Paul Steven Collins, MD, Maj, MC, USA, J

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Presentation transcript:

Abnormalities of lymphatic drainage in lower extremities: A lymphoscintigraphic study  Paul Steven Collins, MD, Maj, MC, USA, J.Leonel Villavicencio, MD, Sue H. Abreu, MD, Maj, MC, USA, Edward R. Gomez, MD, Maj, MC, USA, James A. Coffey, MD, Maj, MC, USA, Cass Connaway, MD, Maj, MC, USA, James M. Salander, MD, Col, MC, USA, Norman M. Rich, MD  Journal of Vascular Surgery  Volume 9, Issue 1, Pages 145-152 (January 1989) DOI: 10.1016/0741-5214(89)90229-2 Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Normal pattern. Tracer is seen in the iliofemoral lymph nodes, the normal “medial band” of lymphatic vessels in the thigh, and the medial and lateral lymphatics in the lower leg, which join to form the medial band of lymphatics in the thigh. Journal of Vascular Surgery 1989 9, 145-152DOI: (10.1016/0741-5214(89)90229-2) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Enhanced flow. Tracer is seen in right inguinal lymph nodes on the initial 10-minute image. Journal of Vascular Surgery 1989 9, 145-152DOI: (10.1016/0741-5214(89)90229-2) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Decreased flow. No lymph nodes are seen until 150-minute image. IC, Iliac crest markers. Journal of Vascular Surgery 1989 9, 145-152DOI: (10.1016/0741-5214(89)90229-2) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Dermal backflow and decreased flow. Dermal lymphatics outline the foot (large arrow). Gamma rays from injection site penetrate a lead shield (small arrow). Journal of Vascular Surgery 1989 9, 145-152DOI: (10.1016/0741-5214(89)90229-2) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 Dermal pattern and decreased flow. Right leg has diffuse distribution of tracer throughout the dermal lymphatics. Left leg has normal pattern. Journal of Vascular Surgery 1989 9, 145-152DOI: (10.1016/0741-5214(89)90229-2) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 6 Decreased flow and delayed flow on the right (same patient as Fig. 5). Large arrow, Crossover of tracer from the left to the right paraaortic lymph nodes; small arrow, normal bladder activity; IC, iliac crest markers; X, xyphoid process. Journal of Vascular Surgery 1989 9, 145-152DOI: (10.1016/0741-5214(89)90229-2) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions