Early Stage Lymphedema in Breast Cancer Patient Detected by Indocyanine Green Lymphography but not by Lymphoscintigraphy: A Case Report

Jin A Yoon; Myung Jun Shin; Young Jin Choi; Joo Hyoung Kim; Taewoo Kang; Heeseung Park

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자료유형: 학술저널

저자정보: Jin A Yoon Myung Jun Shin Young Jin Choi Joo Hyoung Kim Taewoo Kang Heeseung Park

저널정보: 한국유방암학회 Journal of Breast Disease Journal of Breast Disease 제7권 제2호

발행연도: 2019.1

수록면: 117 - 120 (4page)

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Secondary upper extremity lymphedema after lymph node dissection in breast cancer patients is a major complication affecting their quality of life. As lymphatic function is compromised before symptoms develop in most cases, early diagnosis and intervention before symptomatic manifestation is known to prevent severe progression of lymphedema. In this case report, we present a patient with secondary lymphedema, whose disease could be diagnosed at an early stage using indocyanine green (ICG) lymphography. The patient had mild edema of the left upper extremity that regressed with elevation, had normal lymph vessel distribution without dermal backflow pattern in lymphoscintigraphy. Her symptom improved after early prescription of complex decongestive physiotherapy. We conclude that ICG lymphography could be an effective diagnostic tool in addition to other imaging methods, for early diagnosis and intervention of lymphedema.

참고문헌 (10)

참고문헌 신청

Warren AG / 2007 / Lymphedema: a comprehensive review / Ann Plast Surg 59:464~472

Zhibin Y / 2004 / The role of radionuclide bone scintigraphy in fibrous dysplasia of bone / Clin Nucl Med 29:177~180

Yamamoto T / 2011 / The earliest finding of indocyanine green lymphography in asymptomatic limbs of lower extremity lymphedema patients secondary to cancer treatment: the modified dermal backflow stage and concept of subclinical lymphedema / Plast Reconstr Surg 128:314~321e

Finnane A / 2011 / Quality of life of women with lower-limb lymphedema following gynecological cancer / Expert Rev Pharmacoecon Outcomes Res 11:287~297

Campisi C / 2004 / Microsurgical techniques for lymphedema treatment: derivative lymphatic-venous microsurgery / World J Surg 28:609~613

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