Correlation Between Lymphedema Disease Severity and Lymphoscintigraphic Findings: A Clinical-Radiologic Study.
Identifieur interne : 000405 ( PubMed/Checkpoint ); précédent : 000404; suivant : 000406Correlation Between Lymphedema Disease Severity and Lymphoscintigraphic Findings: A Clinical-Radiologic Study.
Auteurs : Reid A. Maclellan [États-Unis] ; David Zurakowski [États-Unis] ; Stephan Voss [États-Unis] ; Arin K. Greene [États-Unis]Source :
- Journal of the American College of Surgeons [ 1879-1190 ] ; 2017.
Abstract
Lymphoscintigraphy is used to confirm the diagnosis of lymphedema; pathologic findings are abnormal transit time to regional nodes and dermal backflow. A universal protocol for the test does not exist. The purpose of this study was to determine whether the clinical severity of lymphedema correlates with lymphoscintigraphy findings.
DOI: 10.1016/j.jamcollsurg.2017.06.005
PubMed: 28669886
Affiliations:
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Maclellan</name><affiliation wicri:level="2"><nlm:affiliation>Department of Plastic and Oral Surgery, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, MA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Plastic and Oral Surgery, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Zurakowski, David" sort="Zurakowski, David" uniqKey="Zurakowski D" first="David" last="Zurakowski">David Zurakowski</name><affiliation wicri:level="2"><nlm:affiliation>Department of Anesthesia, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, MA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Anesthesia, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Voss, Stephan" sort="Voss, Stephan" uniqKey="Voss S" first="Stephan" last="Voss">Stephan Voss</name><affiliation wicri:level="2"><nlm:affiliation>Department of Radiology, Division of Nuclear Medicine, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, MA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Radiology, Division of Nuclear Medicine, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Greene, Arin K" sort="Greene, Arin K" uniqKey="Greene A" first="Arin K" last="Greene">Arin K. Greene</name><affiliation wicri:level="2"><nlm:affiliation>Department of Plastic and Oral Surgery, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, MA. Electronic address: arin.greene@childrens.harvard.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Plastic and Oral Surgery, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston</wicri:cityArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28669886</idno><idno type="pmid">28669886</idno><idno type="doi">10.1016/j.jamcollsurg.2017.06.005</idno><idno type="wicri:Area/PubMed/Corpus">000121</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000121</idno><idno type="wicri:Area/PubMed/Curation">000121</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000121</idno><idno type="wicri:Area/PubMed/Checkpoint">000121</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000121</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Correlation Between Lymphedema Disease Severity and Lymphoscintigraphic Findings: A Clinical-Radiologic Study.</title><author><name sortKey="Maclellan, Reid A" sort="Maclellan, Reid A" uniqKey="Maclellan R" first="Reid A" last="Maclellan">Reid A. Maclellan</name><affiliation wicri:level="2"><nlm:affiliation>Department of Plastic and Oral Surgery, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, MA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Plastic and Oral Surgery, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Zurakowski, David" sort="Zurakowski, David" uniqKey="Zurakowski D" first="David" last="Zurakowski">David Zurakowski</name><affiliation wicri:level="2"><nlm:affiliation>Department of Anesthesia, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, MA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Anesthesia, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Voss, Stephan" sort="Voss, Stephan" uniqKey="Voss S" first="Stephan" last="Voss">Stephan Voss</name><affiliation wicri:level="2"><nlm:affiliation>Department of Radiology, Division of Nuclear Medicine, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, MA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Radiology, Division of Nuclear Medicine, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Greene, Arin K" sort="Greene, Arin K" uniqKey="Greene A" first="Arin K" last="Greene">Arin K. Greene</name><affiliation wicri:level="2"><nlm:affiliation>Department of Plastic and Oral Surgery, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, MA. Electronic address: arin.greene@childrens.harvard.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Plastic and Oral Surgery, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of the American College of Surgeons</title><idno type="eISSN">1879-1190</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lymphoscintigraphy is used to confirm the diagnosis of lymphedema; pathologic findings are abnormal transit time to regional nodes and dermal backflow. A universal protocol for the test does not exist. The purpose of this study was to determine whether the clinical severity of lymphedema correlates with lymphoscintigraphy findings.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">28669886</PMID><DateCreated><Year>2017</Year><Month>07</Month><Day>03</Day></DateCreated><DateRevised><Year>2017</Year><Month>08</Month><Day>27</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-1190</ISSN><JournalIssue CitedMedium="Internet"><Volume>225</Volume><Issue>3</Issue><PubDate><Year>2017</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Journal of the American College of Surgeons</Title><ISOAbbreviation>J. Am. Coll. Surg.</ISOAbbreviation></Journal><ArticleTitle>Correlation Between Lymphedema Disease Severity and Lymphoscintigraphic Findings: A Clinical-Radiologic Study.</ArticleTitle><Pagination><MedlinePgn>366-370</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1072-7515(17)30564-1</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jamcollsurg.2017.06.005</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lymphoscintigraphy is used to confirm the diagnosis of lymphedema; pathologic findings are abnormal transit time to regional nodes and dermal backflow. A universal protocol for the test does not exist. The purpose of this study was to determine whether the clinical severity of lymphedema correlates with lymphoscintigraphy findings.</AbstractText><AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Patients treated in our Lymphedema Program between 2009 and 2017 were reviewed. Diagnosis of lymphedema was determined by history, physical examination, and lymphoscintigraphy. Severity was defined by increased volume of the limb as follows: mild (<20%), moderate (20% to 40%), and severe (>40%). Candidate variables included location (arm, leg), age, duration of symptoms, infection history, and lymphedema type (primary, secondary). An association between lymphedema severity and lymphoscintigraphy findings was determined using the Pearson chi-square test and multivariate logistic regression.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">One hundred and thirty-four patients with 181 affected extremities (24 upper, 157 lower) were included. Clinical severity was as follows: 54% mild, 30% moderate, and 16% severe. Delayed tracer transit to the regional nodes was as follows: 45 minutes (34%), 2 hours (18%), and 4 hours or longer (48%). Thirty-six percent of extremities demonstrated dermal backflow. Abnormal transit time or dermal backflow was identified in 97% of extremities by 45 minutes and in 3% of limbs by 2 hours. Transit time and dermal backflow were not predictive of clinical severity when adjusting for candidate variables (p > 0.1).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Clinical severity of lymphedema is not associated with lymphoscintigraphy findings. A lymphoscintigram should be interpreted as normal or abnormal, and does not need to exceed 2 hours.</AbstractText><CopyrightInformation>Copyright © 2017 American College of Surgeons. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Maclellan</LastName><ForeName>Reid A</ForeName><Initials>RA</Initials><AffiliationInfo><Affiliation>Department of Plastic and Oral Surgery, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, MA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zurakowski</LastName><ForeName>David</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Anesthesia, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, MA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Voss</LastName><ForeName>Stephan</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Radiology, Division of Nuclear Medicine, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, MA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Greene</LastName><ForeName>Arin K</ForeName><Initials>AK</Initials><AffiliationInfo><Affiliation>Department of Plastic and Oral Surgery, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, MA. Electronic address: arin.greene@childrens.harvard.edu.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>06</Month><Day>29</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Am Coll Surg</MedlineTA><NlmUniqueID>9431305</NlmUniqueID><ISSNLinking>1072-7515</ISSNLinking></MedlineJournalInfo></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>05</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2017</Year><Month>06</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>06</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>7</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>7</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>7</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28669886</ArticleId><ArticleId IdType="pii">S1072-7515(17)30564-1</ArticleId><ArticleId IdType="doi">10.1016/j.jamcollsurg.2017.06.005</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Massachusetts</li></region></list><tree><country name="États-Unis"><region name="Massachusetts"><name sortKey="Maclellan, Reid A" sort="Maclellan, Reid A" uniqKey="Maclellan R" first="Reid A" last="Maclellan">Reid A. Maclellan</name></region><name sortKey="Greene, Arin K" sort="Greene, Arin K" uniqKey="Greene A" first="Arin K" last="Greene">Arin K. Greene</name><name sortKey="Voss, Stephan" sort="Voss, Stephan" uniqKey="Voss S" first="Stephan" last="Voss">Stephan Voss</name><name sortKey="Zurakowski, David" sort="Zurakowski, David" uniqKey="Zurakowski D" first="David" last="Zurakowski">David Zurakowski</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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