Intra‐abdominal lymph node flaps in lymphedema therapy: An anatomical guide to donor site selection

2021 ◽  
Author(s):  
Bassem W. Daniel ◽  
Anna M. Sonnenberg ◽  
Josef E. Stern ◽  
Andrea Tannapfel ◽  
Takumi Yamamoto ◽  
...  
Keyword(s):  
Lymph Node ◽  
Site Selection ◽  
Donor Site ◽  
Abdominal Lymph Node

Donor-Site Lymphatic Function after Microvascular Lymph Node Transfer

2012 ◽  
Vol 130 (6) ◽  
pp. 1246-1253 ◽  
Author(s):  
Tiina P. Viitanen ◽  
Maija T. Mäki ◽  
Marko P. Seppänen ◽  
Erkki A. Suominen ◽  
Anne M. Saaristo
Keyword(s):  
Lymph Node ◽  
Donor Site ◽  
Lymphatic Function ◽  
Lymph Node Transfer

Lymph Node Flap Based on the Right Transverse Cervical Artery as a Donor Site for Lymph Node Transfer

2015 ◽  
Vol 74 (6) ◽  
pp. 744-745 ◽  
Author(s):  
Stamatis Sapountzis ◽  
Dhruv Singhal ◽  
Pedro Ciudad ◽  
Domenico Meo ◽  
Hung Chi Chen
Keyword(s):  
Lymph Node ◽  
Donor Site ◽  
Cervical Artery ◽  
Lymph Node Transfer ◽  
The Right ◽  
Transverse Cervical Artery

Pathologic Features of Mycobacterium kansasii Infection in Patients With Acquired Immunodeficiency Syndrome

2003 ◽  
Vol 127 (5) ◽  
pp. 554-560 ◽  
Author(s):  
Michael B. Smith ◽  
Claudia P. Molina ◽  
Vicki J. Schnadig ◽  
Michael C. Boyars ◽  
Judith F. Aronson
Keyword(s):  
Lymph Node ◽  
Acquired Immunodeficiency Syndrome ◽  
Pulmonary Infection ◽  
Mycobacterium Kansasii ◽  
Abdominal Lymph Node ◽  
Inflammatory Reactions ◽  
Pathologic Features ◽  
Wide Range ◽  
Acquired Immunodeficiency ◽  
Immunodeficiency Syndrome

Abstract Context.—Mycobacterium kansasii is a slow-growing photochromogenic mycobacterium that may infect patients with human immunodeficiency virus (HIV) late in the course of acquired immunodeficiency syndrome (AIDS). The clinical features of pulmonary and extrapulmonary infections have been described in the literature; however, the pathology of infection has not been adequately addressed. Objective.—This report describes the pathologic features of 12 cases of M kansasii infection in patients with AIDS. Design.—The medical records, autopsy protocols, cytologic material, and histologic material from patients with AIDS and concomitant M kansasii infection at a tertiary-care medical center during 1990–2001 were reviewed. Results.—Twelve cases were identified, 6 by autopsy, 5 of which were diagnosed postmortem. Four of the 12 cases had cytologic material and 4 cases had histologic biopsies available for review. Pulmonary infection was most common (9/12), and all patients in whom thoracic lymph nodes were assessed showed involvement (7/7). Abdominal infection was less frequent, with only 1 of 6, 2 of 6, and 2 of 6, demonstrating liver, spleen, and abdominal lymph node infection, respectively. Isolated infections without documented pulmonary infection included brain abscess (n = 1), ulnar osteomyelitis (n = 1), and paratracheal mass (n = 1). Cytologic and histologic material showed a wide range of inflammatory reactions, including granulomas with and without necrosis, neutrophilic abscesses, spindle-cell proliferations, and foci of granular eosinophilic necrosis. The M kansasii bacillus was characteristically long, coarsely beaded, and frequently showed folded, bent, or curved ends. Intracellular bacilli were randomly or haphazardly distributed within histiocytes. Conclusion.—Mycobacterium kansasii infection produces predominately pulmonary infection in late-stage AIDS with a high incidence of thoracic lymph node involvement and a much lower incidence of dissemination to other sites. Infection is manifest as a wide variety of inflammatory reactions on cytology and histology; however, the characteristic appearance of the bacillus on acid-fast bacilli stain and its intracellular arrangement in histiocytes can allow a presumptive identification.

Imaging of a Metastatic Gastrointestinal Carcinoid by F-18-DOPA Positron Emission Tomography

1999 ◽  
Vol 38 (04) ◽  
pp. 127-130 ◽  
Author(s):  
B. Schneider ◽  
A. Kraft ◽  
E. Moser ◽  
E. U. Nitzsche ◽  
S. Hoegerle
Keyword(s):  
Positron Emission Tomography ◽  
Lymph Node ◽  
Primary Tumor ◽  
Mediastinal Lymph Node ◽  
Emission Tomography ◽  
Whole Body ◽  
Imaging Procedures ◽  
Abdominal Lymph Node ◽  
Positron Emission ◽  
Gastrointestinal Carcinoid

SummaryThe localization of carcinoids in the gastrointestinal tract is frequently difficult if not impossible with the imaging procedures used to date. It is reported on a patient with metastasizing carcinoid in whom various imaging procedures were not successful in detecting the primary tumor. Due to the importance of primary tumor proof for potential curative surgical therapy, a whole-body positron emission tomography with F-18-DOPA was performed. PET enabled localization of a potential primary tumor in the ileum. Moreover, in addition to the known abdominal lymph node and liver metastases, it detected a mediastinal lymph node metastasis and a pulmonary metastasis. F-18-DOPA whole-body PET may be a very promising imaging approach to the localization and staging of gastrointestinal carcinoids.

A Review of 716 Consecutive Free Flaps for Oncologic Surgical Defects: Refinement in Donor-Site Selection and Technique

1998 ◽  
Vol 102 (3) ◽  
pp. 722-732 ◽  
Author(s):  
David A. Hidalgo ◽  
Joseph J. Disa ◽  
Peter G. Cordeiro ◽  
Qun-Ying Hu
Keyword(s):  
Site Selection ◽  
Donor Site ◽  
Free Flaps

Prognostic indicators for radiotherapy of abdominal lymph node metastases from hepatocellular carcinoma

2015 ◽  
Vol 191 (11) ◽  
pp. 835-844 ◽  
Author(s):  
Doo Yeul Lee ◽  
Joong-Won Park ◽  
Tae Hyun Kim ◽  
Ju Hee Lee ◽  
Bo Hyun Kim ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Lymph Node ◽  
Lymph Node Metastases ◽  
Prognostic Indicators ◽  
Abdominal Lymph Node ◽  
Node Metastases

scholarly journals Omental Vascularized Lymph Node Flap: A Radiographic Analysis

2018 ◽  
Vol 34 (07) ◽  
pp. 472-477 ◽  
Author(s):  
Sarah Sasor ◽  
Sunil Tholpady ◽  
Michael Chu ◽  
Julia Cook
Keyword(s):  
Lymph Node ◽  
Lymph Nodes ◽  
Donor Site ◽  
Gaussian Mixture ◽  
Omental Flap ◽  
Node Number ◽  
Lymph Node Size ◽  
Lymph Node Transfer ◽  
Node Size ◽  
Vascularized Lymph Node Transfer

Background Vascularized lymph node transfer is an increasingly popular option for the treatment of lymphedema. The omental donor site is advantageous for its copious soft tissue, well-defined collateral circulation, and large number of available nodes, without the risk of iatrogenic lymphedema. The purpose of this study is to define the anatomy of the omental flap in the context of vascularized lymph node harvest. Methods Consecutive abdominal computed tomography angiography (CTA) images performed at a single institution over a 1-year period were reviewed. Right gastroepiploic artery (RGEA) length, artery caliber, lymph node size, and lymph node location in relation to the artery were recorded. A two-tailed Z-test was used to compare means. A Gaussian Mixture Model confirmed by normalized entropy criterion was used to calculate three-dimensional lymph node cluster locations along the RGEA. Results In total, 156 CTA images met inclusion criteria. The RGEA caliber at its origin was significantly larger in males compared with females (p < 0.001). An average of 3.1 (1.7) lymph nodes were present per patient. There was no significant gender difference in the number of lymph nodes identified. Average lymph node size was significantly larger in males (4.9 [1.9] × 3.3 [0.6] mm in males vs. 4.5 [1.5] × 3.1 [0.5] mm in females; p < 0.001). Three distinct anatomical variations of the RGEA course were noted, each with a distinct lymph node clustering pattern. Total lymph node number and size did not differ among anatomical subgroups. Conclusion The omentum is a reliable lymph node donor site with consistent anatomy. This study serves as an aid in preoperative planning for vascularized lymph node transfer using the omental flap.

Linac-based Stereotactic Body Radiotherapy for Oligometastatic Patients With Single Abdominal Lymph Node Recurrent Cancer

2014 ◽  
Vol 37 (3) ◽  
pp. 227-233 ◽  
Author(s):  
Barbara A. Jereczek-Fossa ◽  
Gaia Piperno ◽  
Sara Ronchi ◽  
Gianpiero Catalano ◽  
Cristiana Fodor ◽  
...  
Keyword(s):  
Lymph Node ◽  
Stereotactic Body Radiotherapy ◽  
Abdominal Lymph Node ◽  
Recurrent Cancer
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