Therapeutic strategy for lower limb lymphedema and lymphatic fistula after resection of a malignant tumor in the hip joint region: a case report.
Identifieur interne : 001989 ( PubMed/Corpus ); précédent : 001988; suivant : 001990Therapeutic strategy for lower limb lymphedema and lymphatic fistula after resection of a malignant tumor in the hip joint region: a case report.
Auteurs : H. Hara ; M. Mihara ; A. Hayashi ; M. Kanemaru ; T. Todokoro ; T. Yamamoto ; T. Iida ; R. Hino ; I. KoshimaSource :
- Microsurgery [ 1098-2752 ] ; 2014.
English descriptors
- KwdEn :
- Adult, Arthroplasty, Replacement, Hip, Dilatation, Pathologic, Female, Femoral Neoplasms (surgery), Fistula (surgery), Hip Joint, Humans, Lymphatic Diseases (surgery), Lymphatic Vessels (pathology), Lymphedema (etiology), Lymphedema (surgery), Neuroectodermal Tumors, Primitive, Peripheral (surgery), Postoperative Complications (surgery), Time Factors.
- MESH :
- etiology : Lymphedema.
- pathology : Lymphatic Vessels.
- surgery : Femoral Neoplasms, Fistula, Lymphatic Diseases, Lymphedema, Neuroectodermal Tumors, Primitive, Peripheral, Postoperative Complications.
- Adult, Arthroplasty, Replacement, Hip, Dilatation, Pathologic, Female, Hip Joint, Humans, Time Factors.
Abstract
Lymphatic fistula complicating lymphedema is thought to occur due to communication between lymph vessels and the skin, which has yet to be shown objectively. The objective of this case report is to show the pathology and treatment using simultaneous lymphatic fistula resection and lymphatico-venous anastomosis (LVA). A 40-year-old woman underwent extended resection and total hip arthroplasty for primitive neuroectodermal tumor in the right proximal femur 23 years ago. Right lower limb lymphedema developed immediately after surgery and lymphatic fistula appeared in the posterior thigh. On ICG lymphography, lymph reflux toward the distal side dispersing in a fan-shape reticular pattern from the lymphatic fistula region was noted after intracutaneous injection of ICG into the foot. We performed simultaneous lymphatic fistula resection and of LVA. Pathological examination showed that the epidermis and stratum corneum of the healthy skin were lost in the lymphatic fistula region. Dilated lymph vessels were open in this region. The examinations provide the first objective evidence that the cause of lymphatic fistula may be lymph reflux from lymphatic stems to precollectors through lymphatic perforators.
DOI: 10.1002/micr.22138
PubMed: 23908155
Links to Exploration step
pubmed:23908155Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Therapeutic strategy for lower limb lymphedema and lymphatic fistula after resection of a malignant tumor in the hip joint region: a case report.</title>
<author><name sortKey="Hara, H" sort="Hara, H" uniqKey="Hara H" first="H" last="Hara">H. Hara</name>
<affiliation><nlm:affiliation>Department of Plastic and Reconstructive Surgery, The University of Tokyo, Japan.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Mihara, M" sort="Mihara, M" uniqKey="Mihara M" first="M" last="Mihara">M. Mihara</name>
</author>
<author><name sortKey="Hayashi, A" sort="Hayashi, A" uniqKey="Hayashi A" first="A" last="Hayashi">A. Hayashi</name>
</author>
<author><name sortKey="Kanemaru, M" sort="Kanemaru, M" uniqKey="Kanemaru M" first="M" last="Kanemaru">M. Kanemaru</name>
</author>
<author><name sortKey="Todokoro, T" sort="Todokoro, T" uniqKey="Todokoro T" first="T" last="Todokoro">T. Todokoro</name>
</author>
<author><name sortKey="Yamamoto, T" sort="Yamamoto, T" uniqKey="Yamamoto T" first="T" last="Yamamoto">T. Yamamoto</name>
</author>
<author><name sortKey="Iida, T" sort="Iida, T" uniqKey="Iida T" first="T" last="Iida">T. Iida</name>
</author>
<author><name sortKey="Hino, R" sort="Hino, R" uniqKey="Hino R" first="R" last="Hino">R. Hino</name>
</author>
<author><name sortKey="Koshima, I" sort="Koshima, I" uniqKey="Koshima I" first="I" last="Koshima">I. Koshima</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2014">2014</date>
<idno type="RBID">pubmed:23908155</idno>
<idno type="pmid">23908155</idno>
<idno type="doi">10.1002/micr.22138</idno>
<idno type="wicri:Area/PubMed/Corpus">001989</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001989</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en">Therapeutic strategy for lower limb lymphedema and lymphatic fistula after resection of a malignant tumor in the hip joint region: a case report.</title>
<author><name sortKey="Hara, H" sort="Hara, H" uniqKey="Hara H" first="H" last="Hara">H. Hara</name>
<affiliation><nlm:affiliation>Department of Plastic and Reconstructive Surgery, The University of Tokyo, Japan.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Mihara, M" sort="Mihara, M" uniqKey="Mihara M" first="M" last="Mihara">M. Mihara</name>
</author>
<author><name sortKey="Hayashi, A" sort="Hayashi, A" uniqKey="Hayashi A" first="A" last="Hayashi">A. Hayashi</name>
</author>
<author><name sortKey="Kanemaru, M" sort="Kanemaru, M" uniqKey="Kanemaru M" first="M" last="Kanemaru">M. Kanemaru</name>
</author>
<author><name sortKey="Todokoro, T" sort="Todokoro, T" uniqKey="Todokoro T" first="T" last="Todokoro">T. Todokoro</name>
</author>
<author><name sortKey="Yamamoto, T" sort="Yamamoto, T" uniqKey="Yamamoto T" first="T" last="Yamamoto">T. Yamamoto</name>
</author>
<author><name sortKey="Iida, T" sort="Iida, T" uniqKey="Iida T" first="T" last="Iida">T. Iida</name>
</author>
<author><name sortKey="Hino, R" sort="Hino, R" uniqKey="Hino R" first="R" last="Hino">R. Hino</name>
</author>
<author><name sortKey="Koshima, I" sort="Koshima, I" uniqKey="Koshima I" first="I" last="Koshima">I. Koshima</name>
</author>
</analytic>
<series><title level="j">Microsurgery</title>
<idno type="eISSN">1098-2752</idno>
<imprint><date when="2014" type="published">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Arthroplasty, Replacement, Hip</term>
<term>Dilatation, Pathologic</term>
<term>Female</term>
<term>Femoral Neoplasms (surgery)</term>
<term>Fistula (surgery)</term>
<term>Hip Joint</term>
<term>Humans</term>
<term>Lymphatic Diseases (surgery)</term>
<term>Lymphatic Vessels (pathology)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (surgery)</term>
<term>Neuroectodermal Tumors, Primitive, Peripheral (surgery)</term>
<term>Postoperative Complications (surgery)</term>
<term>Time Factors</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lymphatic Vessels</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Femoral Neoplasms</term>
<term>Fistula</term>
<term>Lymphatic Diseases</term>
<term>Lymphedema</term>
<term>Neuroectodermal Tumors, Primitive, Peripheral</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Arthroplasty, Replacement, Hip</term>
<term>Dilatation, Pathologic</term>
<term>Female</term>
<term>Hip Joint</term>
<term>Humans</term>
<term>Time Factors</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Lymphatic fistula complicating lymphedema is thought to occur due to communication between lymph vessels and the skin, which has yet to be shown objectively. The objective of this case report is to show the pathology and treatment using simultaneous lymphatic fistula resection and lymphatico-venous anastomosis (LVA). A 40-year-old woman underwent extended resection and total hip arthroplasty for primitive neuroectodermal tumor in the right proximal femur 23 years ago. Right lower limb lymphedema developed immediately after surgery and lymphatic fistula appeared in the posterior thigh. On ICG lymphography, lymph reflux toward the distal side dispersing in a fan-shape reticular pattern from the lymphatic fistula region was noted after intracutaneous injection of ICG into the foot. We performed simultaneous lymphatic fistula resection and of LVA. Pathological examination showed that the epidermis and stratum corneum of the healthy skin were lost in the lymphatic fistula region. Dilated lymph vessels were open in this region. The examinations provide the first objective evidence that the cause of lymphatic fistula may be lymph reflux from lymphatic stems to precollectors through lymphatic perforators.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23908155</PMID>
<DateCreated><Year>2014</Year>
<Month>03</Month>
<Day>07</Day>
</DateCreated>
<DateCompleted><Year>2014</Year>
<Month>11</Month>
<Day>13</Day>
</DateCompleted>
<DateRevised><Year>2014</Year>
<Month>03</Month>
<Day>07</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1098-2752</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>34</Volume>
<Issue>3</Issue>
<PubDate><Year>2014</Year>
<Month>Mar</Month>
</PubDate>
</JournalIssue>
<Title>Microsurgery</Title>
<ISOAbbreviation>Microsurgery</ISOAbbreviation>
</Journal>
<ArticleTitle>Therapeutic strategy for lower limb lymphedema and lymphatic fistula after resection of a malignant tumor in the hip joint region: a case report.</ArticleTitle>
<Pagination><MedlinePgn>224-8</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1002/micr.22138</ELocationID>
<Abstract><AbstractText>Lymphatic fistula complicating lymphedema is thought to occur due to communication between lymph vessels and the skin, which has yet to be shown objectively. The objective of this case report is to show the pathology and treatment using simultaneous lymphatic fistula resection and lymphatico-venous anastomosis (LVA). A 40-year-old woman underwent extended resection and total hip arthroplasty for primitive neuroectodermal tumor in the right proximal femur 23 years ago. Right lower limb lymphedema developed immediately after surgery and lymphatic fistula appeared in the posterior thigh. On ICG lymphography, lymph reflux toward the distal side dispersing in a fan-shape reticular pattern from the lymphatic fistula region was noted after intracutaneous injection of ICG into the foot. We performed simultaneous lymphatic fistula resection and of LVA. Pathological examination showed that the epidermis and stratum corneum of the healthy skin were lost in the lymphatic fistula region. Dilated lymph vessels were open in this region. The examinations provide the first objective evidence that the cause of lymphatic fistula may be lymph reflux from lymphatic stems to precollectors through lymphatic perforators.</AbstractText>
<CopyrightInformation>Copyright © 2013 Wiley Periodicals, Inc.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hara</LastName>
<ForeName>H</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, The University of Tokyo, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Mihara</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
</Author>
<Author ValidYN="Y"><LastName>Hayashi</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
</Author>
<Author ValidYN="Y"><LastName>Kanemaru</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
</Author>
<Author ValidYN="Y"><LastName>Todokoro</LastName>
<ForeName>T</ForeName>
<Initials>T</Initials>
</Author>
<Author ValidYN="Y"><LastName>Yamamoto</LastName>
<ForeName>T</ForeName>
<Initials>T</Initials>
</Author>
<Author ValidYN="Y"><LastName>Iida</LastName>
<ForeName>T</ForeName>
<Initials>T</Initials>
</Author>
<Author ValidYN="Y"><LastName>Hino</LastName>
<ForeName>R</ForeName>
<Initials>R</Initials>
</Author>
<Author ValidYN="Y"><LastName>Koshima</LastName>
<ForeName>I</ForeName>
<Initials>I</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2013</Year>
<Month>08</Month>
<Day>01</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Microsurgery</MedlineTA>
<NlmUniqueID>8309230</NlmUniqueID>
<ISSNLinking>0738-1085</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019644" MajorTopicYN="N">Arthroplasty, Replacement, Hip</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004108" MajorTopicYN="N">Dilatation, Pathologic</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005266" MajorTopicYN="N">Femoral Neoplasms</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005402" MajorTopicYN="N">Fistula</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006621" MajorTopicYN="N">Hip Joint</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008206" MajorTopicYN="N">Lymphatic Diseases</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D042601" MajorTopicYN="N">Lymphatic Vessels</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018241" MajorTopicYN="N">Neuroectodermal Tumors, Primitive, Peripheral</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year>
<Month>09</Month>
<Day>28</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2013</Year>
<Month>04</Month>
<Day>27</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2013</Year>
<Month>05</Month>
<Day>03</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2013</Year>
<Month>8</Month>
<Day>3</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2013</Year>
<Month>8</Month>
<Day>3</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2014</Year>
<Month>11</Month>
<Day>14</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">23908155</ArticleId>
<ArticleId IdType="doi">10.1002/micr.22138</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/PubMed/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001989 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/PubMed/Corpus/biblio.hfd -nk 001989 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= LymphedemaV1 |flux= PubMed |étape= Corpus |type= RBID |clé= pubmed:23908155 |texte= Therapeutic strategy for lower limb lymphedema and lymphatic fistula after resection of a malignant tumor in the hip joint region: a case report. }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/PubMed/Corpus/RBID.i -Sk "pubmed:23908155" \ | HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Corpus/biblio.hfd \ | NlmPubMed2Wicri -a LymphedemaV1
![]() | This area was generated with Dilib version V0.6.31. | ![]() |