MR-lymphangiography identifies lymphatic pathologies in patients with idiopathic recurrent cervical swelling.

Autor: Vach M; Department of Diagnostic and Interventional Radiology University Hospital Bonn Bonn Germany.; Center for Integrated Oncology Aachen Bonn Cologne Düsseldorf (CIO ABCD) Bonn Germany., Wagenpfeil J; Department of Diagnostic and Interventional Radiology University Hospital Bonn Bonn Germany.; Center for Integrated Oncology Aachen Bonn Cologne Düsseldorf (CIO ABCD) Bonn Germany., Henkel A; Department of Diagnostic and Interventional Radiology University Hospital Bonn Bonn Germany.; Center for Integrated Oncology Aachen Bonn Cologne Düsseldorf (CIO ABCD) Bonn Germany., Strieth S; Department of Otorhinolaryngology University Medical Center Bonn (UKB) Bonn Germany.; Center for Integrated Oncology Aachen Bonn Cologne Düsseldorf (CIO ABCD) Bonn Germany., Luetkens JA; Department of Diagnostic and Interventional Radiology University Hospital Bonn Bonn Germany.; Center for Integrated Oncology Aachen Bonn Cologne Düsseldorf (CIO ABCD) Bonn Germany., Ko YD; Center for Integrated Oncology Aachen Bonn Cologne Düsseldorf (CIO ABCD) Bonn Germany.; Department of Oncology Johanniter Hospital Bonn Bonn Germany., Schild HH; Department of Diagnostic and Interventional Radiology University Hospital Bonn Bonn Germany.; Center for Integrated Oncology Aachen Bonn Cologne Düsseldorf (CIO ABCD) Bonn Germany., Attenberger UI; Department of Diagnostic and Interventional Radiology University Hospital Bonn Bonn Germany.; Center for Integrated Oncology Aachen Bonn Cologne Düsseldorf (CIO ABCD) Bonn Germany., Pieper CC; Department of Diagnostic and Interventional Radiology University Hospital Bonn Bonn Germany.; Center for Integrated Oncology Aachen Bonn Cologne Düsseldorf (CIO ABCD) Bonn Germany.
Jazyk: angličtina
Zdroj: Laryngoscope investigative otolaryngology [Laryngoscope Investig Otolaryngol] 2022 Sep 19; Vol. 7 (5), pp. 1456-1464. Date of Electronic Publication: 2022 Sep 19 (Print Publication: 2022).
DOI: 10.1002/lio2.919
Abstrakt: Background: Idiopathic recurrent cervical swelling may be caused by lymphatic abnormalities.
Methods: Ten patients (9 females, mean age 51.2 ± 7) with idiopathic recurrent cervical swelling underwent MR-lymphangiography (MRL). MR-lymphangiograms were evaluated regarding lymphatic anatomy and flow. Individualized treatment was recommended according to MRL-findings.
Results: 8/10 patients presented with left-sided, 2/10 with right-sided swelling. Pathological lymph-flow was identified in all cases: thoracic duct dilatation in patients with left-sided and right lymphatic duct dilatation in right-sided swelling, accessory thoracic lymphatics in 7/10 and reflux in 8/10 cases. In two cases, a lymphatic thrombus was identified.After treatment, symptoms resolved completely in 6/10 cases and partially in 1/10 cases. The remaining three patients have intermittent swellings but have no treatment wish.
Conclusion: Idiopathic recurrent cervical swelling can be caused by lymphatic anomalies. MRL displays impaired lymphatic drainage, lymphatic vessel dilatation, and chylolymphatic reflux as hallmarks of this condition and may aid in targeted treatment planning.
Competing Interests: The authors report no conflicts of interest in connection with the present work.
(© 2022 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC on behalf of The Triological Society.)
Databáze: MEDLINE
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