Lymphedema Cases

Lower Limb case

Patient Summary

The patient undergone radical hysterectomy and pelvic lymphadenectomy followed by radiation therapy 18 years ago due to cervical cancer. Post-operative bilateral lower limb lymphedema appeared and continued to exacerbate regardless of conservative therapy. Cellulitis with associating fever of 40℃ occurred 4 times a year and lymphorrhea was observed in the posterior crus and the medial thigh areas, greatly impairing the daily activity of the patient. We performed lymphatic-venous anastomosis under local anesthesia two times, which resulted in the improvement of the edema and the disappearance of cellulitis and lymphorrhea.

Upper Limb Case

Patient Summary

The patient undergone right total mastectomy and axillary lymph node dissection followed by radiation therapy 12 years ago due to breast cancer. Right upper limb lymphedema appeared after the surgery and continued to exacerbate regardless of any conservative treatment. Cellulitis with an associating fever of 40℃ or higher occurred once a month in the recent few years and the symptoms had impaired the patient from doing any daily activities. We performed lymphatic-venous anastomosis surgery under local anesthesia followed by the continuation of post-operative conservative therapy. The patient’s lymphedema gradually improved and cellulitis is no longer observed.

■Pathophysiology of lymphedema

We reported NECST classification of lymphedema 2012, PLosOne.

This is the pathophysiological analysys of collecting lymphatic vessels after Cancer treatment, including lymph node dissection and radiotherapy.

We convince that this paper is very important to understand pathophysiology of secondary lymphedema (PDF). Please discuss this paper with your doctor and therapysts to understand your lymphedema condition.

You can know your correct condition, when you have lymphoscintigraphy imaging and ICG lymphography. If you want to take them, please contact us.

We'll diagnose your lymphedema condition using these imagings.

And we'll select your own best treatment.