High-accuracy Diagnosis and Regional Classification of Lymphedema Using Indocyanine Green Fluorescent Lymphography After Gynecologic Cancer Treatment

• DOI: 10.1097/sap.0b013e3182586b79
• Publication Date: 2013-02-22T10:00:42Z
• Authors: Makoto Mihara; Yohei Hayashi; Hisako Hara; Takuya Iida; Mitsunaga Narushima; Takumi Yamamoto; Takeshi Todokoro; Noriyuki Murai; Isao Koshima
• Keywords: Secondary lymphedema; Indocyanine Green

Secondary lymphedema is defined as swelling of the limbs caused by retention lymph after cancer therapy. We diagnosed using indocyanine green (ICG) fluorescent lymphography and developed a classification based on 12 regional types edema in lower bodies, with goal improved understanding pathology.The subjects were 72 consecutive female patients aged 25 to 88 years (mean, 54.5 years) secondary extremities abdominal area. The traditional diagnosis was stages 0, 1, 2, 3 4 5, 11, 19, 24, 13 patients, respectively. All examined ICG lymphography.Features dermal backflow noted most therapy, incidence particularly high radiotherapy. Regional analysis classified into (A L, definitions are given for major categories). number (number receiving radiation therapy parentheses) each type A, 1 (0); B, (1); C, D, E, 2 F, 0 G, H, 7 (3); I, J, 6 (2); K, 20 5 (2).The test permits definite at very early stage mild cases. enables establishment policies conservative or surgical treatment (for example, lymphaticovenous anastomosis) individual regions, thereby facilitating more effective treatment.