High-accuracy diagnosis and regional classification of lymphedema using indocyanine green fluorescent lymphography after gynecologic cancer treatment.
Identifieur interne : 001C91 ( PubMed/Corpus ); précédent : 001C90; suivant : 001C92High-accuracy diagnosis and regional classification of lymphedema using indocyanine green fluorescent lymphography after gynecologic cancer treatment.
Auteurs : Makoto Mihara ; Yohei Hayashi ; Hisako Hara ; Takuya Iida ; Mitsunaga Narushima ; Takumi Yamamoto ; Takeshi Todokoro ; Noriyuki Murai ; Isao KoshimaSource :
- Annals of plastic surgery [ 1536-3708 ] ; 2014.
English descriptors
- KwdEn :
- Abdomen, Adult, Aged, Aged, 80 and over, Female, Fluorescent Dyes, Genital Neoplasms, Female (complications), Genital Neoplasms, Female (therapy), Humans, Indocyanine Green, Lower Extremity, Lymphedema (classification), Lymphedema (diagnostic imaging), Lymphedema (etiology), Lymphedema (pathology), Lymphography (methods), Middle Aged, Sensitivity and Specificity.
- MESH :
- chemical : Fluorescent Dyes, Indocyanine Green.
- classification : Lymphedema.
- complications : Genital Neoplasms, Female.
- diagnostic imaging : Lymphedema.
- etiology : Lymphedema.
- methods : Lymphography.
- pathology : Lymphedema.
- therapy : Genital Neoplasms, Female.
- Abdomen, Adult, Aged, Aged, 80 and over, Female, Humans, Lower Extremity, Middle Aged, Sensitivity and Specificity.
Abstract
Secondary lymphedema is defined as swelling of the limbs caused by retention of lymph after cancer therapy. We diagnosed lymphedema using indocyanine green (ICG) fluorescent lymphography and developed a classification based on 12 regional types of edema in the lower bodies, with the goal of improved understanding of the pathology.
DOI: 10.1097/SAP.0b013e3182586b79
PubMed: 23429222
Links to Exploration step
pubmed:23429222Le document en format XML
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<author><name sortKey="Mihara, Makoto" sort="Mihara, Makoto" uniqKey="Mihara M" first="Makoto" last="Mihara">Makoto Mihara</name>
<affiliation><nlm:affiliation>From the *Department of Plastic Surgery and Reconstructive Surgery, The University of Tokyo, Hongo, Bunkyo-ku, Tokyo; and †Department of Vascular Surgery, Saiseikai Kawaguchi Hospital, Kawaguchi, Saitama, Japan.</nlm:affiliation>
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<author><name sortKey="Hayashi, Yohei" sort="Hayashi, Yohei" uniqKey="Hayashi Y" first="Yohei" last="Hayashi">Yohei Hayashi</name>
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<author><name sortKey="Hara, Hisako" sort="Hara, Hisako" uniqKey="Hara H" first="Hisako" last="Hara">Hisako Hara</name>
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<author><name sortKey="Iida, Takuya" sort="Iida, Takuya" uniqKey="Iida T" first="Takuya" last="Iida">Takuya Iida</name>
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<author><name sortKey="Narushima, Mitsunaga" sort="Narushima, Mitsunaga" uniqKey="Narushima M" first="Mitsunaga" last="Narushima">Mitsunaga Narushima</name>
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<author><name sortKey="Yamamoto, Takumi" sort="Yamamoto, Takumi" uniqKey="Yamamoto T" first="Takumi" last="Yamamoto">Takumi Yamamoto</name>
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<author><name sortKey="Todokoro, Takeshi" sort="Todokoro, Takeshi" uniqKey="Todokoro T" first="Takeshi" last="Todokoro">Takeshi Todokoro</name>
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<author><name sortKey="Murai, Noriyuki" sort="Murai, Noriyuki" uniqKey="Murai N" first="Noriyuki" last="Murai">Noriyuki Murai</name>
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<affiliation><nlm:affiliation>From the *Department of Plastic Surgery and Reconstructive Surgery, The University of Tokyo, Hongo, Bunkyo-ku, Tokyo; and †Department of Vascular Surgery, Saiseikai Kawaguchi Hospital, Kawaguchi, Saitama, Japan.</nlm:affiliation>
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<series><title level="j">Annals of plastic surgery</title>
<idno type="eISSN">1536-3708</idno>
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<term>Fluorescent Dyes</term>
<term>Genital Neoplasms, Female (complications)</term>
<term>Genital Neoplasms, Female (therapy)</term>
<term>Humans</term>
<term>Indocyanine Green</term>
<term>Lower Extremity</term>
<term>Lymphedema (classification)</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (pathology)</term>
<term>Lymphography (methods)</term>
<term>Middle Aged</term>
<term>Sensitivity and Specificity</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymphography</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
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<front><div type="abstract" xml:lang="en">Secondary lymphedema is defined as swelling of the limbs caused by retention of lymph after cancer therapy. We diagnosed lymphedema using indocyanine green (ICG) fluorescent lymphography and developed a classification based on 12 regional types of edema in the lower bodies, with the goal of improved understanding of the pathology.</div>
</front>
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<DateCreated><Year>2014</Year>
<Month>01</Month>
<Day>10</Day>
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<DateCompleted><Year>2014</Year>
<Month>09</Month>
<Day>19</Day>
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<DateRevised><Year>2016</Year>
<Month>11</Month>
<Day>25</Day>
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<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1536-3708</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>72</Volume>
<Issue>2</Issue>
<PubDate><Year>2014</Year>
<Month>Feb</Month>
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<Title>Annals of plastic surgery</Title>
<ISOAbbreviation>Ann Plast Surg</ISOAbbreviation>
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<ArticleTitle>High-accuracy diagnosis and regional classification of lymphedema using indocyanine green fluorescent lymphography after gynecologic cancer treatment.</ArticleTitle>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Secondary lymphedema is defined as swelling of the limbs caused by retention of lymph after cancer therapy. We diagnosed lymphedema using indocyanine green (ICG) fluorescent lymphography and developed a classification based on 12 regional types of edema in the lower bodies, with the goal of improved understanding of the pathology.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The subjects were 72 consecutive female patients aged 25 to 88 years (mean, 54.5 years) with secondary lymphedema of the lower extremities and abdominal area. The traditional diagnosis of lymphedema was stages 0, 1, 2, 3 and 4 in 5, 11, 19, 24, and 13 patients, respectively. All patients were examined by ICG lymphography.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Features of dermal backflow were noted in most patients after cancer therapy, and the incidence was particularly high after radiotherapy. Regional analysis of lymphedema was classified into 12 types (A to L, definitions are given for major categories). The number of patients (number receiving radiation therapy in parentheses) in each type were A, 1 (0); B, 3 (1); C, 13 (1); D, 1 (0); E, 2 (0); F, 0 (0); G, 1 (0); H, 7 (3); I, 13 (3); J, 6 (2); K, 20 (3); and L, 5 (2).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The ICG test permits definite diagnosis of lymphedema at a very early stage and in mild cases. The regional analysis enables establishment of policies for conservative or surgical treatment (for example, lymphaticovenous anastomosis) for individual regions, thereby facilitating more effective lymphedema treatment.</AbstractText>
</Abstract>
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<ForeName>Makoto</ForeName>
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<AffiliationInfo><Affiliation>From the *Department of Plastic Surgery and Reconstructive Surgery, The University of Tokyo, Hongo, Bunkyo-ku, Tokyo; and †Department of Vascular Surgery, Saiseikai Kawaguchi Hospital, Kawaguchi, Saitama, Japan.</Affiliation>
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<Author ValidYN="Y"><LastName>Hayashi</LastName>
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