hyderabad, India</aff>
<aff id="aff2"><label>1</label>
Institute of Nuclear Medicine and Allied Sciences, Delhi, India</aff>
<author-notes><corresp id="cor1"><bold>Address for correspondence:</bold>
Dr. Anuj Jain, Department of Nuclear Medicine and PET/CT, Vijaya Diagnostic Centre Pvt. Ltd, 3 - 6-16, Lane No.19, Himayat Nagar, Hyderabad - 500 029, India. E-mail: <email xlink:href="docanujjain@gmail.com">docanujjain@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><season>Oct-Dec</season>
<year>2011</year>
</pub-date>
<volume>26</volume>
<issue>4</issue>
<fpage>199</fpage>
<lpage>201</lpage>
<permissions><copyright-statement>Copyright: © Indian Journal of Nuclear Medicine</copyright-statement>
<copyright-year>2011</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>Lymphoscintigraphy is a useful technique for the evaluation of lymphatic function in the presence of limb swelling. The authors report a case where genital swelling in a 20-year-old man was investigated by lymphoscintigraphy. We performed lower limb lymphoscintigraphy and scrotal lymphoscintigraphy in the patient on two different days. Lower limb revealed dermal backflow pattern in lower limbs, inguinoscrotal reflux of the lymph and unexpected avid radiotracer uptake in the axillae bilaterally. Scrotal lymphoscintigraphy revealed slow movement of the lymph from the scrotal skin and again unexpected avid radiotracer uptake in the axillae bilaterally. Findings were concluded as congenital hypoplasia of lymphatics in lower limbs, congenital lymphectasia/compensatory megalymphatics in scrotum and aberrant lymphatic pathway, possibly due to malfunctioning/nonfunctioning thoracic duct.</p>
</abstract>
<kwd-group><kwd>Genital lymphedema</kwd>
<kwd>inguinoscrotal reflux</kwd>
<kwd>lymphoscintigraphy</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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