Role of lymphoscintigraphy in diagnosis and management of patients with leg swelling of unclear etiology.
Identifieur interne : 001933 ( PubMed/Curation ); précédent : 001932; suivant : 001934Role of lymphoscintigraphy in diagnosis and management of patients with leg swelling of unclear etiology.
Auteurs : Tek Chand Kalawat [Inde] ; Ravi Kumar Chittoria ; Praveen Kumar Reddy ; Batchu Suneetha ; Ravishwar Narayan ; Parthsarthi RaviSource :
- Indian journal of nuclear medicine : IJNM : the official journal of the Society of Nuclear Medicine, India [ 0972-3919 ] ; 2012.
Abstract
To study the utility of lymphoscintigraphy in detection of lymphatic obstruction in patients with leg swelling of unclear etiology, selection of site for nodo venous shunt procedure, and follow-up lymphoscintigraphic documentation of improved lymph flow in surgically treated limb.
DOI: 10.4103/0972-3919.115392
PubMed: 24019651
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Role of lymphoscintigraphy in diagnosis and management of patients with leg swelling of unclear etiology.</title><author><name sortKey="Kalawat, Tek Chand" sort="Kalawat, Tek Chand" uniqKey="Kalawat T" first="Tek Chand" last="Kalawat">Tek Chand Kalawat</name><affiliation wicri:level="1"><nlm:affiliation>Department of Nuclear Medicine, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Nuclear Medicine, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh</wicri:regionArea></affiliation></author><author><name sortKey="Chittoria, Ravi Kumar" sort="Chittoria, Ravi Kumar" uniqKey="Chittoria R" first="Ravi Kumar" last="Chittoria">Ravi Kumar Chittoria</name></author><author><name sortKey="Reddy, Praveen Kumar" sort="Reddy, Praveen Kumar" uniqKey="Reddy P" first="Praveen Kumar" last="Reddy">Praveen Kumar Reddy</name></author><author><name sortKey="Suneetha, Batchu" sort="Suneetha, Batchu" uniqKey="Suneetha B" first="Batchu" last="Suneetha">Batchu Suneetha</name></author><author><name sortKey="Narayan, Ravishwar" sort="Narayan, Ravishwar" uniqKey="Narayan R" first="Ravishwar" last="Narayan">Ravishwar Narayan</name></author><author><name sortKey="Ravi, Parthsarthi" sort="Ravi, Parthsarthi" uniqKey="Ravi P" first="Parthsarthi" last="Ravi">Parthsarthi Ravi</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:24019651</idno><idno type="pmid">24019651</idno><idno type="doi">10.4103/0972-3919.115392</idno><idno type="wicri:Area/PubMed/Corpus">001933</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001933</idno><idno type="wicri:Area/PubMed/Curation">001933</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001933</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Role of lymphoscintigraphy in diagnosis and management of patients with leg swelling of unclear etiology.</title><author><name sortKey="Kalawat, Tek Chand" sort="Kalawat, Tek Chand" uniqKey="Kalawat T" first="Tek Chand" last="Kalawat">Tek Chand Kalawat</name><affiliation wicri:level="1"><nlm:affiliation>Department of Nuclear Medicine, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Nuclear Medicine, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh</wicri:regionArea></affiliation></author><author><name sortKey="Chittoria, Ravi Kumar" sort="Chittoria, Ravi Kumar" uniqKey="Chittoria R" first="Ravi Kumar" last="Chittoria">Ravi Kumar Chittoria</name></author><author><name sortKey="Reddy, Praveen Kumar" sort="Reddy, Praveen Kumar" uniqKey="Reddy P" first="Praveen Kumar" last="Reddy">Praveen Kumar Reddy</name></author><author><name sortKey="Suneetha, Batchu" sort="Suneetha, Batchu" uniqKey="Suneetha B" first="Batchu" last="Suneetha">Batchu Suneetha</name></author><author><name sortKey="Narayan, Ravishwar" sort="Narayan, Ravishwar" uniqKey="Narayan R" first="Ravishwar" last="Narayan">Ravishwar Narayan</name></author><author><name sortKey="Ravi, Parthsarthi" sort="Ravi, Parthsarthi" uniqKey="Ravi P" first="Parthsarthi" last="Ravi">Parthsarthi Ravi</name></author></analytic><series><title level="j">Indian journal of nuclear medicine : IJNM : the official journal of the Society of Nuclear Medicine, India</title><idno type="ISSN">0972-3919</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To study the utility of lymphoscintigraphy in detection of lymphatic obstruction in patients with leg swelling of unclear etiology, selection of site for nodo venous shunt procedure, and follow-up lymphoscintigraphic documentation of improved lymph flow in surgically treated limb.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">24019651</PMID><DateCreated><Year>2013</Year><Month>09</Month><Day>10</Day></DateCreated><DateCompleted><Year>2013</Year><Month>09</Month><Day>10</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0972-3919</ISSN><JournalIssue CitedMedium="Print"><Volume>27</Volume><Issue>4</Issue><PubDate><Year>2012</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Indian journal of nuclear medicine : IJNM : the official journal of the Society of Nuclear Medicine, India</Title><ISOAbbreviation>Indian J Nucl Med</ISOAbbreviation></Journal><ArticleTitle>Role of lymphoscintigraphy in diagnosis and management of patients with leg swelling of unclear etiology.</ArticleTitle><Pagination><MedlinePgn>226-30</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.4103/0972-3919.115392</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">To study the utility of lymphoscintigraphy in detection of lymphatic obstruction in patients with leg swelling of unclear etiology, selection of site for nodo venous shunt procedure, and follow-up lymphoscintigraphic documentation of improved lymph flow in surgically treated limb.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Twenty four consecutive patients with leg swelling, 10 male, 14 female with mean age 47 years, range from 13 years to 74 years underwent lymphoscintigraphy. All patients were referred from Department of Plastic Surgery, after initial work-up, and routine investigations to rule out the other causes of leg swelling. Both clinical and scintigraphic staging performed for all patients. All clinically and scintigraphically positive patients treated with decongestive lymphatic therapy (DLT). In addition to the DLT, those patients positive for unilateral or bilateral lymphedema, consented for surgical intervention, nodo venous shunt (NVS) in their only affected or one of the two affected lower limbs. Follow-up lymphoscintigraphy performed in operated cases after 3 months to 6 months of surgery, lymphoscintigraphy images of each patient in pre and post-surgery compared.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">In 20/24 cases (83%) of clinically positive leg swelling were found to be positive for lymphedema on lymphoscintigraphy and remaining, 4/24 were scintigraphically normal. Based on the clinical and lymphoscintigraphy staging, 03/20 cases (15%) had Grade I lymphedema, 01/20 (5%) Grade II lymphedema, 06/20 (30%) Grade III and remaining 10/20 (50%) had Grade IV lymphedema. 11/20 cases of Lymphedema (55%) were managed conservatively by only DLT and in remaining 09/20 cases (45%), who were case of Grade IV, lymphedema (five patients with unilateral and four patients with bilateral disease) initially treated with DLT, and on completion of DLT, undergone for NVS procedure, in their unilaterally affected lower limb or one of the two diseased lower limbs. All nine patients showed remarkable clinical improvement in leg swelling and their follow-up lymphoscintigraphy showed normal visualization of lymphatic channels. No patient developed any recurrence.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Pre-operative functional evaluation of lymphatic channels using lymphoscintigraphy, is a widely available, simple imaging test and highly useful for documentation of lymphedema in patients with leg swelling of unclear etiology and also for exact localization of inguinal lymph nodes to perform the NVS procedure. Further, it can play important role for follow-up of patients receiving DLT or DLT with surgical intervention that provides early relief from clinical symptoms.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kalawat</LastName><ForeName>Tek Chand</ForeName><Initials>TC</Initials><AffiliationInfo><Affiliation>Department of Nuclear Medicine, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chittoria</LastName><ForeName>Ravi Kumar</ForeName><Initials>RK</Initials></Author><Author ValidYN="Y"><LastName>Reddy</LastName><ForeName>Praveen Kumar</ForeName><Initials>PK</Initials></Author><Author ValidYN="Y"><LastName>Suneetha</LastName><ForeName>Batchu</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Narayan</LastName><ForeName>Ravishwar</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Ravi</LastName><ForeName>Parthsarthi</ForeName><Initials>P</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>India</Country><MedlineTA>Indian J Nucl Med</MedlineTA><NlmUniqueID>8901274</NlmUniqueID><ISSNLinking>0974-0244</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Hosp Pract (Off Ed). 1989 May 30;24(5A):109-10, 113-4, 116</RefSource><PMID Version="1">2498344</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Clin Dermatol. 1995 Sep-Oct;13(5):445-50</RefSource><PMID Version="1">8665455</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Nucl Med. 2003 Jan;44(1):43-57</RefSource><PMID Version="1">12515876</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Radiology. 1995 Jul;196(1):107-13</RefSource><PMID Version="1">7784553</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Radiology. 2001 Sep;220(3):816-21</RefSource><PMID Version="1">11526287</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lymphology. 2003 Jun;36(2):84-91</RefSource><PMID Version="1">12926833</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Plast Reconstr Surg. 1994 Nov;94(6):841-7; discussion 848-9</RefSource><PMID Version="1">7972431</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Nucl Med Commun. 1995 Aug;16(8):683-6</RefSource><PMID Version="1">7491181</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Clin Med (Lond). 2002 Jan-Feb;2(1):28-31</RefSource><PMID Version="1">11871635</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Radiology. 1988 Jun;167(3):729-35</RefSource><PMID Version="1">3363131</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lymphology. 2005 Sep;38(3):122-9</RefSource><PMID Version="1">16353489</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Nucl Med. 1986 Jul;27(7):1125-30</RefSource><PMID Version="1">3723188</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lymphat Res Biol. 2004;2(1):32-7</RefSource><PMID Version="1">15609925</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Gen Intern Med. 1997 Jun;12(6):374-83</RefSource><PMID Version="1">9192256</PMID></CommentsCorrections></CommentsCorrectionsList><OtherID Source="NLM">PMC3759082</OtherID><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Leg swelling</Keyword><Keyword MajorTopicYN="N">lymphedema</Keyword><Keyword MajorTopicYN="N">lymphoscintigraphy</Keyword><Keyword MajorTopicYN="N">nodo venous shunt</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>9</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>9</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>9</Month><Day>11</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24019651</ArticleId><ArticleId IdType="doi">10.4103/0972-3919.115392</ArticleId><ArticleId IdType="pii">IJNM-27-226</ArticleId><ArticleId IdType="pmc">PMC3759082</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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