Lymphology Pub Date : 2025-01-01

C Jonsson, K Johansson, M Bjurberg, C Brogardh

{"title":"Feasibility and Potential Benefits of Moderate Intensity Cycling in People Living with Lower Limb Lymphedema: A Pilot Randomized Controlled Trial.","authors":"C Jonsson, K Johansson, M Bjurberg, C Brogardh","doi":"","DOIUrl":"","url":null,"abstract":"The aim of this pilot randomized con-trolled trial (RCT) was to assess the feasibility of a moderate intensity cycling intervention in persons with lower limb lymphedema (LLL) and to explore its potential benefits. Thirty-three participants were included for an 8-week intervention of home-based exercise and randomized to an intervention group (IG) with cycling 3-5 times a week, 30-60 minutes, or to a control group (CG). Feasibility was assessed by recruitment and retention rates, adherence to training protocol, and adverse events. Potential benefits were physical fitness (submaximal bicycle ergometer test), volume, local tissue water, impedance of extracellular fluid, lymphedema-related disability (Lymph-ICF-LL) and health-related quality of life (Lymphedema Quality of Life Inventory). Assessments were performed at baseline and after 8 weeks. Non-parametric analyses were used. Twenty-seven participants (IG=16; CG=11), median age 63 years and time with LLL 9 years, completed the trial. Retention to group allocation was 82%, training protocol adherence was 81% and only one adverse event occurred. Significant between-group improvement was found for lymphedema-related disability favoring the IG. Within-group improvements regarding physical fitness, local tissue water and health-related quality of life were found in the IG, but not in the CG. In conclusion, this study shows that moderate intensity cycling is feasible with potential benefits in functioning and health-related quality of life for persons with chronic LLL.","PeriodicalId":94343,"journal":{"name":"Lymphology","volume":"58 1","pages":"11-22"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pyomyositis of the Piriformis Muscle Secondary to Cellulitis Complicating Lymphedema. 继发于蜂窝织炎并发淋巴水肿的梨状肌化脓性炎。

Lymphology Pub Date : 2025-01-01

M Tsujita, Y Suzuki, T Kato, K Kishi

引用次数: 0

Lymphangiosarcoma, a Rare Complication of Lymphostasis: An Observational Study on the Role of the Physiotherapist in Early Recognition and Medical Referral. 淋巴管肉瘤，一种罕见的淋巴淤积并发症：物理治疗师在早期识别和转诊中的作用的观察研究。

Lymphology Pub Date : 2025-01-01

A Maccio, M Quattro, L Biava, C Palmero, T Galli, S Caruso

{"title":"Lymphangiosarcoma, a Rare Complication of Lymphostasis: An Observational Study on the Role of the Physiotherapist in Early Recognition and Medical Referral.","authors":"A Maccio, M Quattro, L Biava, C Palmero, T Galli, S Caruso","doi":"","DOIUrl":"","url":null,"abstract":"Lymphangiosarcoma is a rare, malignant angiosarcoma that primarily develops in limbs with chronic lymphedema and presents with dermal lesions. Due to a 5-year survival rate of 22.4%, early detection and treatment are critical for improving prognosis. This study assessed physiotherapists' skills in recognizing suspicious dermal lesions in lymphedema patients with a focus on lymphangiosarcoma. An 11-question online survey was created using Google Forms that included academic training, practical experience, frequency of lymphatic treatments, ability to recognize suspicious dermal lesions, referral frequency to specialists, and opinions on specific training needs. The study was conducted from 9 February to 30 March, 2024 and it targeted Italian physiotherapists who manage patients with lymphedema. Responses were received from 170 physiotherapists. Only 12.9% had university education on dermal lesions in lymphedema patients, while 70.6% had postgraduate training. Additionally, 57.6% felt unable to recognize lymphangiosarcoma. Postgraduate education was correlated with the ability to recognize the pathology (p=0.047). Clinical experience and frequency of lymphatic treatments was associated with recognition and reporting of suspected cases (p<0.05). Findings suggest the need for increased awareness and specialized training among physiotherapists to improve early detection and treatment of lymphangiosarcoma in lymphedema patients. Enhanced postgraduate education and clinical experience may lead to better patient outcomes.","PeriodicalId":94343,"journal":{"name":"Lymphology","volume":"58 1","pages":"34-41"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Treatment Strategies and Effectiveness in Lymphatic Malformations: A 10-Year Retrospective Study. 淋巴畸形的治疗策略和疗效：一项10年回顾性研究。

Lymphology Pub Date : 2025-01-01

M Shiraishi, M Narushima, C H Banda, Y Moriwaki, K Kojima, K Yamagata, C Kondo, K Mitsui, K Hashimoto, K Danno, K Hosomi, R Ishiura, M Kurita, I Koshima

{"title":"Treatment Strategies and Effectiveness in Lymphatic Malformations: A 10-Year Retrospective Study.","authors":"M Shiraishi, M Narushima, C H Banda, Y Moriwaki, K Kojima, K Yamagata, C Kondo, K Mitsui, K Hashimoto, K Danno, K Hosomi, R Ishiura, M Kurita, I Koshima","doi":"","DOIUrl":"","url":null,"abstract":"Recurrence is a major challenge in treatment of lymphatic malformations (LMs) world-wide. The objectives of the current study were to investigate risk factors associated with LM recurrence and to compare effectiveness of surgical and endovascular treatments. A multi-center 10-year retrospective chart review was conducted on all consecutive patients treated for LMs from 2009 to 2019. Data collected included post-treatment size, symptoms, and recurrence. Stepwise multiple regression analysis was used to identify risk factors and to compare treatment modalities. A total of 13 patients with 20 treatment cases were included. No significant difference was observed in size reduction and symptom alleviation between the treatment groups. Resection showed the highest recurrence rate of 36.4% (p=0.04) and lymphaticovenular anastomosis (LVA) presented excel-lent results in post-treatment size, symptoms, and recurrence despite lack of statistical significance. Microcystic type of LMs was identified as an independent risk factor for recurrence. Both surgery and sclerotherapy are effective in improving size and symptoms of LMs. This data will help physicians and patients choose the optimal treatment and potentially predict progression.","PeriodicalId":94343,"journal":{"name":"Lymphology","volume":"58 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pressurized Contrast Injection in a Lymphocele Can Reveal an Embolizable Lymphopseudoaneurysm in Postsurgical Chylous Ascites. 淋巴囊肿加压注射造影剂可显示术后乳糜腹水的栓塞性淋巴瘤。

Lymphology Pub Date : 2025-01-01

Q Verhalleman, V Hartman, G Roeyen, T Jardinet

引用次数: 0

Format Correction: The Re-Discovery of Dural (Meningeal) Lymphatics: Amnesia or Ambition? 格式修正：硬脑膜淋巴管的重新发现：失忆还是野心？

Lymphology Pub Date : 2025-01-01

R P Erickson

引用次数: 0

Pulmonary Lymphatics History, Anatomy, and Pathophysiology: Emerging Knowledge and a Look to the Future. 肺淋巴管的历史、解剖和病理生理学：新兴知识与未来展望。

Lymphology Pub Date : 2024-01-01

B Kelly, S Daley