Histological findings compared with magnetic resonance and ultrasonographic imaging in irreversible postmastectomy lymphedema: a case study.
Identifieur interne : 002C45 ( PubMed/Checkpoint ); précédent : 002C44; suivant : 002C46Histological findings compared with magnetic resonance and ultrasonographic imaging in irreversible postmastectomy lymphedema: a case study.
Auteurs : An Tassenoy [Belgique] ; Johan De Mey ; Tadeusz Stadnik ; Filip De Ridder ; Els Peeters ; Peter Van Schuerbeek ; Paul Wylock ; Gregory P A. Van Eeckhout ; Kristoff Verdonck ; Jan Lamote ; Luc Baeyens ; Pierre LievensSource :
- Lymphatic research and biology [ 1557-8585 ] ; 2009.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Biopsie, Femelle, Fibrose (anatomopathologie), Humains, Imagerie par résonance magnétique (), Lymphoedème (), Lymphoedème (anatomopathologie), Lymphoedème (diagnostic), Lymphoedème (imagerie diagnostique), Mastectomie, Microscopie (), Région mammaire (anatomopathologie), Spectroscopie par résonance magnétique (), Sujet âgé, Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Tumeurs du sein (imagerie diagnostique), Échographie (), Échographie mammaire ().
- MESH :
- anatomopathologie : Fibrose, Lymphoedème, Région mammaire, Tumeurs du sein.
- diagnostic : Lymphoedème.
- imagerie diagnostique : Lymphoedème, Tumeurs du sein.
- Adulte d'âge moyen, Biopsie, Femelle, Humains, Imagerie par résonance magnétique, Lymphoedème, Mastectomie, Microscopie, Spectroscopie par résonance magnétique, Sujet âgé, Tumeurs du sein, Échographie, Échographie mammaire.
English descriptors
- KwdEn :
- Aged, Biopsy, Breast (pathology), Breast Neoplasms (complications), Breast Neoplasms (diagnostic imaging), Breast Neoplasms (pathology), Breast Neoplasms (surgery), Female, Fibrosis (pathology), Humans, Lymphedema (complications), Lymphedema (diagnosis), Lymphedema (diagnostic imaging), Lymphedema (pathology), Magnetic Resonance Imaging (methods), Magnetic Resonance Spectroscopy (methods), Mastectomy, Microscopy (methods), Middle Aged, Ultrasonography (methods), Ultrasonography, Mammary (methods).
- MESH :
- complications : Breast Neoplasms, Lymphedema.
- diagnosis : Lymphedema.
- diagnostic imaging : Breast Neoplasms, Lymphedema.
- methods : Magnetic Resonance Imaging, Magnetic Resonance Spectroscopy, Microscopy, Ultrasonography, Ultrasonography, Mammary.
- pathology : Breast, Breast Neoplasms, Fibrosis, Lymphedema.
- surgery : Breast Neoplasms.
- Aged, Biopsy, Female, Humans, Mastectomy, Middle Aged.
Abstract
Postmastectomy edema is a current complication after axillary lymph node dissection in cases of breast cancer treatment. Staging is important in order to select those patients who can benefit from complex physical therapy (CPT). Different imaging techniques can be used to evaluate the edema. Ultrasonography (US) is a harmless, cheap, and easily applicable technique to visualize the dermal and subcutaneous tissue, but interpretation of the obtained images is not always evident. The aim of this study was to compare ultrasound images of irreversible edema with tissue histology, magnetic resonance imaging (MRI) and magnetic resonance spectroscopy (MRS). Ultrasonographic images of the edematous dermis show an homogeneous hypoechogenic dermal layer that appears on tissue histology to be less compact, due to the excess of fluid in the interstitium separating the collagen fibres and making it more transparent on light microscopy. MRI of the dermis gives a hyperintense signal, indicating the presence of fluid. In the subcutis, increase of the adipose tissue could be observed on US, MRI, and tissue histology. In the case of lymphedema, the area and perimeter of fat cells is significantly (p < 0.05) increased. Hypoechogenic areas near the muscle fascia are registered on US corresponding with epifascial fluid on MRI, and hyperechogenic branches are embedded within the adipose tissue, on tissue histology seen as large fibrotic septa enclosing adipose cells. MRI has a honeycomb picture corresponding with fluid bound to fibrosis.
DOI: 10.1089/lrb.2008.1025
PubMed: 19778202
Affiliations:
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Van Eeckhout</name></author><author><name sortKey="Verdonck, Kristoff" sort="Verdonck, Kristoff" uniqKey="Verdonck K" first="Kristoff" last="Verdonck">Kristoff Verdonck</name></author><author><name sortKey="Lamote, Jan" sort="Lamote, Jan" uniqKey="Lamote J" first="Jan" last="Lamote">Jan Lamote</name></author><author><name sortKey="Baeyens, Luc" sort="Baeyens, Luc" uniqKey="Baeyens L" first="Luc" last="Baeyens">Luc Baeyens</name></author><author><name sortKey="Lievens, Pierre" sort="Lievens, Pierre" uniqKey="Lievens P" first="Pierre" last="Lievens">Pierre Lievens</name></author></analytic><series><title level="j">Lymphatic research and biology</title><idno type="eISSN">1557-8585</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Biopsy</term><term>Breast (pathology)</term><term>Breast Neoplasms (complications)</term><term>Breast Neoplasms (diagnostic imaging)</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (surgery)</term><term>Female</term><term>Fibrosis (pathology)</term><term>Humans</term><term>Lymphedema (complications)</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (pathology)</term><term>Magnetic Resonance Imaging (methods)</term><term>Magnetic Resonance Spectroscopy (methods)</term><term>Mastectomy</term><term>Microscopy (methods)</term><term>Middle Aged</term><term>Ultrasonography (methods)</term><term>Ultrasonography, Mammary (methods)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Biopsie</term><term>Femelle</term><term>Fibrose (anatomopathologie)</term><term>Humains</term><term>Imagerie par résonance magnétique ()</term><term>Lymphoedème ()</term><term>Lymphoedème (anatomopathologie)</term><term>Lymphoedème (diagnostic)</term><term>Lymphoedème (imagerie diagnostique)</term><term>Mastectomie</term><term>Microscopie ()</term><term>Région mammaire (anatomopathologie)</term><term>Spectroscopie par résonance magnétique ()</term><term>Sujet âgé</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (anatomopathologie)</term><term>Tumeurs du sein (imagerie diagnostique)</term><term>Échographie ()</term><term>Échographie mammaire ()</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Fibrose</term><term>Lymphoedème</term><term>Région mammaire</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Lymphoedème</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Magnetic Resonance Imaging</term><term>Magnetic Resonance Spectroscopy</term><term>Microscopy</term><term>Ultrasonography</term><term>Ultrasonography, Mammary</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast</term><term>Breast Neoplasms</term><term>Fibrosis</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Biopsy</term><term>Female</term><term>Humans</term><term>Mastectomy</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Biopsie</term><term>Femelle</term><term>Humains</term><term>Imagerie par résonance magnétique</term><term>Lymphoedème</term><term>Mastectomie</term><term>Microscopie</term><term>Spectroscopie par résonance magnétique</term><term>Sujet âgé</term><term>Tumeurs du sein</term><term>Échographie</term><term>Échographie mammaire</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Postmastectomy edema is a current complication after axillary lymph node dissection in cases of breast cancer treatment. Staging is important in order to select those patients who can benefit from complex physical therapy (CPT). Different imaging techniques can be used to evaluate the edema. Ultrasonography (US) is a harmless, cheap, and easily applicable technique to visualize the dermal and subcutaneous tissue, but interpretation of the obtained images is not always evident. The aim of this study was to compare ultrasound images of irreversible edema with tissue histology, magnetic resonance imaging (MRI) and magnetic resonance spectroscopy (MRS). Ultrasonographic images of the edematous dermis show an homogeneous hypoechogenic dermal layer that appears on tissue histology to be less compact, due to the excess of fluid in the interstitium separating the collagen fibres and making it more transparent on light microscopy. MRI of the dermis gives a hyperintense signal, indicating the presence of fluid. In the subcutis, increase of the adipose tissue could be observed on US, MRI, and tissue histology. In the case of lymphedema, the area and perimeter of fat cells is significantly (p < 0.05) increased. Hypoechogenic areas near the muscle fascia are registered on US corresponding with epifascial fluid on MRI, and hyperechogenic branches are embedded within the adipose tissue, on tissue histology seen as large fibrotic septa enclosing adipose cells. MRI has a honeycomb picture corresponding with fluid bound to fibrosis.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">19778202</PMID><DateCreated><Year>2009</Year><Month>09</Month><Day>25</Day></DateCreated><DateCompleted><Year>2010</Year><Month>01</Month><Day>05</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1557-8585</ISSN><JournalIssue CitedMedium="Internet"><Volume>7</Volume><Issue>3</Issue><PubDate><Year>2009</Year></PubDate></JournalIssue><Title>Lymphatic research and biology</Title><ISOAbbreviation>Lymphat Res Biol</ISOAbbreviation></Journal><ArticleTitle>Histological findings compared with magnetic resonance and ultrasonographic imaging in irreversible postmastectomy lymphedema: a case study.</ArticleTitle><Pagination><MedlinePgn>145-51</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1089/lrb.2008.1025</ELocationID><Abstract><AbstractText>Postmastectomy edema is a current complication after axillary lymph node dissection in cases of breast cancer treatment. Staging is important in order to select those patients who can benefit from complex physical therapy (CPT). Different imaging techniques can be used to evaluate the edema. Ultrasonography (US) is a harmless, cheap, and easily applicable technique to visualize the dermal and subcutaneous tissue, but interpretation of the obtained images is not always evident. The aim of this study was to compare ultrasound images of irreversible edema with tissue histology, magnetic resonance imaging (MRI) and magnetic resonance spectroscopy (MRS). Ultrasonographic images of the edematous dermis show an homogeneous hypoechogenic dermal layer that appears on tissue histology to be less compact, due to the excess of fluid in the interstitium separating the collagen fibres and making it more transparent on light microscopy. MRI of the dermis gives a hyperintense signal, indicating the presence of fluid. In the subcutis, increase of the adipose tissue could be observed on US, MRI, and tissue histology. In the case of lymphedema, the area and perimeter of fat cells is significantly (p < 0.05) increased. Hypoechogenic areas near the muscle fascia are registered on US corresponding with epifascial fluid on MRI, and hyperechogenic branches are embedded within the adipose tissue, on tissue histology seen as large fibrotic septa enclosing adipose cells. MRI has a honeycomb picture corresponding with fluid bound to fibrosis.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tassenoy</LastName><ForeName>An</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation Research, Free University Brussels, Brussels, Belgium. antassen@vub.ac.be</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>De Mey</LastName><ForeName>Johan</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Stadnik</LastName><ForeName>Tadeusz</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>De Ridder</LastName><ForeName>Filip</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Peeters</LastName><ForeName>Els</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Van Schuerbeek</LastName><ForeName>Peter</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Wylock</LastName><ForeName>Paul</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Van Eeckhout</LastName><ForeName>Gregory P A</ForeName><Initials>GP</Initials></Author><Author ValidYN="Y"><LastName>Verdonck</LastName><ForeName>Kristoff</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Lamote</LastName><ForeName>Jan</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Baeyens</LastName><ForeName>Luc</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Lievens</LastName><ForeName>Pierre</ForeName><Initials>P</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Lymphat Res Biol</MedlineTA><NlmUniqueID>101163587</NlmUniqueID><ISSNLinking>1539-6851</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001706" MajorTopicYN="N">Biopsy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001940" MajorTopicYN="N">Breast</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005355" MajorTopicYN="N">Fibrosis</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008279" MajorTopicYN="N">Magnetic Resonance Imaging</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009682" MajorTopicYN="N">Magnetic Resonance Spectroscopy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008408" MajorTopicYN="Y">Mastectomy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008853" MajorTopicYN="N">Microscopy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014463" MajorTopicYN="N">Ultrasonography</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016217" MajorTopicYN="N">Ultrasonography, Mammary</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2009</Year><Month>9</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2009</Year><Month>9</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2010</Year><Month>1</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">19778202</ArticleId><ArticleId IdType="doi">10.1089/lrb.2008.1025</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Belgique</li></country><region><li>Région de Bruxelles-Capitale</li></region><settlement><li>Bruxelles</li></settlement></list><tree><noCountry><name sortKey="Baeyens, Luc" sort="Baeyens, Luc" uniqKey="Baeyens L" first="Luc" last="Baeyens">Luc Baeyens</name><name sortKey="De Mey, Johan" sort="De Mey, Johan" uniqKey="De Mey J" first="Johan" last="De Mey">Johan De Mey</name><name sortKey="De Ridder, Filip" sort="De Ridder, Filip" uniqKey="De Ridder F" first="Filip" last="De Ridder">Filip De Ridder</name><name sortKey="Lamote, Jan" sort="Lamote, Jan" uniqKey="Lamote J" first="Jan" last="Lamote">Jan Lamote</name><name sortKey="Lievens, Pierre" sort="Lievens, Pierre" uniqKey="Lievens P" first="Pierre" last="Lievens">Pierre Lievens</name><name sortKey="Peeters, Els" sort="Peeters, Els" uniqKey="Peeters E" first="Els" last="Peeters">Els Peeters</name><name sortKey="Stadnik, Tadeusz" sort="Stadnik, Tadeusz" uniqKey="Stadnik T" first="Tadeusz" last="Stadnik">Tadeusz Stadnik</name><name sortKey="Van Eeckhout, Gregory P A" sort="Van Eeckhout, Gregory P A" uniqKey="Van Eeckhout G" first="Gregory P A" last="Van Eeckhout">Gregory P A. Van Eeckhout</name><name sortKey="Van Schuerbeek, Peter" sort="Van Schuerbeek, Peter" uniqKey="Van Schuerbeek P" first="Peter" last="Van Schuerbeek">Peter Van Schuerbeek</name><name sortKey="Verdonck, Kristoff" sort="Verdonck, Kristoff" uniqKey="Verdonck K" first="Kristoff" last="Verdonck">Kristoff Verdonck</name><name sortKey="Wylock, Paul" sort="Wylock, Paul" uniqKey="Wylock P" first="Paul" last="Wylock">Paul Wylock</name></noCountry><country name="Belgique"><region name="Région de Bruxelles-Capitale"><name sortKey="Tassenoy, An" sort="Tassenoy, An" uniqKey="Tassenoy A" first="An" last="Tassenoy">An Tassenoy</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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