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Lymph edema surgery

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https://www.readbyqxmd.com/read/27622088/lymphovenous-anastomosis-and-secondary-resection-for-noonan-syndrome-with-vulvar-lymphangiectasia
#1
Harm Winters, Hanneke J P Tielemans, Dietmar J O Ulrich
In this case report we describe the use of a 2-stage approach to treat severe recurrent vulvar lymphangiectasia in a patient with Noonan syndrome. First, 3 functional lymphatic vessels were identified and anastomosed to venules in an end-to-end fashion. Then, in a second surgical procedure, the vulvar lesions were resected as much as possible and the vulva was reconstructed. By the 12-month follow-up the patient had recovered well. Although there were still some small vesicles on the left labia there was no more ooze, itch, and pain...
August 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27542110/a-detailed-examination-of-the-characteristics-and-treatment-in-a-series-of-33-idiopathic-lymphedema-patients
#2
Satoshi Onoda, Kiyoshi Yamada, Kumiko Matsumoto, Yoshihiro Kimata
Background To date, only a few reports have been published on idiopathic lymphedema, and most of these are case reports. In this time, we performed a retrospective review of idiopathic lymphedema patients. Methods Forty patients presented with idiopathic lymphedema that was unrelated to surgery, injury, and medical conditions such as circulatory disease, kidney disease, and thrombotic venous disease. For these patients, we performed a retrospective review for edema-onset age, sex, location and stage of the edema, presence of cellulitis, episode related to edema onset, therapeutic intervention, and follow-up duration in the 33 patients whom we followed up...
August 19, 2016: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/27465179/early-detection-of-lymphatic-disorder-and-treatment-for-lymphedema-following-breast-cancer
#3
Shinsuke Akita, Rikiya Nakamura, Naohito Yamamoto, Hideki Tokumoto, Tatsuya Ishigaki, Yoshihisa Yamaji, Yoshitaro Sasahara, Yoshitaka Kubota, Nobuyuki Mitsukawa, Kaneshige Satoh
BACKGROUND: Upper extremity edema following surgical treatment for breast cancer does not always result in chronic breast cancer-related lymphedema. Changes in the findings of indocyanine green lymphography and upper extremity volume following breast cancer surgery were observed prospectively to understand the early changes in lymphatic function and to establish a new strategy for early diagnosis and treatment of breast cancer-related lymphedema. METHODS: Lymphatic function for 196 consecutive breasts was examined using indocyanine green lymphography and bilateral upper extremity volume before surgery and 1, 3, 6, 9, and 12 months after surgery...
August 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27435759/preoperative-chemoradiation-with-vmat-sib-in-rectal-cancer-a-phase-ii-study
#4
Vincenzo Picardi, Gabriella Macchia, Alessandra Guido, Lucia Giaccherini, Francesco Deodato, Andrea Farioli, Savino Cilla, Gaetano Compagnone, Andrea Ardizzoni, Dajana Cuicchi, Maria Antonietta Gambacorta, Francesco Cellini, Giovanni Frezza, Gilberto Poggioli, Vincenzo Valentini, Lorenzo Fuccio, Alessio Giuseppe Morganti
PURPOSE: The aim of this study was to investigate the efficacy and toxicity of volumetric modulated arc therapy (VMAT)-simultaneous integrated boost (SIB) in preoperative combined treatment of locally advanced rectal cancer. METHODS: Radiation therapy was performed using the VMAT-SIB technique. The dose to mesorectum and pelvic lymph nodes was 45 Gy (1.8 Gy/fraction). A concomitant boost was delivered on GTV + 2-cm margin with a total dose of 57.5 Gy (2.3 Gy/fraction)...
June 23, 2016: Clinical Colorectal Cancer
https://www.readbyqxmd.com/read/27315777/prominent-lymphatic-vessel-hyperplasia-with-progressive-dysfunction-and-distinct-immune-cell-infiltration-in-lymphedema
#5
Epameinondas Gousopoulos, Steven T Proulx, Jeannette Scholl, Maja Uecker, Michael Detmar
Lymphedema is a common complication that occurs after breast cancer treatment in up to 30% of the patients undergoing surgical lymph node excision. It is associated with tissue swelling, fibrosis, increased risk of infection, and impaired wound healing. Despite the pronounced clinical manifestations of the disease, little is known about the morphological and functional characteristics of the lymphatic vasculature during the course of lymphedema progression. We used an experimental murine tail lymphedema model where sustained fluid stasis was generated on disruption of lymphatic flow, resulting in chronic edema formation with fibrosis and adipose tissue deposition...
August 2016: American Journal of Pathology
https://www.readbyqxmd.com/read/27266991/anatomical-effects-of-axillary-nodes-dissection-on-rat-lymphatic-system-model-indocyanine-green-mapping-and-dissection
#6
Frederic Pastouret, David Beckwee, Sigrid Van Laere, Lucia Cardozo, Jan Lamote, Patricia Kranskens, Pierre Lievens
BACKGROUND: Axillary nodes dissection (AND) is an important risk factor for the appearance of breast cancer-related lymphedema (BCRL). The anatomy and pathophysiology leading to the development of BCRL after AND are not completely understood. Despite the existence of lymphedema models after AND, none of them were able to create lymphedemas without additional chemical inflammatory drugs or auxiliary physical techniques (radiotherapy). In this study, we aimed to describe the anatomical changes of AND on a rat's front leg before and after a new surgery technique...
September 2016: Lymphatic Research and Biology
https://www.readbyqxmd.com/read/27221358/lympha-technique-to-prevent-secondary-lower-limb-lymphedema
#7
Francesco Boccardo, Mario Valenzano, Sergio Costantini, Federico Casabona, Matteo Morotti, Paolo Sala, Franco De Cian, Lidia Molinari, Stefano Spinaci, Sara Dessalvi, Corrado Cesare Campisi, Giuseppe Villa, Corradino Campisi
BACKGROUND: Inguinofemoral lymphadenectomy carries a high risk of lower limb lymphedema. This report describes the feasibility of performing multiple lymphatic-venous anastomoses (MLVA) after inguinofemoral lymph node completion (LYMPHA technique) and the possible benefit of LYMPHA for preventing lymphedema. METHODS: Between February, 2011 and October, 2014, 11 patients with vulvar cancer and 16 patients with melanoma of the trunk requiring inguinofemoral lymphadenectomy underwent lymph node dissection and the LYMPHA technique...
October 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/27212421/axillary-radiotherapy-an-alternative-treatment-option-for-adjuvant-axillary-management-of-breast-cancer
#8
Jie Zhang, Chuan Wang
Axillary lymph node dissection is standard management of axilla in invasive breast cancer. Radiotherapy also is important in local treatment. It is controversial as to whether axillary radiotherapy can displace axillary lymph node dissection. We performed a meta-analysis comparing axillary radiotherapy with axillary dissection. No significant difference was observed for disease free survival and overall survival between the radiation group and the dissection group. There was also no significant difference in either the axillary recurrence or the local recurrence between the two groups...
2016: Scientific Reports
https://www.readbyqxmd.com/read/27051397/a-scoring-system-to-predict-arm-lymphedema-risk-for-individual-chinese-breast-cancer-patients
#9
Ling Wang, Hui-Ping Li, An-Nuo Liu, De-Bin Wang, Ya-Juan Yang, Yan-Qin Duan, Qing-Na Zhang
BACKGROUND: Lymphedema (LE) is recognized as a common complication after axillary lymph node dissection (ALND). Numerous studies have attempted to identify risk factors for LE. However, it is difficult to predict the probability of LE for an individual patient. The purpose of this study was to construct a scoring system for predicting the probability of LE after ALND for Chinese breast cancer patients. PATIENTS AND METHODS: 358 breast cancer patients were surveyed and followed for 12 months...
February 2016: Breast Care
https://www.readbyqxmd.com/read/26857458/adjuvant-chemotherapy-versus-concurrent-chemoradiotherapy-for-high-risk-cervical-cancer-after-radical-hysterectomy-and-systematic-lymphadenectomy
#10
Munetaka Takekuma, Yuka Kasamatsu, Nobuhiro Kado, Shiho Kuji, Aki Tanaka, Nobutaka Takahashi, Masakazu Abe, Yasuyuki Hirashima
BACKGROUND: The aims of this study were to evaluate the efficacy and toxicity of chemotherapy (CT) compared with concurrent chemoradiotherapy (CCRT) after radical hysterectomy and lymphadenectomy in high-risk patients with early-stage cervical cancer and to evaluate whether the radicality of the lymphadenectomy would affect the outcome and toxicity of postoperative adjuvant therapy. METHODS: The cases of all patients (n = 393) with FIGO IB1-IIB cervical cancer who were treated by radical surgery at Shizuoka Cancer Center between January 2002 and December 2013 were reviewed...
August 2016: International Journal of Clinical Oncology
https://www.readbyqxmd.com/read/26526479/-hyaline-vascular-multicentric-castleman-s-disease-in-an-immunocompetent-patient
#11
REVIEW
Sergio Armando Zapata-Bonilla, Roberto López Vargas, Aldo Alfonso Scherling-Ocampo, Ana Lilia Morales Leyte, Liliana García Ilizaliturri
A previously healthy, immunocompetent 67-year-old female presented with a one-month history of general symptoms, weight loss, night fevers, and bilateral lower extremity edema. On admission she had severe anemia, acute kidney injury, and multiple lymphadenopathies. An excisional biopsy of one of the axillary lymphadenopathies confirmed hyaline-vascular Castleman's disease. This rare disease is a polyclonal lymphoproliferative disorder that affects the normal lymph node architecture. According to its location it can be divided in unicentric (localized) or multicentric disease; it can be further divided according to histopathology in hyaline-vascular or plasmatic cells variety...
September 2015: Gaceta Médica de México
https://www.readbyqxmd.com/read/26495003/unusual-paraneoplastic-presentation-of-cholangiocarcinoma
#12
Aman Opneja, Sonia Mahajan, Sargam Kapoor, Shanthi Marur, Steve Hoseong Yang, Rebecca Manno
Introduction. Cutaneous paraneoplastic syndromes are a heterogeneous group of skin manifestations that occur in relation to many known malignancies. Paraneoplastic occurrence of SCLE has been noted but is not commonly reported. SCLE association with cholangiocarcinoma is rare. Case Presentation. A 72-year-old man with a history of extrahepatic stage IV cholangiocarcinoma presented with a pruritic rash. Cholangiocarcinoma had been diagnosed three years earlier and was treated. Five months after interruption of his chemotherapy due to a semiurgent surgery, he presented with explosive onset of a new pruritic rash, arthralgias, and lower extremity edema...
2015: Case Reports in Medicine
https://www.readbyqxmd.com/read/26161800/sentinel-node-biopsy-for-the-head-and-neck-using-contrast-enhanced-ultrasonography-combined-with-indocyanine-green-fluorescence-in-animal-models-a-feasibility-study
#13
Yasunao Kogashiwa, Hiroyuki Sakurai, Yoshihiro Akimoto, Dai Sato, Tetsuya Ikeda, Yoshifumi Matsumoto, Yorihisa Moro, Toru Kimura, Yasuhiro Hamanoue, Takehiro Nakamura, Koichi Yamauchi, Koichiro Saito, Masashi Sugasawa, Naoyuki Kohno
BACKGROUND: Sentinel node navigation surgery is gaining popularity in oral cancer. We assessed application of sentinel lymph node navigation surgery to pharyngeal and laryngeal cancers by evaluating the combination of contrast-enhanced ultrasonography and indocyanine green fluorescence in animal models. METHODS: This was a prospective, nonrandomized, experimental study in rabbit and swine animal models. A mixture of indocyanine green and Sonazoid was used as the tracer...
2015: PloS One
https://www.readbyqxmd.com/read/26126919/emergency-cricothyroidotomy-for-difficult-airway-management-after-asynchronous-bilateral-neck-dissections-a-case-report-and-literature-review
#14
REVIEW
Masataka Uehara, Shinya Kokuryo, Masaaki Sasaguri, Kazuhiro Tominaga
PURPOSE: This report describes a case that required emergency cricothyroidotomy for an upper airway obstruction owing to laryngeal edema after asynchronous bilateral neck dissections. PATIENT AND METHODS: A 57-year-old man was diagnosed with multicentric squamous cell carcinoma of the tongue (T1 and 2N0M0), and partial glossectomy with primary closure was performed. Three months after surgery, secondary metastases in the right cervical lymph nodes were detected, and a right radical neck dissection was performed...
October 2015: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/26059654/comparison-of-lower-extremity-edema-in-locally-advanced-cervical-cancer-pretreatment-laparoscopic-surgical-staging-with-tailored-radiotherapy-versus-primary-radiotherapy
#15
COMPARATIVE STUDY
Se Ik Kim, Myong Cheol Lim, Jeong Seon Lee, Yeon-Joo Kim, Sang-Soo Seo, Sokbom Kang, Chong Woo Yoo, Byung-Ho Nam, Joo-Young Kim, Seung Hyun Chung, Sang-Yoon Park
BACKGROUND: This study investigated the clinical manifestations of lower extremity edema (LEE) in locally advanced cervical cancer patients treated with two different strategies. METHODS: In total, 79 cervical cancer survivors with International Federation of Gynecology and Obstetrics stage IB2-IIB were included. Six survivors with stage IB1 and who had been suspicious for lymph node metastasis on pretreatment image also were included. Forty-two patients received radiotherapy after pretreatment laparoscopic surgical staging (Group 1), and 43 patients received primary radiotherapy (Group 2)...
January 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/25986870/postoperative-lower-extremity-edema-in-patients-with-primary-endometrial-cancer
#16
Hyo Sook Bae, Myong Cheol Lim, Jeong Seon Lee, Yumi Lee, Byung Ho Nam, Sang-Soo Seo, Sokbom Kang, Seung Hyun Chung, Joo-Young Kim, Sang-Yoon Park
PURPOSE: The goal of this study was to investigate clinical manifestations of lower extremity edema (LEE) after lymph node dissection in patients with primary endometrial cancer. METHODS: Women with primary endometrial cancer who underwent staging surgery between November 2001 and March 2011 were included in the study. Medical records and/or responses to the Gynecologic Cancer Lymphedema Questionnaire (GCLQ) were used for LEE evaluation. RESULTS: All 154 patients underwent pelvic lymph node dissection, and 126 patients (81...
January 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/25977305/movement-function-pain-and-postoperative-edema-in-axillary-web-syndrome
#17
Linda A Koehler, Anne H Blaes, Tuffia C Haddad, David W Hunter, Alan T Hirsch, Paula M Ludewig
BACKGROUND: Axillary web syndrome (AWS) is a condition that may develop following breast cancer surgery and that presents as a palpable axillary cord of tissue. OBJECTIVE: The purposes of this study were: (1) to determine the clinical characteristics of AWS related to movement, function, pain, and postoperative edema and (2) to define the incidence of and risk factors for AWS within the first 3 months following breast cancer surgery. DESIGN: This was a prospective cohort study with a repeated-measures design...
October 2015: Physical Therapy
https://www.readbyqxmd.com/read/25848183/laparoscopic-radical-trachelectomy-technique-feasibility-and-outcomes
#18
José Martín Saadi, Myriam Perrotta, Roberto Orti, Gloria Salvo, María Eugenia Giavedoni, Sebastían Gogorza, Roberto Testa
BACKGROUND AND OBJECTIVES: Our objectives are to describe our surgical technique for laparoscopic radical trachelectomy, to evaluate its feasibility, and to present the perioperative results at Hospital Italiano de Buenos Aires, Argentina. METHODS: We analyzed 4 patients who underwent laparoscopic radical trachelectomy for early-stage cervical cancer between December 2011 and May 2013. RESULTS: Four patients were included in this study. Total laparoscopic radical trachelectomy was performed in all cases...
January 2015: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/25403330/a-new-technique-to-map-the-lymphatic-distribution-and-alignment-of-the-penis
#19
Liu Yan Long, Pan Fu Qiang, Tao Ling, Zhang Yan Wei, Zhang Yu Long, Meng Shan, Li Shi Rong, Li Hong Li
The present study was to examine the distribution of lymphatic vessels in the penis of normal adult males, which could provide an anatomical basis for improvement of incisions in penile lengthening surgery, and may also help to prevent postoperative refractory edema. Thirteen normal adult male volunteers were recruited for this study. Contrast agent was injected subcutaneously in the foreskin of the penis, and after two minutes magnetic resonance lymphangiography (MRL) was performed. The acquired magnetic resonance images were analyzed to determine the changes in the number and diameter of lymphatic vessels in different parts of the penis...
August 2015: Anatomical Record: Advances in Integrative Anatomy and Evolutionary Biology
https://www.readbyqxmd.com/read/24761855/hypofractionated-radiotherapy-for-breast-cancers-preliminary-results-from-a-tertiary-care-center-in-eastern-india
#20
Moujhuri Nandi, Anurupa Mahata, Indranil Mallick, Rimpa Achari, Sanjoy Chatterjee
BACKGROUND: The standard radiotherapy (RT) fractionation practiced in India and worldwide is 50 Gy in 25 fractions over 5 weeks to the chest wall or whole breast followed by tumour bed boost in case of breast conservation (BCS). A body of validated data exists regarding hypofractionation in breast cancer. We here report initial results for 135 patients treated at our center with the START-B type of fractionation. MATERIALS AND METHODS: From May 2011 till July 2012, women with all stages of breast cancer (excluding metastatic), who had undergone BCS or mastectomy were planned for 40 Gy in 15 fractions over 3 weeks to chest wall/whole breast and supraclavicular fossa (where indicated) followed by tumour bed boost in BCS patients...
2014: Asian Pacific Journal of Cancer Prevention: APJCP
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