Massive localised lymphoedema: clinical presentation and MR imaging characteristics.
Identifieur interne : 002769 ( PubMed/Corpus ); précédent : 002768; suivant : 002770Massive localised lymphoedema: clinical presentation and MR imaging characteristics.
Auteurs : Monica Khanna ; Ali M. Naraghi ; David Salonen ; Rejpaul Bhumbra ; Brendan C. Dickson ; Mark J. Kransdorf ; Lawrence M. WhiteSource :
- Skeletal radiology [ 1432-2161 ] ; 2011.
English descriptors
- KwdEn :
- MESH :
- chemical : Gadolinium.
- diagnosis : Lymphedema.
- Female, Humans, Magnetic Resonance Imaging, Middle Aged, Obesity, Morbid.
Abstract
Three morbidly obese women were referred to us with suspected soft-tissue sarcomas. All lesions arose from the medial subcutaneous tissues of the thigh, and were shown to represent massive localised lymphoedema (MLL), a rare condition occurring in morbidly obese adults. MR imaging typically demonstrates a sharply demarcated, pedunculated mass consisting of fat partitioned by fibrous septae surrounded by a thickened dermis. There is oedema both within the mass and tracking along the subcutaneous septae in a "lace-like" fashion outwards from the pedicle, outlining large lobules of fat. Minimal enhancement is observed within the dermis of the lesion following intravenous gadolinium administration. Obesity is a growing problem that is likely to result in an increase in the prevalence of this condition; therefore, familiarity with the radiological appearance is important in establishing a correct diagnosis in this condition that may mimic a soft-tissue sarcoma.
DOI: 10.1007/s00256-010-1080-4
PubMed: 21249496
Links to Exploration step
pubmed:21249496Le document en format XML
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Naraghi</name></author><author><name sortKey="Salonen, David" sort="Salonen, David" uniqKey="Salonen D" first="David" last="Salonen">David Salonen</name></author><author><name sortKey="Bhumbra, Rejpaul" sort="Bhumbra, Rejpaul" uniqKey="Bhumbra R" first="Rejpaul" last="Bhumbra">Rejpaul Bhumbra</name></author><author><name sortKey="Dickson, Brendan C" sort="Dickson, Brendan C" uniqKey="Dickson B" first="Brendan C" last="Dickson">Brendan C. Dickson</name></author><author><name sortKey="Kransdorf, Mark J" sort="Kransdorf, Mark J" uniqKey="Kransdorf M" first="Mark J" last="Kransdorf">Mark J. Kransdorf</name></author><author><name sortKey="White, Lawrence M" sort="White, Lawrence M" uniqKey="White L" first="Lawrence M" last="White">Lawrence M. White</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:21249496</idno><idno type="pmid">21249496</idno><idno type="doi">10.1007/s00256-010-1080-4</idno><idno type="wicri:Area/PubMed/Corpus">002769</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002769</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Massive localised lymphoedema: clinical presentation and MR imaging characteristics.</title><author><name sortKey="Khanna, Monica" sort="Khanna, Monica" uniqKey="Khanna M" first="Monica" last="Khanna">Monica Khanna</name><affiliation><nlm:affiliation>Department of Clinical Imaging, Imperial College Healthcare NHS Trust, London, UK. monica.khanna@imperial.nhs.uk</nlm:affiliation></affiliation></author><author><name sortKey="Naraghi, Ali M" sort="Naraghi, Ali M" uniqKey="Naraghi A" first="Ali M" last="Naraghi">Ali M. Naraghi</name></author><author><name sortKey="Salonen, David" sort="Salonen, David" uniqKey="Salonen D" first="David" last="Salonen">David Salonen</name></author><author><name sortKey="Bhumbra, Rejpaul" sort="Bhumbra, Rejpaul" uniqKey="Bhumbra R" first="Rejpaul" last="Bhumbra">Rejpaul Bhumbra</name></author><author><name sortKey="Dickson, Brendan C" sort="Dickson, Brendan C" uniqKey="Dickson B" first="Brendan C" last="Dickson">Brendan C. Dickson</name></author><author><name sortKey="Kransdorf, Mark J" sort="Kransdorf, Mark J" uniqKey="Kransdorf M" first="Mark J" last="Kransdorf">Mark J. Kransdorf</name></author><author><name sortKey="White, Lawrence M" sort="White, Lawrence M" uniqKey="White L" first="Lawrence M" last="White">Lawrence M. White</name></author></analytic><series><title level="j">Skeletal radiology</title><idno type="eISSN">1432-2161</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Female</term><term>Gadolinium</term><term>Humans</term><term>Lymphedema (diagnosis)</term><term>Magnetic Resonance Imaging</term><term>Middle Aged</term><term>Obesity, Morbid</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Gadolinium</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Middle Aged</term><term>Obesity, Morbid</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Three morbidly obese women were referred to us with suspected soft-tissue sarcomas. All lesions arose from the medial subcutaneous tissues of the thigh, and were shown to represent massive localised lymphoedema (MLL), a rare condition occurring in morbidly obese adults. MR imaging typically demonstrates a sharply demarcated, pedunculated mass consisting of fat partitioned by fibrous septae surrounded by a thickened dermis. There is oedema both within the mass and tracking along the subcutaneous septae in a "lace-like" fashion outwards from the pedicle, outlining large lobules of fat. Minimal enhancement is observed within the dermis of the lesion following intravenous gadolinium administration. Obesity is a growing problem that is likely to result in an increase in the prevalence of this condition; therefore, familiarity with the radiological appearance is important in establishing a correct diagnosis in this condition that may mimic a soft-tissue sarcoma.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21249496</PMID><DateCreated><Year>2011</Year><Month>03</Month><Day>22</Day></DateCreated><DateCompleted><Year>2011</Year><Month>08</Month><Day>08</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-2161</ISSN><JournalIssue CitedMedium="Internet"><Volume>40</Volume><Issue>5</Issue><PubDate><Year>2011</Year><Month>May</Month></PubDate></JournalIssue><Title>Skeletal radiology</Title><ISOAbbreviation>Skeletal Radiol.</ISOAbbreviation></Journal><ArticleTitle>Massive localised lymphoedema: clinical presentation and MR imaging characteristics.</ArticleTitle><Pagination><MedlinePgn>647-52</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00256-010-1080-4</ELocationID><Abstract><AbstractText>Three morbidly obese women were referred to us with suspected soft-tissue sarcomas. All lesions arose from the medial subcutaneous tissues of the thigh, and were shown to represent massive localised lymphoedema (MLL), a rare condition occurring in morbidly obese adults. MR imaging typically demonstrates a sharply demarcated, pedunculated mass consisting of fat partitioned by fibrous septae surrounded by a thickened dermis. There is oedema both within the mass and tracking along the subcutaneous septae in a "lace-like" fashion outwards from the pedicle, outlining large lobules of fat. Minimal enhancement is observed within the dermis of the lesion following intravenous gadolinium administration. Obesity is a growing problem that is likely to result in an increase in the prevalence of this condition; therefore, familiarity with the radiological appearance is important in establishing a correct diagnosis in this condition that may mimic a soft-tissue sarcoma.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Khanna</LastName><ForeName>Monica</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Clinical Imaging, Imperial College Healthcare NHS Trust, London, UK. monica.khanna@imperial.nhs.uk</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Naraghi</LastName><ForeName>Ali M</ForeName><Initials>AM</Initials></Author><Author ValidYN="Y"><LastName>Salonen</LastName><ForeName>David</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Bhumbra</LastName><ForeName>Rejpaul</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Dickson</LastName><ForeName>Brendan C</ForeName><Initials>BC</Initials></Author><Author ValidYN="Y"><LastName>Kransdorf</LastName><ForeName>Mark J</ForeName><Initials>MJ</Initials></Author><Author ValidYN="Y"><LastName>White</LastName><ForeName>Lawrence M</ForeName><Initials>LM</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>01</Month><Day>20</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Skeletal Radiol</MedlineTA><NlmUniqueID>7701953</NlmUniqueID><ISSNLinking>0364-2348</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>AU0V1LM3JT</RegistryNumber><NameOfSubstance UI="D005682">Gadolinium</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005682" MajorTopicYN="N">Gadolinium</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008279" MajorTopicYN="Y">Magnetic Resonance Imaging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009767" MajorTopicYN="N">Obesity, Morbid</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2010</Year><Month>10</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2010</Year><Month>12</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2010</Year><Month>12</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>1</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>1</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>8</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21249496</ArticleId><ArticleId IdType="doi">10.1007/s00256-010-1080-4</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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