Assessment of The Lymphatic System of the Genitalia Using Magnetic Resonance Lymphography Before and After Treatment of Male Genital Lymphedema.
Identifieur interne : 000801 ( PubMed/Corpus ); précédent : 000800; suivant : 000802Assessment of The Lymphatic System of the Genitalia Using Magnetic Resonance Lymphography Before and After Treatment of Male Genital Lymphedema.
Auteurs : Qing Lu ; Zhaohua Jiang ; Zizhou Zhao ; Lianming Wu ; Guangyu Wu ; Shiteng Suo ; Jianrong XuSource :
- Medicine [ 1536-5964 ] ; 2016.
English descriptors
- KwdEn :
- Genital Diseases, Male (diagnostic imaging), Genital Diseases, Male (rehabilitation), Genital Diseases, Male (surgery), Humans, Lymph Nodes (diagnostic imaging), Lymphatic Vessels (diagnostic imaging), Lymphedema (diagnostic imaging), Lymphedema (rehabilitation), Lymphedema (surgery), Lymphography (methods), Magnetic Resonance Imaging (methods), Male, Prospective Studies, Retrospective Studies, Treatment Outcome.
- MESH :
- diagnostic imaging : Genital Diseases, Male, Lymph Nodes, Lymphatic Vessels, Lymphedema.
- methods : Lymphography, Magnetic Resonance Imaging.
- rehabilitation : Genital Diseases, Male, Lymphedema.
- surgery : Genital Diseases, Male, Lymphedema.
- Humans, Male, Prospective Studies, Retrospective Studies, Treatment Outcome.
Abstract
Treatment for chronic male genital lymphedema (GL) is limited. No standard treatment or validated instrument to assess GL is available. The aim of this study was to explore whether magnetic resonance lymphography (MRL) could be used to assess GL, select proper treatment for patients, and monitor postoperative progress.This is a retrospective analysis of a prospectively acquired cohort of men with GL presenting for MRL over a 7-year period. Thirty-six of 47 eligible men were included. All men were offered preoperative and postoperative MRL and assigned a morphology and function classification. Men with mild, moderate, and severe nodal dysfunction underwent complex decongestive physiotherapy (CDP), lymphoveneous microsurgery, and surgical excision, respectively. The volume reductions in the genitalia of patients with mild and moderate nodal dysfunction were recorded and compared using Student t test.The abnormal superficial and deep lymphatic vessels in the lymphedematous genitalia were detected by MRL, and inguinal lymph node dysfunction was classified by MRL. Seven patients with mild dysfunction who underwent CDP showed a more significant mean volume reduction in the genitalia than did 9 patients with moderate dysfunction. Three patients with hyperplasia and moderate dysfunction who underwent microsurgical operations and 17 patients with hypoplasia and moderate or severe nodal dysfunction who underwent surgical excision had excellent cosmetic results with no lymphedema at the 3- to 5-year follow-up.MRL can be used to assess morphological and functional lymphatic abnormalities in GL, preoperatively select appropriate treatment, and postoperatively evaluate treatment outcomes.
DOI: 10.1097/MD.0000000000003755
PubMed: 27227943
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pubmed:27227943Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Assessment of The Lymphatic System of the Genitalia Using Magnetic Resonance Lymphography Before and After Treatment of Male Genital Lymphedema.</title><author><name sortKey="Lu, Qing" sort="Lu, Qing" uniqKey="Lu Q" first="Qing" last="Lu">Qing Lu</name><affiliation><nlm:affiliation>From the Department of Radiology (QL, ZZ, LW, GW, SS, JX), Renji Hospital, School of Medicine, Shanghai Jiao Tong University; and Department of Plastic & Reconstructive Surgery (ZJ), Shanghai 9th People's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.</nlm:affiliation></affiliation></author><author><name sortKey="Jiang, Zhaohua" sort="Jiang, Zhaohua" uniqKey="Jiang Z" first="Zhaohua" last="Jiang">Zhaohua Jiang</name></author><author><name sortKey="Zhao, Zizhou" sort="Zhao, Zizhou" uniqKey="Zhao Z" first="Zizhou" last="Zhao">Zizhou Zhao</name></author><author><name sortKey="Wu, Lianming" sort="Wu, Lianming" uniqKey="Wu L" first="Lianming" last="Wu">Lianming Wu</name></author><author><name sortKey="Wu, Guangyu" sort="Wu, Guangyu" uniqKey="Wu G" first="Guangyu" last="Wu">Guangyu Wu</name></author><author><name sortKey="Suo, Shiteng" sort="Suo, Shiteng" uniqKey="Suo S" first="Shiteng" last="Suo">Shiteng Suo</name></author><author><name sortKey="Xu, Jianrong" sort="Xu, Jianrong" uniqKey="Xu J" first="Jianrong" last="Xu">Jianrong Xu</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:27227943</idno><idno type="pmid">27227943</idno><idno type="doi">10.1097/MD.0000000000003755</idno><idno type="wicri:Area/PubMed/Corpus">000801</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000801</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Assessment of The Lymphatic System of the Genitalia Using Magnetic Resonance Lymphography Before and After Treatment of Male Genital Lymphedema.</title><author><name sortKey="Lu, Qing" sort="Lu, Qing" uniqKey="Lu Q" first="Qing" last="Lu">Qing Lu</name><affiliation><nlm:affiliation>From the Department of Radiology (QL, ZZ, LW, GW, SS, JX), Renji Hospital, School of Medicine, Shanghai Jiao Tong University; and Department of Plastic & Reconstructive Surgery (ZJ), Shanghai 9th People's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.</nlm:affiliation></affiliation></author><author><name sortKey="Jiang, Zhaohua" sort="Jiang, Zhaohua" uniqKey="Jiang Z" first="Zhaohua" last="Jiang">Zhaohua Jiang</name></author><author><name sortKey="Zhao, Zizhou" sort="Zhao, Zizhou" uniqKey="Zhao Z" first="Zizhou" last="Zhao">Zizhou Zhao</name></author><author><name sortKey="Wu, Lianming" sort="Wu, Lianming" uniqKey="Wu L" first="Lianming" last="Wu">Lianming Wu</name></author><author><name sortKey="Wu, Guangyu" sort="Wu, Guangyu" uniqKey="Wu G" first="Guangyu" last="Wu">Guangyu Wu</name></author><author><name sortKey="Suo, Shiteng" sort="Suo, Shiteng" uniqKey="Suo S" first="Shiteng" last="Suo">Shiteng Suo</name></author><author><name sortKey="Xu, Jianrong" sort="Xu, Jianrong" uniqKey="Xu J" first="Jianrong" last="Xu">Jianrong Xu</name></author></analytic><series><title level="j">Medicine</title><idno type="eISSN">1536-5964</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Genital Diseases, Male (diagnostic imaging)</term><term>Genital Diseases, Male (rehabilitation)</term><term>Genital Diseases, Male (surgery)</term><term>Humans</term><term>Lymph Nodes (diagnostic imaging)</term><term>Lymphatic Vessels (diagnostic imaging)</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (rehabilitation)</term><term>Lymphedema (surgery)</term><term>Lymphography (methods)</term><term>Magnetic Resonance Imaging (methods)</term><term>Male</term><term>Prospective Studies</term><term>Retrospective Studies</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Genital Diseases, Male</term><term>Lymph Nodes</term><term>Lymphatic Vessels</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymphography</term><term>Magnetic Resonance Imaging</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Genital Diseases, Male</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Genital Diseases, Male</term><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Male</term><term>Prospective Studies</term><term>Retrospective Studies</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Treatment for chronic male genital lymphedema (GL) is limited. No standard treatment or validated instrument to assess GL is available. The aim of this study was to explore whether magnetic resonance lymphography (MRL) could be used to assess GL, select proper treatment for patients, and monitor postoperative progress.This is a retrospective analysis of a prospectively acquired cohort of men with GL presenting for MRL over a 7-year period. Thirty-six of 47 eligible men were included. All men were offered preoperative and postoperative MRL and assigned a morphology and function classification. Men with mild, moderate, and severe nodal dysfunction underwent complex decongestive physiotherapy (CDP), lymphoveneous microsurgery, and surgical excision, respectively. The volume reductions in the genitalia of patients with mild and moderate nodal dysfunction were recorded and compared using Student t test.The abnormal superficial and deep lymphatic vessels in the lymphedematous genitalia were detected by MRL, and inguinal lymph node dysfunction was classified by MRL. Seven patients with mild dysfunction who underwent CDP showed a more significant mean volume reduction in the genitalia than did 9 patients with moderate dysfunction. Three patients with hyperplasia and moderate dysfunction who underwent microsurgical operations and 17 patients with hypoplasia and moderate or severe nodal dysfunction who underwent surgical excision had excellent cosmetic results with no lymphedema at the 3- to 5-year follow-up.MRL can be used to assess morphological and functional lymphatic abnormalities in GL, preoperatively select appropriate treatment, and postoperatively evaluate treatment outcomes.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27227943</PMID><DateCreated><Year>2016</Year><Month>05</Month><Day>27</Day></DateCreated><DateCompleted><Year>2017</Year><Month>02</Month><Day>13</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1536-5964</ISSN><JournalIssue CitedMedium="Internet"><Volume>95</Volume><Issue>21</Issue><PubDate><Year>2016</Year><Month>May</Month></PubDate></JournalIssue><Title>Medicine</Title><ISOAbbreviation>Medicine (Baltimore)</ISOAbbreviation></Journal><ArticleTitle>Assessment of The Lymphatic System of the Genitalia Using Magnetic Resonance Lymphography Before and After Treatment of Male Genital Lymphedema.</ArticleTitle><Pagination><MedlinePgn>e3755</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/MD.0000000000003755</ELocationID><Abstract><AbstractText>Treatment for chronic male genital lymphedema (GL) is limited. No standard treatment or validated instrument to assess GL is available. The aim of this study was to explore whether magnetic resonance lymphography (MRL) could be used to assess GL, select proper treatment for patients, and monitor postoperative progress.This is a retrospective analysis of a prospectively acquired cohort of men with GL presenting for MRL over a 7-year period. Thirty-six of 47 eligible men were included. All men were offered preoperative and postoperative MRL and assigned a morphology and function classification. Men with mild, moderate, and severe nodal dysfunction underwent complex decongestive physiotherapy (CDP), lymphoveneous microsurgery, and surgical excision, respectively. The volume reductions in the genitalia of patients with mild and moderate nodal dysfunction were recorded and compared using Student t test.The abnormal superficial and deep lymphatic vessels in the lymphedematous genitalia were detected by MRL, and inguinal lymph node dysfunction was classified by MRL. Seven patients with mild dysfunction who underwent CDP showed a more significant mean volume reduction in the genitalia than did 9 patients with moderate dysfunction. Three patients with hyperplasia and moderate dysfunction who underwent microsurgical operations and 17 patients with hypoplasia and moderate or severe nodal dysfunction who underwent surgical excision had excellent cosmetic results with no lymphedema at the 3- to 5-year follow-up.MRL can be used to assess morphological and functional lymphatic abnormalities in GL, preoperatively select appropriate treatment, and postoperatively evaluate treatment outcomes.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lu</LastName><ForeName>Qing</ForeName><Initials>Q</Initials><AffiliationInfo><Affiliation>From the Department of Radiology (QL, ZZ, LW, GW, SS, JX), Renji Hospital, School of Medicine, Shanghai Jiao Tong University; and Department of Plastic & Reconstructive Surgery (ZJ), Shanghai 9th People's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jiang</LastName><ForeName>Zhaohua</ForeName><Initials>Z</Initials></Author><Author ValidYN="Y"><LastName>Zhao</LastName><ForeName>Zizhou</ForeName><Initials>Z</Initials></Author><Author ValidYN="Y"><LastName>Wu</LastName><ForeName>Lianming</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Wu</LastName><ForeName>Guangyu</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Suo</LastName><ForeName>Shiteng</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Xu</LastName><ForeName>Jianrong</ForeName><Initials>J</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Medicine (Baltimore)</MedlineTA><NlmUniqueID>2985248R</NlmUniqueID><ISSNLinking>0025-7974</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Australas J Dermatol. 1992;33(2):61-8</RefSource><PMID Version="1">1294054</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Microsurgery. 2010 Sep;30(6):437-42</RefSource><PMID Version="1">20878726</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Plast Reconstr Surg. 2007 Sep 15;120(4):982-91</RefSource><PMID Version="1">17805128</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Microsurgery. 1985;6(1):36-9</RefSource><PMID Version="1">3990547</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Surg. 1985 May;149(5):686-90</RefSource><PMID Version="1">3993854</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Plast Reconstr Surg. 2013 Nov;132(5):1305-14</RefSource><PMID Version="1">24165613</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lymphology. 1995 Dec;28(4):174-85</RefSource><PMID Version="1">8771010</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Urol. 1996 Nov;156(5):1770</RefSource><PMID Version="1">8863600</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Clin Plast Surg. 1988 Jul;15(3):507-11</RefSource><PMID Version="1">3292119</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Z Urol Nephrol. 1989 Sep;82(9):459-62</RefSource><PMID Version="1">2816105</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Plast Reconstr Surg. 2012 Apr;129(4):767e-9e</RefSource><PMID Version="1">22456418</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Vasc Surg. 2009 Apr;49(4):980-7</RefSource><PMID Version="1">19223143</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Clin Nucl Med. 2005 Dec;30(12 ):835-7</RefSource><PMID Version="1">16319652</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Microsurgery. 2007;27(8):655-6</RefSource><PMID Version="1">17929261</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Eur Urol. 2011 Nov;60(5):1114-9</RefSource><PMID Version="1">21129845</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Plast Reconstr Aesthet Surg. 2014 Jun;67(6):e173-5</RefSource><PMID Version="1">24613771</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Urol. 1983 Aug;130(2):263-5</RefSource><PMID Version="1">6348307</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ann Plast Surg. 2007 Jul;59(1):67-72; 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