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Non-contrast MR lymphography for evaluation of lymph node transfer for secondary upper limb lymphedema.

Identifieur interne : 000205 ( PubMed/Checkpoint ); précédent : 000204; suivant : 000206

Non-contrast MR lymphography for evaluation of lymph node transfer for secondary upper limb lymphedema.

Auteurs : Lionel Arrivé [France] ; Sarah Derhy ; Chrif Dlimi ; Sanaa El Mouhadi ; Laurence Monnier-Cholley ; Corinne Becker

Source :

RBID : pubmed:28820837

Abstract

Our purpose was to evaluate the results of axillary lymph node transplantation (LNT) with non-contrast magnetic resonance (MR) lymphography in 15 patients with secondary upper limb lymphedema.

DOI: 10.1097/PRS.0000000000003862
PubMed: 28820837


Affiliations:


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pubmed:28820837

Le document en format XML

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<name sortKey="Arrive, Lionel" sort="Arrive, Lionel" uniqKey="Arrive L" first="Lionel" last="Arrivé">Lionel Arrivé</name>
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<nlm:affiliation>1 Department of Radiology, Saint-Antoine Hospital, Assistance Publique-Hôpitaux de Paris, 184 Rue du Faubourg Saint-Antoine, 75012 Paris, France / Sorbonne Universités, UPMC 2 Department of Thoracic Surgery, Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, 20 Rue Leblanc, 75015 Paris.</nlm:affiliation>
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<wicri:regionArea>1 Department of Radiology, Saint-Antoine Hospital, Assistance Publique-Hôpitaux de Paris, 184 Rue du Faubourg Saint-Antoine, 75012 Paris, France / Sorbonne Universités, UPMC 2 Department of Thoracic Surgery, Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, 20 Rue Leblanc</wicri:regionArea>
<wicri:noRegion>20 Rue Leblanc</wicri:noRegion>
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<name sortKey="Derhy, Sarah" sort="Derhy, Sarah" uniqKey="Derhy S" first="Sarah" last="Derhy">Sarah Derhy</name>
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<name sortKey="Dlimi, Chrif" sort="Dlimi, Chrif" uniqKey="Dlimi C" first="Chrif" last="Dlimi">Chrif Dlimi</name>
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<name sortKey="El Mouhadi, Sanaa" sort="El Mouhadi, Sanaa" uniqKey="El Mouhadi S" first="Sanaa" last="El Mouhadi">Sanaa El Mouhadi</name>
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<name sortKey="Monnier Cholley, Laurence" sort="Monnier Cholley, Laurence" uniqKey="Monnier Cholley L" first="Laurence" last="Monnier-Cholley">Laurence Monnier-Cholley</name>
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<name sortKey="Becker, Corinne" sort="Becker, Corinne" uniqKey="Becker C" first="Corinne" last="Becker">Corinne Becker</name>
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<nlm:affiliation>1 Department of Radiology, Saint-Antoine Hospital, Assistance Publique-Hôpitaux de Paris, 184 Rue du Faubourg Saint-Antoine, 75012 Paris, France / Sorbonne Universités, UPMC 2 Department of Thoracic Surgery, Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, 20 Rue Leblanc, 75015 Paris.</nlm:affiliation>
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<name sortKey="Derhy, Sarah" sort="Derhy, Sarah" uniqKey="Derhy S" first="Sarah" last="Derhy">Sarah Derhy</name>
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<name sortKey="Dlimi, Chrif" sort="Dlimi, Chrif" uniqKey="Dlimi C" first="Chrif" last="Dlimi">Chrif Dlimi</name>
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<author>
<name sortKey="El Mouhadi, Sanaa" sort="El Mouhadi, Sanaa" uniqKey="El Mouhadi S" first="Sanaa" last="El Mouhadi">Sanaa El Mouhadi</name>
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<name sortKey="Monnier Cholley, Laurence" sort="Monnier Cholley, Laurence" uniqKey="Monnier Cholley L" first="Laurence" last="Monnier-Cholley">Laurence Monnier-Cholley</name>
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<name sortKey="Becker, Corinne" sort="Becker, Corinne" uniqKey="Becker C" first="Corinne" last="Becker">Corinne Becker</name>
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<title level="j">Plastic and reconstructive surgery</title>
<idno type="eISSN">1529-4242</idno>
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<date when="2017" type="published">2017</date>
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<front>
<div type="abstract" xml:lang="en">Our purpose was to evaluate the results of axillary lymph node transplantation (LNT) with non-contrast magnetic resonance (MR) lymphography in 15 patients with secondary upper limb lymphedema.</div>
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<Year>2017</Year>
<Month>08</Month>
<Day>18</Day>
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<Year>2017</Year>
<Month>08</Month>
<Day>18</Day>
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<Year>2017</Year>
<Month>Aug</Month>
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<Title>Plastic and reconstructive surgery</Title>
<ISOAbbreviation>Plast. Reconstr. Surg.</ISOAbbreviation>
</Journal>
<ArticleTitle>Non-contrast MR lymphography for evaluation of lymph node transfer for secondary upper limb lymphedema.</ArticleTitle>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Our purpose was to evaluate the results of axillary lymph node transplantation (LNT) with non-contrast magnetic resonance (MR) lymphography in 15 patients with secondary upper limb lymphedema.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Fifteen female patients with lymphedema following breast cancer treatment underwent LNT. Non-contrast MR lymphography was obtained with a free-breathing 3D fast spin-echo sequence. Images analysis criteria included: (A) before surgery: a) severity of lymphedema graded as absent, mild, moderate, and severe; b) involvement of the muscular compartment; c) distal dilated lymphatic vessels; (B) after surgery: a) visualization of site of transplantation; b) visualization of transplanted lymph nodes; c) severity of lymphedema with regard to pretransplantation severity (i.e., improvement, stability, or aggravation). Clinically, circumferential measures were performed at four different levels.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Follow-up MR examinations were performed at least 6 months after LNT, with a longest follow-up time of 42 months. In 2 patients, no lymphedema was visualized before LNT with MR lymphography. In the other 13 patients, lymphedema was mild in 4 patients, moderate in 5 patients, and severe in the other 4 patients. After LNT, an improvement of upper limb lymphedema was observed in 7 of 9 patients with moderate or severe upper limb lymphedema. In the 11 patients in whom comparison of MR lymphography with circumferential measurement was available, evaluations were concordant in 10 cases.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Non-contrast MR lymphography may be used as an objective technique to analyze the results of LNT. Improvement of lymphedema was observed in 7 of 9 patients with moderate or severe upper limb lymphedema.</AbstractText>
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