Correlation between superficial and deep lymphatic systems using magnetic resonance lymphangiography in breast cancer-related lymphedema: clinical implications
Author
Abdelfattah, Usama
Clavero, Juan A.
Bellantonio, Vittoria
Pons, Gemma
Masia, Jaume
Publication date
2020ISSN
1748-6815
Abstract
Background: Magnetic resonance lymphangiography (MRL) has increased our knowledge of lymphatic anatomy and lymphedema pathophysiology and improved the efficacy of microsurgical procedures to manage peripheral lymphedema. The aim of this study is to investigate the ability of MRL to detect communications between superficial and deep lymphatic systems in breast cancer-related lymphedema (BRCL) and to investigate whether these communications could preserve lymphatic drainage of the hand. Methods: Between 2008 and 2017 we used MRL imaging in 59 women with BCRL. Lymphedema of the arm and hand was detected in 30 patients while the hand was spared in 29. Using axial and coronal MRL reconstruction images we investigated the existence of any communication between the superficial and deep lymphatic systems. Results: Among the 29 patients with spared hand, MRL revealed that 24 had at least one communicating lymphatic perforator at the wrist region (p < 0.001). Lymphatic flow at the axilla was clearly visualized in 16 of the 29 patients (55.2%), no perforating lymphatic vessels were detected in the group with lymphedema in the hand (30 patients). Conclusions: Communications between the deep and superficial lymphatic systems at the wrist region in BCRL patients without hand lymphedema should be considered when planning microsurgical lymphatic procedures at the wrist and in postoperative compression therapy.
Document Type
Article
Document version
Published version
Language
English
Subject (CDU)
616 - Pathology. Clinical medicine
Keywords
Càncer de mama
Cáncer de mama
Breast cancer
Pages
6
Publisher
Elsevier
Collection
73; 6
Is part of
Journal of Plastic, Reconstructive & Aesthetic Surgery
Citation
Abdelfattah, Usama; Martínez-Jaimez, Patricia; Clavero, Juan A. [et al.]. Correlation between superficial and deep lymphatic systems using magnetic resonance lymphangiography in breast cancer-related lymphedema: clinical implications. Journal of Plastic, Reconstructive & Aesthetic Surgery, 2020, 73(6), p. 1018-1024. Disponible en: <https://www.sciencedirect.com/science/article/abs/pii/S1748681519305649?via%3Dihub>. Fecha de acceso: 12 mar. 2024. DOI: 10.1016/j.bjps.2019.11.053
This item appears in the following Collection(s)
- Ciències de la Salut [745]
Rights
© 2019 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.