Lymphoscintigraphy of the Lower Extremities: Discrepancies Between Superficial and Deep Lymphatic Systems.
case_report · Level V
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- Record sourced from PubMed, PMID 37314702.
- Also identified by DOI 10.1097/RLU.0000000000004733.
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Abstract
We describe a 57-year-old man with prostate cancer. A radical prostatectomy with a pelvic lymphadenectomy was performed. After 2 years, a mild swelling of the lower extremities appeared, and the patient was referred for lower-limb lymphoscintigraphy. A lymphoscintigraphy of the superficial lymphatic system in the limbs showed prominent, dermal backflow in the area of the right hypogastrium. Lymphoscintigraphy of the deep lymphatic system showed reflux in the left hypogastrium. This discrepancy between the findings in the superficial and deep lower-limb lymphatic systems was explained by asymmetric sampling of the lymph nodes during the lymphadenectomy.
Medical subject headings
- Lymphoscintigraphy
- Lymphatic System
- Lower Extremity