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Re-evaluation of qualitative lymphangioscintigraphic findings in secondary lower extremity lymphedema.

Identifieur interne : 001749 ( PubMed/Corpus ); précédent : 001748; suivant : 001750

Re-evaluation of qualitative lymphangioscintigraphic findings in secondary lower extremity lymphedema.

Auteurs : Kotaro Suehiro ; Noriyasu Morikage ; Masanori Murakami ; Osamu Yamashita ; Makoto Samura ; Kimikazu Hamano

Source :

RBID : pubmed:24374366

English descriptors

Abstract

To re-evaluate whether qualitative lymphangioscintigraphy (LAS) findings are sensitive enough to diagnose or classify the clinical severity of lower extremity lymphedema.

DOI: 10.1007/s00595-013-0819-7
PubMed: 24374366

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pubmed:24374366

Le document en format XML

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<title xml:lang="en">Re-evaluation of qualitative lymphangioscintigraphic findings in secondary lower extremity lymphedema.</title>
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<name sortKey="Suehiro, Kotaro" sort="Suehiro, Kotaro" uniqKey="Suehiro K" first="Kotaro" last="Suehiro">Kotaro Suehiro</name>
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<nlm:affiliation>Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, 1-1-1 Minamikogushi, Ube, Yamaguchi, 755-8505, Japan, ksuehiro-circ@umin.org.</nlm:affiliation>
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<name sortKey="Morikage, Noriyasu" sort="Morikage, Noriyasu" uniqKey="Morikage N" first="Noriyasu" last="Morikage">Noriyasu Morikage</name>
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<name sortKey="Murakami, Masanori" sort="Murakami, Masanori" uniqKey="Murakami M" first="Masanori" last="Murakami">Masanori Murakami</name>
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<name sortKey="Yamashita, Osamu" sort="Yamashita, Osamu" uniqKey="Yamashita O" first="Osamu" last="Yamashita">Osamu Yamashita</name>
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<name sortKey="Samura, Makoto" sort="Samura, Makoto" uniqKey="Samura M" first="Makoto" last="Samura">Makoto Samura</name>
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<name sortKey="Hamano, Kimikazu" sort="Hamano, Kimikazu" uniqKey="Hamano K" first="Kimikazu" last="Hamano">Kimikazu Hamano</name>
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<term>Lower Extremity</term>
<term>Lymph Nodes (diagnostic imaging)</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Lymphoscintigraphy (methods)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Sensitivity and Specificity</term>
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<term>Lymph Nodes</term>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Lower Extremity</term>
<term>Male</term>
<term>Middle Aged</term>
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<front>
<div type="abstract" xml:lang="en">To re-evaluate whether qualitative lymphangioscintigraphy (LAS) findings are sensitive enough to diagnose or classify the clinical severity of lower extremity lymphedema.</div>
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<Title>Surgery today</Title>
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<ArticleTitle>Re-evaluation of qualitative lymphangioscintigraphic findings in secondary lower extremity lymphedema.</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To re-evaluate whether qualitative lymphangioscintigraphy (LAS) findings are sensitive enough to diagnose or classify the clinical severity of lower extremity lymphedema.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">LAS was performed in 78 extremities with lymphedema and 24 extremities without lymphedema between April, 2009 and March, 2012. We assessed the proportion of extremities in which there was no visual evidence of the ilioinguinal lymph nodes (LN-60) or the lymphatic trunk (Tr-60) 60 min after tracer injection, the number of visualized ilioinguinal lymph nodes (#LN), and the proportion of extremities with dermal backflow (pDBF) and lymph stasis (pLS). These were associated with the International Society of Lymphology (ISL) clinical stage.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">LN-60, Tr-60, #LN, pDBF, and pLS, especially when extending into both the thigh and lower leg, were significantly associated with the ISL stage. The sensitivity of LN-60, Tr-60, and #LN <2 for diagnosing lymphedema was 49, 47, and 59 %, respectively, with no significant difference among these parameters for consecutive ISL stages.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">None of the above measures was sufficiently sensitive to diagnose lymphedema or classify the severity of the disease; however, each of these criteria can aid in diagnosis, by excluding other diseases and assessing disease pathophysiology.</AbstractText>
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