最近审阅: 24 十月 2020
最近更新: 11 四月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 恶性肿瘤病史
  • 丝虫病流行区的旅游史
  • 既往手术史
  • 放疗病史
  • 肢体或生殖器单侧无痛性肿胀
  • 肢体远端受累
  • Stemmer征阳性

其他诊断因素

  • 腋窝或腹股沟穿透伤史
  • 肢体沉重和/或无力
  • 非凹陷性水肿
  • 皮肤改变
  • 淋巴水肿家族史

危险因素

  • 乳腺癌的治疗
  • 线虫感染(丝虫病)
  • 腋窝或腹股沟淋巴结附近的外科手术
  • 晚期肿瘤、淋巴结和转移(TNM)分期
  • 放射治疗
  • 创伤
  • 曲线疤痕
  • 淋巴水肿家族史
  • 遗传性综合征
  • 肥胖

诊断性检查

需考虑的检查

  • 患肢的MRI扫描
  • 患肢的CT扫描
  • 受累部位超声检查
  • 淋巴管造影
  • 丝虫病血涂片检查
  • 基因检测
更多 需考虑的检查

治疗流程

进行中

撰稿人

Reid A. Maclellan

Department of Plastic and Reconstructive Surgery

Instructor of Surgery

Children’s Hospital Boston

Harvard Medical School

Boston

MA

利益声明

RAM is an author of a number of references cited in this monograph.

Arin K. Greene

Department of Plastic and Reconstructive Surgery

Children's Hospital Boston

Co-director

Lymphedema Clinic

Associate Professor

Harvard Medical School

Boston

MA

利益声明

AKG is an author of a number of references cited in this monograph.

Dr Reid A. Maclellan and Dr Arin K. Greene would like to gratefully acknowledge Dr Sumner A. Slavin and Dr Carolyn C. Schook, previous contributors to this monograph. SAS and CCS are authors of a number of references cited in this monograph.

同行评议者展开全部内容

Senior Consultant Plastic Surgeon

Department of Plastic and Reconstructive Surgery

Lund University

Malmoe University Hospital

Malmoe

Sweden

利益声明

HB is an author of a number of references cited in this monograph.

Professor

Harvard Medical School

Senior Surgeon

Children's Hospital Boston

Boston

MA

利益声明

NRF declares that he has no competing interests.

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