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Ultrasonographic Evaluation of Breast Cancer-related Lymphedema
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Lymphatic Interventions in the Cancer Patient
Eslam Wassal Youssef1, Ahmed Aly1, Akshaar Brahmbhatt1
1Department of Radiology, Interventional Radiology Service, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.
Current Oncology Reports
|May 31, 2022
Summary
Percutaneous lymphatic embolization is increasingly used to treat lymphatic leaks in cancer patients. Advances in lymphatic imaging have improved diagnosis and expanded minimally invasive treatment options.
Area of Science:
- Interventional Radiology
- Oncology
- Lymphatic Medicine
Background:
- Rising incidence of lymphatic leakage in cancer patients due to complex surgeries and improved survival.
- Need for effective management strategies for iatrogenic and non-iatrogenic lymphatic leaks.
Purpose of the Study:
- To review current approaches to percutaneous lymphatic embolization for lymphatic leaks in cancer patients.
- To highlight advancements in lymphatic imaging and interventions.
Main Methods:
- Review of contemporary percutaneous lymphatic embolization techniques.
- Discussion of diagnostic advancements including intranodal, MR, and CT lymphangiography.
Main Results:
- Improved diagnostic accuracy for lymphatic diseases since 2011.
- Expansion of lymphatic embolization beyond thoracic duct interventions to conditions like chylous ascites and lymphoceles.
Conclusions:
- Minimally invasive lymphatic interventions are experiencing a revival.
- A multidisciplinary approach is crucial for advancing lymphatic research and standardizing interventions.
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