We read with great interest the article “Gluteal lymphoedema associated with lower extremity lymphoedema: A preliminary study with indocyanine green lymphography and magnetic resonance imaging” by T. Karlsson et al. (J Plast Reconstr Aesthet Surg. 2022 Oct 19;76:88–93).
1As shown, it is significant that skin thickening can often be seen as a consequence of gluteal lymphoedema. It is also understandable that severe cases of lower extremity lymphoedema (LEL) complicates gluteal lymphoedema. However, since we found that there were some drawbacks and inaccurate points in the procedures of the study, we would indicate them based on our evidence and experience.
- Karlsson T.
- Mackie H.
- Ho-Shon K.
- et al.
Gluteal lymphoedema associated with lower extremity lymphoedema: apreliminary study with indocyanine green lymphography and magnetic resonance imaging.
J Plast Reconstr Aesthet Surg. 2022; 76: 88-93
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- Gluteal lymphoedema associated with lower extremity lymphoedema: apreliminary study with indocyanine green lymphography and magnetic resonance imaging.J Plast Reconstr Aesthet Surg. 2022; 76: 88-93
- Anatomical location of lymphatic pathways in the posterior thigh.Ann Plast Surg. 2022; 88: 330-334
- Indocyanine green lymphography findings in primary leg lymphedema.Eur J Vasc Endovasc Surg. 2015; 49: 95-102
- Characteristic indocyanine green lymphography findings in lower extremity lymphedema: the generation of a novel lymphedema severity staging system using dermal backflow patterns.Plast Reconstr Surg. 2011; 127: 1979-1986
- The earliest finding of indocyanine green (ICG) lymphography in asymptomatic limbs of lower extremity lymphedema patients secondary to cancer treatment: the modified dermal backflow (DB) stage and concept of subclinical lymphedema.Plast Reconstr Surg. 2011; 128: 314e-321e
Published online: February 03, 2023
Accepted: January 29, 2023
Received: January 17, 2023
© 2023 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
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- Gluteal lymphoedema associated with lower extremity lymphoedema: A preliminary study with indocyanine green lymphography and magnetic resonance imagingJournal of Plastic, Reconstructive & Aesthetic SurgeryVol. 76
- PreviewIndocyanine green (ICG) lymphography studies have identified that one in three to five patients with cancer-related lower extremity lymphoedema (LEL) demonstrated dermal backflow extending to the gluteal region. This study aimed to further characterize gluteal lymphoedema using contemporaneous magnetic resonance imaging (MRI).