Edemas of the face and lymphoscintigraphic examination
Abstract Facial edemas not secondary to surgery and/or radiotherapy for head and neck cancer are relatively uncommon. Our aim is to report a retrospective analysis of the lymphoscintigraphic and SPECT-CT investigations obtained in patients with such facial edema. Retrospective review of exams (plana...
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Nature Portfolio
2021
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oai:doaj.org-article:5f4e5e2e8868410fb964ebeacc01d09a2021-12-02T13:17:56ZEdemas of the face and lymphoscintigraphic examination10.1038/s41598-021-85835-w2045-2322https://doaj.org/article/5f4e5e2e8868410fb964ebeacc01d09a2021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-85835-whttps://doaj.org/toc/2045-2322Abstract Facial edemas not secondary to surgery and/or radiotherapy for head and neck cancer are relatively uncommon. Our aim is to report a retrospective analysis of the lymphoscintigraphic and SPECT-CT investigations obtained in patients with such facial edema. Retrospective review of exams (planar imagings in all and with SPECT-CT in 5) obtained after the subcutaneous injection of 99mTc HSA Nanosized colloids between the eyebrows in five men and seven women. Four main lymphatic pathways were identified on sequential planar imagings: para-nasal left and right and supra- ocular left and right. For eleven patients, the absence of visualization of lymphatic drainage and/or their delayed appearance correlated well with the localisation of the edematous areas. In two patients with post-traumatic and post- surgical edemas, SPECT-CT showed one deep left sided cervical lymph node (LN) in front of the first cervical vertebra. This lymphoscintigraphic approach represents a simple and valuable way to assess the lymphatic drainage pathways of the face and to establish the diagnosis of facial lymphedema.Pierre BourgeoisE. PetersA. Van MieghemA. VranckenG. GiacaloneA. ZeltzerNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021) |
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Medicine R Science Q Pierre Bourgeois E. Peters A. Van Mieghem A. Vrancken G. Giacalone A. Zeltzer Edemas of the face and lymphoscintigraphic examination |
description |
Abstract Facial edemas not secondary to surgery and/or radiotherapy for head and neck cancer are relatively uncommon. Our aim is to report a retrospective analysis of the lymphoscintigraphic and SPECT-CT investigations obtained in patients with such facial edema. Retrospective review of exams (planar imagings in all and with SPECT-CT in 5) obtained after the subcutaneous injection of 99mTc HSA Nanosized colloids between the eyebrows in five men and seven women. Four main lymphatic pathways were identified on sequential planar imagings: para-nasal left and right and supra- ocular left and right. For eleven patients, the absence of visualization of lymphatic drainage and/or their delayed appearance correlated well with the localisation of the edematous areas. In two patients with post-traumatic and post- surgical edemas, SPECT-CT showed one deep left sided cervical lymph node (LN) in front of the first cervical vertebra. This lymphoscintigraphic approach represents a simple and valuable way to assess the lymphatic drainage pathways of the face and to establish the diagnosis of facial lymphedema. |
format |
article |
author |
Pierre Bourgeois E. Peters A. Van Mieghem A. Vrancken G. Giacalone A. Zeltzer |
author_facet |
Pierre Bourgeois E. Peters A. Van Mieghem A. Vrancken G. Giacalone A. Zeltzer |
author_sort |
Pierre Bourgeois |
title |
Edemas of the face and lymphoscintigraphic examination |
title_short |
Edemas of the face and lymphoscintigraphic examination |
title_full |
Edemas of the face and lymphoscintigraphic examination |
title_fullStr |
Edemas of the face and lymphoscintigraphic examination |
title_full_unstemmed |
Edemas of the face and lymphoscintigraphic examination |
title_sort |
edemas of the face and lymphoscintigraphic examination |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/5f4e5e2e8868410fb964ebeacc01d09a |
work_keys_str_mv |
AT pierrebourgeois edemasofthefaceandlymphoscintigraphicexamination AT epeters edemasofthefaceandlymphoscintigraphicexamination AT avanmieghem edemasofthefaceandlymphoscintigraphicexamination AT avrancken edemasofthefaceandlymphoscintigraphicexamination AT ggiacalone edemasofthefaceandlymphoscintigraphicexamination AT azeltzer edemasofthefaceandlymphoscintigraphicexamination |
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1718393334085451776 |