| The role of lymphovenous communication in the development of postmastectomy lymphedema. | |
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MedLine Citation:
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PMID: 6710353 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Forty women were investigated 6 to 24 months after radical mastectomy for the presence of functioning lymphovenous communications in the arm; 20 cases were edematous and the rest were not. Ten normal volunteer women were also investigated and served as controls. Iodinated (I125) human serum albumin was injected intralymphatically in the arm, and samples of blood were taken from both basilic veins simultaneously at 5, 10, 15, 30, 45, and 60 minutes. The radioactivity of each sample was determined with a scintillation counter. Lymphangiography was performed in all cases 1 month after the isotopic studies and lymphangiograms were evaluated for the presence of lymphovenous shunts. In the volunteers and the edematous postmastectomy group, there was negligible lymphovenous shunting of labeled albumin. In the nonedematous postmastectomy group, there was an increased quantity of local lymphovenous transfer of iodinated albumin. Lymphovenous shunts were detected radiologically in two patients who did not have edema. On the basis of our observations, the incidence of postmastectomy lymphedema is predetermined and is a consequence of the lack of existence of lymphovenous communications that can allow adequate lymph flow drainage from the arm after radical dissection of axillary lymph nodes. |
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Authors:
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A Aboul-Enein; I Eshmawy; S Arafa; A Abboud |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Surgery Volume: 95 ISSN: 0039-6060 ISO Abbreviation: Surgery Publication Date: 1984 May |
Date Detail:
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Created Date: 1984-05-24 Completed Date: 1984-05-24 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0417347 Medline TA: Surgery Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 562-6 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Arm
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blood supply Female Humans Lymphatic System / anatomy & histology Lymphedema / etiology* Lymphography Mastectomy / adverse effects* Serum Albumin, Radio-Iodinated / diagnostic use |
| Chemical | |
Reg. No./Substance:
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0/Serum Albumin, Radio-Iodinated |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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