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.
1
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.- 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.
J Plast, Reconstr Aesthet Surg. 2022; (Published online March)https://doi.org/10.1016/j.bjps.2022.02.049
Keywords
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References
- 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.J Plast, Reconstr Aesthet Surg. 2022; (Published online March)https://doi.org/10.1016/j.bjps.2022.02.049
- The lymphatic territories of the upper limb: anatomical study and clinical implications.Plast Reconstr Surg. 2007; 119: 1813-1822https://doi.org/10.1097/01.prs.0000246516.64780.61
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.
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.
- 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
Article info
Publication history
Published online: September 10, 2022
Accepted:
June 5,
2022
Received:
May 5,
2022
Identification
Copyright
© 2022 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
ScienceDirect
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- 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 lymphedemaJournal of Plastic, Reconstructive & Aesthetic SurgeryVol. 75Issue 7
- PreviewIndocyanine green (ICG) lymphography is frequently used in the diagnosis of lymphedema, as well as the planning of its surgical management, but the typical anatomy of the superficial lymphatic pathways is incompletely delineated. This study aims to evaluate the topographical anatomy of superficial lymphatic vessels of the upper extremity
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