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    Issues of Survivorship and Rehabilitation in Soft Tissue Sarcoma.
    Clin Oncol (R Coll Radiol) 2017 Apr 22. Epub 2017 Apr 22.
    North of England Bone and Soft Tissue Tumour Service, Freeman Hospital, Newcastle Upon Tyne, UK.
    As the number of survivors of extremity soft tissue sarcoma increases, so does the need to understand the experience of survivors and develop measures, systems and services that support rehabilitation into normal life roles. Survivorship includes considerations of the physical, psychological and social domains, of which the physical sequelae of treatment are the best characterised in the literature. The survivorship experience may include disability, pain, lymphoedema, psychological problems, as well as difficulty with employment, relationships and lower quality of life. Read More

    Skin manifestations among GATA2-deficient patients.
    Br J Dermatol 2017 Apr 25. Epub 2017 Apr 25.
    Dermatology Department, CHU Rennes, Rennes, France.
    GATA2 mutations have been identified in various diseases, such as monoMAC syndrome, Emberger syndrome, familial myelodysplastic syndrome, acute myeloid leukemia, and dendritic cell, monocyte, B and NK cell deficiency. These syndromes present a wide range of clinical features, dominated by severe infections and haematological disorders such as myelodysplastic syndrome. Up to 70% of GATA2-mutated patients have dermatological features, mainly genital or extra-genital warts, panniculitis or erythema nodosum, and lymphedema. Read More

    Clinical practice guidelines on the evidence-based use of integrative therapies during and after breast cancer treatment.
    CA Cancer J Clin 2017 Apr 24. Epub 2017 Apr 24.
    Professor, Department of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX.
    Answer questions and earn CME/CNE Patients with breast cancer commonly use complementary and integrative therapies as supportive care during cancer treatment and to manage treatment-related side effects. However, evidence supporting the use of such therapies in the oncology setting is limited. This report provides updated clinical practice guidelines from the Society for Integrative Oncology on the use of integrative therapies for specific clinical indications during and after breast cancer treatment, including anxiety/stress, depression/mood disorders, fatigue, quality of life/physical functioning, chemotherapy-induced nausea and vomiting, lymphedema, chemotherapy-induced peripheral neuropathy, pain, and sleep disturbance. Read More

    Far-infrared ray for treating chronic lower extremity lymphedema with dermatolymphangioadenitis: a postoperative complication of gynecological tumor resection.
    Arch Gynecol Obstet 2017 Apr 22. Epub 2017 Apr 22.
    Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
    Purpose: Lower extremity lymphedema is regarded as a relatively common postoperative complication and is often accompanied with dermatolymphangioadenitis (DLA). This study combines clinical assessment and laboratory investigation to explore therapeutic effects of far-infrared radiation (FIR) therapy for chronic lower extremity lymphedema accompanied with DLA, occurring after gynecological tumor resection.

    Methods: Patients who met inclusion and exclusion criteria would be enrolled. Read More

    Validation of the FACT-B+4-UL questionnaire and exploration of its predictive value in women submitted to surgery for breast cancer.
    Med Clin (Barc) 2017 Apr 18. Epub 2017 Apr 18.
    Unidad de Cirugía de Mama, Complejo Hospitalario de Jaén, Jaén, España.
    Introduction And Objetive: The early detection of upper limb complications is important in women operated on for breast cancer. The "FACT-B+4-UL" questionnaire, a specific variant of the Functional Assessment of Cancer Therapy-Breast (FACT-B) is available among others to measure the upper limb function.

    Patients And Methods: The Spanish version of the upper limb subscale of the FACT-B+4 was validated in a prospective cohort of 201 women operated on for breast cancer (factor analysis, internal consistency, test-retest reliability, construct validity and sensitivity to change were determined). Read More

    Three-Dimensional Imaging of Lymphatic System in Lymphedema Legs Using Interstitial Computed Tomography-lymphography.
    Acta Med Okayama 2017 Apr;71(2):171-177
    Department of Plastic and Reconstructive Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science, Okayama 700-8558,
    As a new trial, we used interstitial computed tomography-lymphography (CT-LG) in 10 patients with lower extremity lymphedema (n=20 limbs) at stage 0, 1, 2, or 3 under the International Society of Lymphology (ISL) classification. In all cases, CT-LG, lymphoscintigraphy, and indocyanine green fluorescence-lymphography (ICG-LG) were performed. In the examination of the ascending level of depicted lymphatic vessels, we measured the diameters of lymphatic vessels detected with CT-LG and conducted an image analysis of dermal backflow of lymph (DB). Read More

    Lymphoscintigraphic abnormalities in the contralateral lower limbs of patients with unilateral lymphedema.
    J Vasc Surg Venous Lymphat Disord 2017 May 21;5(3):363-369. Epub 2017 Feb 21.
    Department of Surgery, Universidade Federal de Pernambuco, Recife, Brazil.
    Objective: The contralateral limbs of patients with unilateral lymphedema in the lower limbs (LLs) can exhibit abnormal lymphatic circulation, even in the absence of lymphedema. This idea is based on a number of reports that have studied isolated cases using lymphoscintigraphy. It is likely that these patients previously had some form of lymphopathy, and the lymphedema arose after the action of some external factor. Read More

    Correlation Between Upper Limb Volume and Arterial and Venous Blood Flow Velocity in Lymphedema Secondary to Breast Cancer Treatment.
    J Manipulative Physiol Ther 2017 Apr 12. Epub 2017 Apr 12.
    Postgraduate Program in Rehabilitation and Functional Performance, Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil. Electronic address:
    Objective: The purpose of this study was to correlate upper limb volume and arterial and venous blood flow velocity in breast cancer survivors.

    Methods: A cross-sectional study was conducted on 30 women with lymphedema and a mean age of 55.60 years (standard deviation = 8. Read More

    Ultrasound-assisted lymphaticovenular anastomosis for the treatment of peripheral lymphedema.
    Plast Reconstr Surg 2017 Feb 16. Epub 2017 Feb 16.
    1. Department of Plastic and Reconstructive Surgery, Università Cattolica del "Sacro Cuore" - University Hospital "A. Gemelli", Rome, Italy 2. Plastic Surgeon, Department of Plastic and Reconstructive Surgery, Tokyo Metropolitan Bokutoh Hospital, Tokyo, Japan 3. Department of Plastic Surgery, Asahi General Hospital, Chiba, Japan.

    Blocking of the Lymphatic Vessel in Lymphedema.
    Eplasty 2017 27;17:e11. Epub 2017 Mar 27.
    Department of Lymphatic and Reconstructive Surgery, Saiseikai Kawaguchi General Hospital, Saitama, Japan.
    Objective: In this case report, we present a case wherein we observed a blocking of lymphatic vessels in indocyanine green lymphography and found a shrunken lymphatic vessel intraoperatively. Methods: We performed indocyanine green lymphography and lymphaticovenous anastomosis on a 77-year-old woman. She had previously undergone right mastectomy and axillary lymph node dissection accompanied by radiotherapy and chemotherapy for right breast cancer. Read More

    Manual Lymphatic Drainage in Blood Circulation of Upper Limb With Lymphedema After Breast Cancer Surgery.
    J Manipulative Physiol Ther 2017 Apr 8. Epub 2017 Apr 8.
    Postgraduate Program in Rehabilitation and Functional Performance, São Paulo University, Ribeirão Preto, São Paulo, Brazil. Electronic address:
    Objective: The purpose of this study was to assess blood flow after manual lymphatic drainage (MLD) in women who had received surgery for breast cancer and had post-axillary lymphadenectomy lymphedema.

    Methods: Sixteen volunteers (mean age 64 ± 11.44 years) were divided into 2 groups. Read More

    Factors Associated with Lower Extremity Dysmorphia Caused by Lower Extremity Lymphoedema.
    Eur J Vasc Endovasc Surg 2017 Apr 6. Epub 2017 Apr 6.
    Department of Plastic and Reconstructive Surgery, The University of Tokyo, Tokyo, Japan.
    Objectives: Indocyanine green (ICG) lymphography has been reported to be useful for the early diagnosis of lymphoedema. However, no study has reported the usefulness of ICG lymphography for evaluation of lymphoedema with lower extremity dysmorphia (LED). This study aimed to elucidate independent factors associated with LED in secondary lower extremity lymphoedema (LEL) patients. Read More

    Changes in arm tissue composition with slowly progressive weight-lifting among women with breast cancer-related lymphedema.
    Breast Cancer Res Treat 2017 Apr 8. Epub 2017 Apr 8.
    Public Health Science, Penn State College of Medicine, Penn State Cancer Institute, Room T3427, 500 University Drive, Mail code CH69, Hershey, PA, 17033, USA.
    Background: Studies in breast cancer-related lymphedema (BRCL) have exclusively examined total arm volume, but not the specific tissue composition that contributes to total volume. We evaluated baseline differences in arm tissue composition [fat mass, lean mass, bone mineral content (BMC), and bone mineral density (BMD)] between the affected and unaffected arms in women with BRCL. We compared changes in arm tissue composition and self-reported lymphedema symptoms after 1 year of weight-lifting versus control. Read More

    Immediate effects of active exercise with compression therapy on lower-limb lymphedema.
    Support Care Cancer 2017 Apr 6. Epub 2017 Apr 6.
    Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.
    Purpose: Active exercise with compression therapy (AECT) is a standard treatment for gynecological cancer-related lower-limb lymphedema (LLL) in clinical situations. However, there is insufficient evidence regarding the immediate effects of the use of AECT on LLL. The purpose of this study was to evaluate the immediate effects of AECT on LLL. Read More

    Microsurgery guided by sequential preoperative lymphography using (68)Ga-NEB PET and MRI in patients with lower-limb lymphedema.
    Eur J Nucl Med Mol Imaging 2017 Apr 5. Epub 2017 Apr 5.
    Laboratory of Molecular Imaging and Nanomedicine (LOMIN), National Institute of Biomedical Imaging and Bioengineering (NIBIB), National Institutes of Health (NIH), Bethesda, MD, 20892, USA.
    Objective: The popularity of contemporary microsurgical techniques in treatment of lower-limb lymphedema calls for better visualization of the lymphatic system, both preoperatively and intra-operatively. The aim of this prospective study was to investigate the feasibility of a novel combination of (68)Ga-NEB positron emission tomography (PET) with magnetic resonance lymphography (MRL) in evaluating lymphedema and guiding surgical intervention.

    Methods: A total of 11 patients (F 9, M 2, age range 29-69 y) with lower-limb lymphedema classified into stage I to III were recruited. Read More

    The possible role of daVinci® robot for patients with vulval carcinoma undergoing inguinal lymph node dissection.
    J Turk Ger Gynecol Assoc 2017 Apr 6. Epub 2017 Apr 6.
    Inguinal lymph node dissection represents the gold standard of treatment for patients with vulval carcinoma. The application of minimally invasive techniques, such as the robotics, in the surgical treatment of gynaecological cancer, reduced the rate of postoperative complications, having an important impact on the quality of patients' life. Robotic inguinal lymph node dissection is a safe and oncologically effective but expensive and time consuming approach in patients with penile cancer or melanoma. Read More

    A Randomised Controlled Trial to evaluate the effect of a new skin care regimen on skin barrier function in those with podoconiosis in Ethiopia.
    Br J Dermatol 2017 Apr 4. Epub 2017 Apr 4.
    Procter and Gamble, Greater London Innovation Centre, Egham, UK.
    Background: Podoconiosis affects an estimated 3 million people in Ethiopia with a further 19 million at risk. Volcanic soil and pathogens enter skin breaches in the feet causing inflammation, lymphoedema and hyperkeratosis. There is no robust evidence on optimal podoconiosis skin care regimens to improve SBF. Read More

    Quality of Life in Patients with Primary and Secondary Lymphedema in the Community.
    Wound Repair Regen 2017 Apr 1. Epub 2017 Apr 1.
    CVderm - German Centre for Health Services Research in Dermatology, Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
    Lymphedema is a complex and burdensome medical problem and requires continuous specific therapy. The aim of this cross-sectional study of community lymphedema care in the metropolitan area of Hamburg, Germany, was to evaluate health-related quality of life in lymphedema patients. Generic as well as disease-specific health-related quality of life (QoL) was assessed using EQ-5D and FLQA-LK, respectively. Read More

    The effect of prophylactic lymphovenous anastomosis and shunts for preventing cancer-related lymphedema: a systematic review and meta-analysis.
    Microsurgery 2017 Mar 28. Epub 2017 Mar 28.
    Department of Plastic Surgery, Odense University Hospital, Denmark.
    Background: Lymphedema is one of the most dreaded side effects to any cancer treatment involving lymphadenectomy. Progressed lymphedema is adversely complex and currently there is no widely acknowledged curative treatment. Therefore recent focus has shifted to risk reduction and prevention. Read More

    MR Lymphangiography: A Practical Guide to Perform It and a Brief Review of the Literature from a Technical Point of View.
    Biomed Res Int 2017 7;2017:2598358. Epub 2017 Mar 7.
    Department of Medical, Surgical and Neuro Sciences, Diagnostic Imaging, University of Siena, Azienda Ospedaliera Universitaria Senese, Viale Bracci 10, 53100 Siena, Italy.
    We propose a practical approach for performing high-resolution MR lymphangiography (MRL). We shall discuss and illustrate the technical approach for the visualization of lymphatic vessels in patients suffering from lymphedema, how to distinguish lymphatic vessels from veins, and MRL role in supermicrosurgery treatment planning. A brief review of literature, from a technical point of view, is also reported. Read More

    Measuring the physical and economic impact of filarial lymphoedema in Chikwawa district, Malawi: a case-control study.
    Infect Dis Poverty 2017 Apr 3;6(1):28. Epub 2017 Apr 3.
    Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK.
    Background: Lymphatic filariasis (LF) is one of the primary causes of lymphoedema in sub-Saharan Africa, and has a significant impact on the quality of life (QoL) of those affected. In this paper we assess the relative impact of lymphoedema on mobility and income in Chikwawa district, Malawi.

    Methods: A random sample of 31 people with lymphoedema and 31 matched controls completed a QoL questionnaire from which both an overall and a mobility-specific score were calculated. Read More

    Near-Infrared Fluorescence Lymphatic Imaging of a Toddler With Congenital Lymphedema.
    Pediatrics 2017 Mar 29. Epub 2017 Mar 29.
    Brown Foundation Institute of Molecular Medicine for the Prevention of Human Diseases, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas
    Primary lymphedema in the pediatric population remains poorly diagnosed and misunderstood due to a lack of information on the causation and underlying anatomy of the lymphatic system. Consequently, therapeutic protocols for pediatric patients remain sparse and with little evidence to support them. In an effort to better understand the causation of primary pediatric lymphedema and to better inform clinical care, we report the use of near-infrared fluorescence lymphatic imaging on the extremities of an alert, 21-month-old boy who presented with unilateral right arm and hand lymphedema at birth. Read More

    A randomized controlled trial of expressive writing in breast cancer survivors with lymphedema.
    Psychol Health 2017 Mar 30:1-17. Epub 2017 Mar 30.
    b Vanderbilt University School of Nursing , Nashville , TN , USA.
    Objective: Breast cancer survivors who develop lymphedema report poorer quality of life (QoL) than those without lymphedema. Expressive writing is a potential intervention to address QoL.

    Design: Adult women (N = 107) with breast cancer and chronic Stage II lymphedema were randomised to writing about thoughts and feelings specific to lymphedema and its treatment (intervention) or about daily activities (control) for four, 20-min sessions. Read More

    [Liposuction combined with lymphatico-venous anastomosis for treatment of secondary lymphedema of the lower limbs: a report of 49 cases].
    Zhonghua Wai Ke Za Zhi 2017 Apr;55(4):274-278
    Department of Lymph Surgery, Beijing Shijitan Hospital, Beijing 100038, China.
    Objective: To study the clinical effects of liposuction combined with lymphatico-venous anastomosis for treatment of secondary lymphedema of the lower limbs. Methods: A retrospective analysis was performed for 49 patients who had undergone liposuction combined with lymphatico-venous anastomosis to treat secondary lymphedema of the lower limbs at Department of Lymph Surgery, Beijing Shijitan Hospital from November 2013 to February 2015.All patients were female aging from 31 to 70 years with median age of (52±10)years. Read More

    Surgical treatment of recidivist lymphedema.
    Open Med (Wars) 2016 23;11(1):121-124. Epub 2016 Jun 23.
    Department of Surgery, S. Andrea Hospital, La Spezia, Italy.
    Lymphedema is a chronic disease with a progressively ingravescent evolvement and an appearance of recurrent complications of acute lymphangitic type; in nature it is mostly erysipeloid and responsible for a further rapid increase in the volume and consistency of edema. The purpose of this work is to present our experience in the minimally invasive treatment for recurrence of lymphedema; adapting techniques performed in the past which included large fasciotomy with devastating results cosmetically; but these techniques have been proposed again by the use of endoscopic equipment borrowed from the advanced laparoscopy surgery, which allows a monoskin access of about one cm. Read More

    Is it really useful the Harmonic scalpel in axillary dissection for locally advanced breast cancer? A case series.
    G Chir 2016 Nov-Dec;37(6):262-265
    Background: The seroma is one of the most common complications in the axillary lymph nodal dissection (different surgical approaches have been tried to reduce the seroma incidence). In our study we evaluate the outcome of patients using or not the ultrasonic scalpel (Harmonic scalpel) according to a standardized surgical technique.

    Patients And Methods: From January 2011 to December 2015 120 patients underwent axillary dissection for breast cancer. Read More

    Current Concepts in the Surgical Management of Lymphedema.
    Plast Reconstr Surg 2017 Apr;139(4):1003e-1013e
    Seattle, Wash.; and Ann Arbor, Mich. From the Department of Surgery, Division of Plastic Surgery, and the Department of Radiology, University of Washington; and the Division of Plastic Surgery, University of Michigan Health System.
    Learning Objectives: After studying this article, the participant should be able to: 1. Discuss the key points in diagnosing lymphedema. 2. Read More

    Application of the L-Dex Score for the Assessment of Bilateral Leg Edema.
    Lymphat Res Biol 2017 Mar 27. Epub 2017 Mar 27.
    Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine , Ube, Yamaguchi, Japan .
    Background: We evaluated a modified L-Dex score by using the right arm as a reference (LDSrarm), to determine whether it could be used for the assessment of leg edema in place of the usual L-Dex score calculated by using the contralateral normal leg as a reference (LDScont).

    Methods: Bioimpedance analysis was performed in the legs and right arms of 38 patients with unilateral leg edema and in 42 healthy volunteers by using a standard equipotential electrode arrangement.

    Results: The impedance ratio in the right arms of patients (2. Read More

    Breast Cancer-Related Lymphedema: Differentiating Fat from Fluid Using Magnetic Resonance Imaging Segmentation.
    Lymphat Res Biol 2017 Mar 27. Epub 2017 Mar 27.
    2 Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University , Sydney, Australia .
    Background: Lymphedema is an iatrogenic complication after breast cancer treatment in which lymph fluid in the affected limb progresses to fat deposition and fibrosis that are amenable to liposuction treatment. Magnetic resonance imaging (MRI) for lymphedema can differentiate fat tissue from fluid, but estimating relative volumes remains problematic.

    Methods And Results: Patients underwent routine bilateral arm MRI both before and after liposuction for advanced lymphedema. Read More

    Preoperative Lymphedema-Related Risk Factors in Early-Stage Breast Cancer.
    Lymphat Res Biol 2017 Mar 27. Epub 2017 Mar 27.
    9 Department of Breast Surgery, Istanbul University Istanbul Medical Faculty , Istanbul, Turkey .
    Background: Prolongation of survival in patients with breast cancer due to early diagnosis and modern methods of treatment has turned the attention on lymphedema, which is the most important morbidity secondary to the treatment of the disease. Determination of lymphedema and related risk factors in patients before a surgical intervention may provide protection for patients and early treatment. The aim of this study was to determine the presence of lymphedema before surgery by bioimpedance analysis in patients with breast cancer and to establish risk factors associated with lymphedema. Read More

    Aquatic Therapy for People with Lymphedema: A Systematic Review and Meta-analysis.
    Lymphat Res Biol 2017 Mar 27. Epub 2017 Mar 27.
    1 Department of Physiotherapy, Princess Alexandra Hospital , Brisbane, Australia .
    Background: Aquatic therapy has several proposed benefits for people with lymphedema. A systematic review of the evidence for aquatic therapy in lymphedema management has not been conducted.

    Method And Results: Systematic review and meta-analysis were conducted. Read More

    Lymphatic Drainages to the Paravertebral and Pararenal Lymph Nodes in Breast Cancer Patients.
    Clin Nucl Med 2017 Mar 24. Epub 2017 Mar 24.
    From the *Department of Mammo-Pelvic Surgery, †Multidisciplinary Clinic of Lymphology, ‡Service of Kinesitherapy, §Service of Nuclear Medicine, Jules Bordet Institute, Brussels; and ∥HE PHSpaak, Brussels, Belgium.
    An efficient evaluation of the lymphatic drainage from the breasts (thoracic wall) and/or the upper limbs is essential in the management of patients with breast cancer (BC) and/or BC-related lymphedema. Lymphoscintigraphy was performed in 2 patients with lymphedema. Lymphatic drainage was observed from the upper limb or breast to the posterior paravertebral and/or pararenal lymph nodes. Read More

    Assessment, treatment goals and interventions for oedema/lymphoedema in palliative care.
    Int J Palliat Nurs 2017 Mar;23(3):111-119
    Senior Physiotherapist, at Milford Care Centre, Limerick, Ireland.
    Background: Little is known about the treatment of oedema in palliative care patients.

    Aim: To outline the assessment, goals, and interventions for patients with oedema.

    Method: A 6-month chart review of a specialist physiotherapy-led oedema service was carried out. Read More

    Poor sleep quality, depression and hope before breast cancer surgery.
    Appl Nurs Res 2017 Apr 17;34:7-11. Epub 2016 Nov 17.
    Mennonite College of Nursing, Illinois State University, United States. Electronic address:
    Aim: This study aims to identify the predictors of poor sleep quality and the associations between depression, hope and sleep in a sample of 156 women with breast cancer prior to surgery.

    Background: The care and treatment of breast cancer is among the most important scientific challenges in public health. Sleep disturbances and depression are the important complaint of cancer patients. Read More

    New Frontiers in Robotic-Assisted Microsurgical Reconstruction.
    Clin Plast Surg 2017 Apr 3;44(2):415-423. Epub 2017 Feb 3.
    Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Unit 1488, 1400 Pressler Street, Houston, TX 77030, USA. Electronic address:
    Robotic surgery has revolutionized minimally invasive surgery. Owing to its unique features and key advantages, robotic surgery is being used for complex cases across surgical specialties. It has been introduced into reconstructive surgery, and is being applied in microsurgery. Read More

    Unique Techniques or Approaches in Microvascular and Microlymphatic Surgery.
    Clin Plast Surg 2017 Apr 9;44(2):403-414. Epub 2017 Feb 9.
    Department of Plastic Surgery, Hospital de la Santa Creu I Sant Pau, Universitat Autònoma de Barcelona, Sant Quintí 89, Barcelona 08026, Spain.
    Several methods can be used for identifying tissues for transfer in donor-site-depleted patients. A fillet flap can be temporarily stored in other parts of the body and transferred back to the site of tissue defect, including covering the amputated stump of the lower extremity. Human arm transplant is rare and has some unique concerns for the surgery and postsurgical treatment. Read More

    Primary cutaneous anaplastic large cell lymphoma with intralymphatic involvement associated with chronic lymphedema.
    J Cutan Pathol 2017 Mar 23. Epub 2017 Mar 23.
    Department of Dermatology and Venerology, Peking University First Hospital, Beijing, 100034, China.
    Chronic lymphedema predisposes to develop malignant cutaneous tumors, including angiosarcoma, Kaposi's sarcoma and B cell lymphoma. T cell malignancy has rarely been associated with chronic lymph stasis. Here we report a case of primary cutaneous anaplastic large cell lymphoma (pcALCL) with lymphatic spread associated with chronic lymphedema. Read More

    Cervical Stimulation in the Treatment of Children with Lymphedema of All Four Extremities: A Case Report and Literature Review.
    Case Rep Pediatr 2017 28;2017:9724524. Epub 2017 Feb 28.
    Post-Graduation Stricto Sensu Course, The Medicine School in São José do Rio Preto (FAMERP) and Clínica Godoy Research Group, São José do Rio Preto, SP, Brazil.
    Aim. The aim of this study is to report on the use of cervical stimulation as monotherapy to reduce swelling and normalize the size of limbs in two children with lymphedema of all four extremities. Case Presentation. Read More

    Yoga, Breast Cancer-Related Lymphoedema and WellBeing: A Descriptive Report of Women's Participation in a Clinical Trial.
    J Clin Nurs 2017 Mar 23. Epub 2017 Mar 23.
    Exercise Science, School of Health Sciences, University of Tasmania, Launceston, Tasmania, Australia, 7250.
    Aim: To describe the experiences of women taking part in a yoga intervention trial for breast cancer-related lymphoedema.

    Background: Around 20% of women will experience lymphoedema as a consequence of treatment for breast cancer. Specialist lymphoedema clearing, along with self-management, remains the mainstay of therapy. Read More

    Double gastroepiploic vascularized lymph node tranfers to middle and distal limb for the treatment of lymphedema.
    Microsurgery 2017 Mar 23. Epub 2017 Mar 23.
    Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.
    Background: Vascularized lymph node (VLN) transfer for lymphedema treatment has shown promising results. Optimal donor and recipient sites remain a matter of debate. We describe the technique and outcomes of a laparoscopically harvested extended gastroepiploic VLN flap with two levels of inset. Read More

    Use of a stent graft in tumor erosion of the common femoral artery with life-threatening bleeding.
    Vasa 2017 Mar 23:1-3. Epub 2017 Mar 23.
    3 Clinic for Angiology, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
    We report a case of a 56-year-old male patient with a life-threatening left common femoral artery bleeding due to tumor erosion. The patient had a history of advanced high-grade pleomorphic leiomyosarcoma of the left groin with pulmonary metastasis. Clinical examination revealed a massive tumor bulking at the left groin with necrosis and phleb- and lymphedema. Read More

    Radiation Fibrosis Syndrome Imitating Breast Cancer Recurrence; A Case Report.
    J Breast Health (2013) 2017 Jan 1;13(1):40-42. Epub 2017 Jan 1.
    Department of General Surgery, İstanbul University İstanbul School of Medicine, İstanbul, Turkey.
    Nowadays, surgery, radiotherapy and chemotherapy are the most frequently used modalities in the treatment of breast cancer. It is very well-known that some severe complications may result from after these treatments. Early and late complications of radiotherapy are well known. Read More

    Effects of Clinical Pilates Exercises on Patients Developing Lymphedema after Breast Cancer Treatment: A Randomized Clinical Trial.
    J Breast Health (2013) 2017 Jan 1;13(1):16-22. Epub 2017 Jan 1.
    Department of Clinical Oncology, Dokuz Eylül University Institute of Oncology, İzmir, Turkey.
    Objective: The aim of the present study was to compare the effects of clinical Pilates exercises with those of the standard lymphedema exercises on lymphedema developing after breast cancer treatment.

    Materials And Methods: The study comprised 60 female patients with a mean age of 53.2±7. Read More

    Fluorescein Isothiocyanate: A Novel Application for Lymphatic Surgery.
    Ann Plast Surg 2017 Mar 21. Epub 2017 Mar 21.
    From the *Department of Surgery; †Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Florida School of Medicine, Gainesville, FL; ‡Department of Plastic and Reconstructive Surgery, Lahey Clinic, Burlington, MA; §Department of Plastic and Reconstructive Surgery, China Medical University Hospital, China Medical University, Taichung, Taiwan; and ∥Division of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
    The Lymphatic Microsurgical Preventing Healing Approach (LYMPHA) procedure entails performing a lymphovenous bypass (LVB) at the time of axillary lymph node dissection to reduce lymphedema risk. The two most common fluorophores utilized in LVB are blue dye and indocyanine green. We developed a novel application of fluorescein isothiocyanate for intraoperative lymphatic mapping. Read More

    Impact of the Ultrasonic scalpel on the amount of drained lymph after axillary or inguinal lymphadenectomy.
    BMC Surg 2017 Mar 21;17(1):27. Epub 2017 Mar 21.
    Department of Visceral Surgery, University Hospital of Lausanne, Rue du Bugnon 46, Lausanne, CHUV, 1011, Switzerland.
    Background: Seroma formation and lymphoedema are frequently encountered complications after radical lymph node dissection (RLND). Attempts to reduce the lymphatic morbidity include the use of Ultrasonic Scalpel. The aim of the present analysis was to assess the impact of the ultrasonic scalpel on the amount of drained lymph after lymph node dissection. Read More

    Physical symptoms and working performance in female breast cancer survivors: a systematic review.
    Disabil Rehabil 2017 Mar 21:1-9. Epub 2017 Mar 21.
    a Health Sciences and Sports Center (CEFID), Santa Catarina State University (UDESC) , Florianópolis , SC , Brazil.
    Purpose: The aim of this systematic review was to summarize and systematize the information about physical symptoms and its relation with work activity on female Breast Cancer Survivors (BCS).

    Methods: A systematic search was performed on the databases MEDLINE/PubMed (via National Library of Medicine), SCOPUS (Elsevier), Web of Science (Thomson Reuters Scientific) and CINAHL with full text (EBSCO), including papers about physical impairments experienced by female workers who have had breast cancer.

    Results: The search retrieved 238 studies, and another 5 were identified in the articles' references, totaling 243 papers. Read More

    Real-Time Direct Evidence of the Superficial Lymphatic Drainage Effect of Intermittent Pneumatic Compression Treatment for Lower Limb Lymphedema.
    Lymphat Res Biol 2017 Mar;15(1):77-86
    1 Department of Plastic and Reconstructive Surgery, Yokohama City University School of Medicine , Yokohama, Japan .
    Background: Intermittent pneumatic compression (IPC) is a widely used lymph drainage therapy that can be performed at home. However, the effectiveness of IPC for lymph drainage remains unclear. The aim of this study is to investigate the real-time change in the lymph flow velocity during IPC and consider which mode and pressure are best for treating lower limb lymphedema. Read More

    Bilateral Changes in Deep Tissue Environment After Manual Lymphatic Drainage in Patients with Breast Cancer Treatment-Related Lymphedema.
    Lymphat Res Biol 2017 Mar;15(1):45-56
    3 Department of Radiology, Vanderbilt University Medical Center , Nashville, Tennessee.
    Background: Breast cancer treatment-related lymphedema (BCRL) arises from a mechanical insufficiency following cancer therapies. Early BCRL detection and personalized intervention require an improved understanding of the physiological processes that initiate lymphatic impairment. Here, internal magnetic resonance imaging (MRI) measures of the tissue microenvironment were paired with clinical measures of tissue structure to test fundamental hypotheses regarding structural tissue and muscle changes after the commonly used therapeutic intervention of manual lymphatic drainage (MLD). Read More

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