Intradermal-Stress-Lymphoscintigraphy in Early Detection and Clinical Management of Secondary Lymphedema: A Pictorial Essay

Stefano Gentileschi, Marzia Salgarello, Giuseppe Visconti, Francesco Pio Ieria, Girolamo Tartaglione, Roberto Bartoletti, Patrick M. Colletti, Domenico Rubello

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Stress-lymphoscintigraphy evaluates the effects of exercise on lymph drainage. Results may predict outcomes of complex physical therapy as a first-line lymphedema treatment. Microsurgical approaches are best in patients with lymphangectasia or dermal backflow. Lymphatic pathway mapping helps plan lympho-venous anastomoses. For improved lymphatic visualization, we suggest a scan at rest, after a quick exercise (stepping or weight lifting for 2 min) and delayed scanning after prolonged symptom limited exercise (walking or hand squeezing for 30-40 min). In advanced lymphedema, identification of lymph pathways and residual regional lymph nodes might be difficult. In these patients, lymph node transplant is suggested.
Original languageEnglish
Pages (from-to)669-673
Number of pages5
JournalClinical Nuclear Medicine
Volume44
DOIs
Publication statusPublished - 2019

Keywords

  • early diagnosis
  • secondary limb lymphedema
  • stress lymphoscintigraphy

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