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Non-extremity lymphedema following axilla dissection and radiotherapy

Wald M. 1, Eliska O. 2, Krizova H. 3

1Department of Surgery, 2nd Faculty of Medicine, Prague 5, V uvalu 84, Czech Republic
2Department of Anatomy, 1st Faculty of Medicine, Prague 2, U nemocnice 3, Czech Republic
3Department of Nuclear Medicine, 2nd Faculty of Medicine, Prague 5, V uvalu 84, Czech Republic

The European Journal of Lymphology 2003, Vol. XI, Nr. 39, abst. VI-2, pp. 22   

596 KA (20-01-3)


Purpose: The authors were focused on an occurrence, diagnostics, and therapy of non-extremity lymphedema developing in association with axilla dissection. Such lympedemas often remain unnoticed by the physicians. They are most often located on chest, around scapula and in the epigastric region. Such located lymphedema may, similarly to the extremity lymphedema, deteriorate quality of patient's life, including recur

Methods: Detailed anamnesis and thorough clinical examination are basic presumptions of a correct diagnosis.

 Subsequent lymphoscintigraphy of the region where a lymph drainage impairment is suspected both confirms a lymphedema diagnosis and pictures alternative lymphatic routes which drain the affected region. Knowledge of this drainage route is necessary for an effective treatment.

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