BMJ Best Practice
最后审核时间： 十月 2018
最近更新时间： 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 恶性肿瘤史
  • 丝虫病流行区的旅游史
  • 既往手术史
  • 放射疗法的治疗史
全部具体信息

其他诊断因素

  • 腋窝或腹股沟穿透伤史
  • 肢体沉重和/或无力
  • 非凹陷性水肿
  • 皮肤改变
全部具体信息

危险因素

  • 乳腺癌的治疗
  • 线虫感染（丝虫病）
  • 腋窝或腹股沟淋巴结附近的外科手术
  • 晚期肿瘤、淋巴结和转移（TNM）分期
全部具体信息

诊断性检查

首要检查

  • 核素淋巴显像
全部具体信息

需要考虑的检查

  • 患肢的MRI扫描
  • 患肢的CT扫描
  • 受累部位超声检查
  • 淋巴管造影
全部具体信息

治疗流程

疾病持续状态

所有患者

贡献者

作者 查看所有

Reid A. Maclellan MD, MMSc

Department of Plastic and Reconstructive Surgery

Instructor of Surgery

Children’s Hospital Boston

Harvard Medical School

Boston

MA

利益冲突披露
RAM is an author of a number of references cited in this monograph.
Arin K. Greene MD, MMSc

Department of Plastic and Reconstructive Surgery

Children's Hospital Boston

Co-director

Lymphedema Clinic

Associate Professor

Harvard Medical School

Boston

MA

利益冲突披露
AKG is an author of a number of references cited in this monograph.

Dr Reid A. Maclellan and Dr Arin K. Greene would like to gratefully acknowledge Dr Sumner A. Slavin and Dr Carolyn C. Schook, previous contributors to this monograph. SAS and CCS are authors of a number of references cited in this monograph.

同行评议专家 查看所有

Senior Consultant Plastic Surgeon

Department of Plastic and Reconstructive Surgery

Lund University

Malmoe University Hospital

Malmoe

Sweden

利益冲突披露
HB is an author of a number of references cited in this monograph.

Professor

Harvard Medical School

Senior Surgeon

Children's Hospital Boston

Boston

MA

利益冲突披露
NRF declares that he has no competing interests.

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