[Lymphoedema of the upper limb following surgery or radiotherapy. Investigation by indirect radioactive lymphography (author's transl)].
Indirect radioactive isotope lymphography using intravenous 99 m Tc-labelled colloidal antimony sulfide was performed on 76 patients with lymphoedema of the upper limb consecutive to surgery or radiotherapy. The time required to reach 50% of maximum radioactivity was taken as index of the lymphatic flow rate, and the patients were divided into 3 groups depending upon the index (< 20 min; 20-60 min; > 60 min). It appears that in huge lymphoedemas the lymphatic flow rate index may remain subnormal, owing to associated veno-occlusive oedema. This non-invasive method provides data on the site and, frequently, on the nature and importance of lymph blockade. It might also help to predict the efficacy of a new drug currently under study.
D001132:Arm / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008197:Lymph Node Excision / Q000009:adverse effects*; D008209:Lymphedema / Q000000981:diagnostic imaging* / Q000209:etiology; D061305:Lymphoscintigraphy; D008408:Mastectomy / Q000009:adverse effects*; D011878:Radiotherapy / Q000009:adverse effects*; D013667:Technetium
D013667:Technetium
Lymphoedème post-chirurgical et radiothérapique des membres supérieurs. Exploration par la lymphographie isotopique indirecte.