Correlation between lymphoscintigraphy stage of breast cancer-related lymphedema and therapeutic effect of liposuction combined with lymphatic-venous anastomosis
10.13929/j.issn.1003-3289.2024.09.016
- VernacularTitle:乳腺癌相关淋巴水肿淋巴显像分期与脂肪抽吸术联合淋巴管-静脉吻合术疗效的相关性
- Author:
Nan LIN
1
;
Chao REN
;
Guansheng TONG
;
Zhe WEN
Author Information
1. 首都医科大学附属北京世纪坛医院核医学科,北京 100038
- Keywords:
breast neoplasms;
lymphedema;
radionuclide imaging
- From:
Chinese Journal of Medical Imaging Technology
2024;40(9):1351-1356
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the correlation between lymphoscintigraphy stage of breast cancer-related lymphedema(BCRL)before treatments and the therapeutic effect of liposuction combined with lymphatic-venous anastomosis(LVA).Methods Data of 67 BCRL patients who received liposuction combined with LVA 3 months later were retrospectively analyzed.The patients were divided into partial(P-stage)and total obstruction(T-stage)groups according to lymphoscintigraphic findings of the affected upper limb lymphatic before treatments.Bilateral upper limb lymphedema index(UELi),the percentage of excess UELi(UPE)of the affected limb lymphedema,the ratio of before treatments UPE to post treatments UPE(rUPE)of the affected limb,as well as the lymphedema functioning,disability and health questionnaire for the affected upper limb lymphedema(Lymph-ICF-UL)score 3 and 6 months after treatments were recorded.The clinical parameters and improvements of the affected upper limb lymphedema were compared between groups.Results Lymphoscintigraphy before treatment showed 29 cases in P-stage group and 38 cases in T-stage group.Significant differences of the incidence of cellulitis before treatments and volume of fat particles extracted were found between groups(both P＜0.05).Three and 6 months after treatments,UELi and UPE of the affected limb and Lymph-ICF-UL scores of all 67 patients were lower than those before treatments(all P＜0.05).Conclusion Lymphoscintigraphy stage of BCRL before treatments was correlated with therapeutic effect of liposuction combined with LVA.
