2012
DOI: 10.1097/rlu.0b013e31823931f5
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Lymphatic Dysfunction in the Apparently Clinically Normal Contralateral Limbs of Patients With Unilateral Lower Limb Swelling

Abstract: In the presence of unilateral lymphedema, the contralateral limb is often also abnormal. On lymphoscintigraphy, therefore, care should be taken before diagnosing unilateral lymphatic dysfunction. Quantification should be included in routine lymphoscintigraphy, as reduced ilioinguinal nodal accumulation may be the only apparent abnormality.

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Cited by 45 publications
(24 citation statements)
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“…17 Moreover, lymphatic function explorations in the contralateral limbs of patients with primary lymphoedema showed abnormalities indicating impaired lymphatic function. 18 Those findings might suggest more diffuse lymphatic insufficiency not localised only to the lymphoedematous limb territory. Moreover, near-infrared fluorescent imaging of lymphatic function in the contralateral normal limb of patients with secondary upper-limb lymphoedema showed lymphatic abnormalities in the affected and non-lymphoedematous limbs.…”
Section: Discussionmentioning
confidence: 98%
“…17 Moreover, lymphatic function explorations in the contralateral limbs of patients with primary lymphoedema showed abnormalities indicating impaired lymphatic function. 18 Those findings might suggest more diffuse lymphatic insufficiency not localised only to the lymphoedematous limb territory. Moreover, near-infrared fluorescent imaging of lymphatic function in the contralateral normal limb of patients with secondary upper-limb lymphoedema showed lymphatic abnormalities in the affected and non-lymphoedematous limbs.…”
Section: Discussionmentioning
confidence: 98%
“…They were included in previous studies demonstrating that popliteal node visualization is an abnormal finding on lymphoscintigraphy 11 and reporting that the prevalence of lymphatic dysfunction in clinically normal contralateral limbs is increased in patients with unilateral lower limb swelling. 12 Twenty-seven patients had no evidence of lymphedema on clinical examination by an experienced lymphovascular physician (P.S.M.). They were nevertheless referred for lymphoscintigraphy for objective confirmation of the clinical findings and to exclude lymphatic dysfunction.…”
Section: Methodsmentioning
confidence: 99%
“…For LAS, each patient was given an intradermal injection of 111 MBq of 99mTc suspended in 0.1 mL of human serum albumin (99mTc-HAS) into the first interdigital web. The diagnosis of abnormal LAS was made according to the criteria introduced by Szuba, et al 6) and Burnand, et al 7) The clinical stage of lymphedema was assigned from the Consensus Document of ISL. 1) In the current study, legs without apparent symptoms were all regarded as Stage 0 because all patients who underwent intrapelvic lymph node dissection were considered to have impaired lymph transport.…”
Section: Methodsmentioning
confidence: 99%