Ishii Naohiro, Aoki Marie, Kishi Kazuo
Department of Plastic and Reconstructive Surgery, Keio University, Tokyo, Japan.
Plast Reconstr Surg Glob Open. 2017 Aug 18;5(8):e1475. doi: 10.1097/GOX.0000000000001475. eCollection 2017 Aug.
Lymphaticovenous anastomosis (LVA) is primarily performed for lymphedema of the lower extremities after surgical treatment of gynecologic cancer and lymphedema of the upper extremities after surgical resection of breast cancer; however, LVA for lymphedema due to malignant lymphoma has not been reported to date. We herein present a patient with severe lymphedema of the lower extremities due to refractory malignant lymphoma, which markedly improved with LVA. LVA could contribute to improve quality of life in patients with end-stage disease with lymphedema of the lower extremities due to refractory malignant lymphoma.
淋巴静脉吻合术(LVA)主要用于治疗妇科癌症手术后下肢淋巴水肿以及乳腺癌手术切除后上肢淋巴水肿;然而,迄今为止尚未有关于恶性淋巴瘤所致淋巴水肿行LVA的报道。我们在此报告1例因难治性恶性淋巴瘤导致严重下肢淋巴水肿的患者,其经LVA治疗后明显改善。LVA有助于改善因难治性恶性淋巴瘤导致下肢淋巴水肿的终末期疾病患者的生活质量。