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Letter to the Editor: Classification of superficial lymphatic pathways in the upper extremity and incidence of lymphatic obstruction according to the lymphatic pathways in patients with unilateral upper extremity lymphedema

Published:September 10, 2022DOI:https://doi.org/10.1016/j.bjps.2022.06.108
      We read with extreme interest the recent publication entitled “Classification of Superficial Lymphatic Pathways in the Upper Extremity and Incidence of Lymphatic Obstruction According to the Lymphatic Pathways in Patients with Unilateral Upper Extremity Lymphedema” by Woo et al.
      • Woo K.J.
      • Lee M.K.
      • Seong I.H.
      • Park J.W.
      Classification of superficial lymphatic pathways in the upper extremity and incidence of lymphatic obstruction according to the lymphatic pathways in patients with unilateral upper extremity lymphedema.
      in the Journal of Plastic, Reconstructive, & Aesthetic Surgery. We are in complete agreeance with many of their conclusions, especially their statement that a unified system for classifying and defining lymphatic anatomy is critical to the field of lymphatic surgery. We also find common ground in that clinically relevant lymphatic anatomy studies are imperative for advancing the field, and their area of study overlaps significantly with the work that our group is currently undertaking. There are a few points which we would like to further discuss.

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      References

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        • Lee M.K.
        • Seong I.H.
        • Park J.W.
        Classification of superficial lymphatic pathways in the upper extremity and incidence of lymphatic obstruction according to the lymphatic pathways in patients with unilateral upper extremity lymphedema.
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        Plast Reconstr Surg. 2007; 119: 1813-1822https://doi.org/10.1097/01.prs.0000246516.64780.61
      1. Granoff M., Pardo J., Johnson A.R., et al. The superficial and functional lymphatic anatomy of the upper extremity. Plast Reconstr Surg. [In press] 2022.

      2. Granoff M., Pardo J., Shillue K., et al. Variable anatomy of the lateral upper arm lymphatic channel: a potential anatomic risk factor for the development of breast cancer related lymphedema. Plast. Reconstr. Surg.. [In press] 2022.

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        MRI staging of upper extremity secondary lymphedema: correlation with clinical measurements.
        Eur Radiol. 2020; 30: 4686-4694https://doi.org/10.1007/s00330-020-06790-0

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