J Korean Radiol Soc.  1982 Sep;18(3):510-517. 10.3348/jkrs.1982.18.3.510.

Radiological analysis of disorders combined with lymphatic stasis

• Chung TS
• Suh JS
• Lee JD
• Kim GE
• Park CY
• Park TK

• KMID: 2463276
• DOI: http://doi.org/10.3348/jkrs.1982.18.3.510

Abstract

The analysis of 35 cases who revealed lymphatic obstruction and lymphatic stasis due to malignant metastasison bipedal lymphangiography, to evaluate the various radiological patterns of lymphatic obstruction andpathophysiologic mechanisms due to lymphatic obstruction, from Oct. 1975 to Apr. 1982 at YUMC Hospital wasundertaken and the follwoing results were obtained. 1. Of these, 12 had complete lymphatic obstruction and 22partial lymphatic obstruction on lymphangiography. There was lymphatic collateral circulation in 14, extravasationof contrast media in 12, lymphatic dilatation in 9, dermal backflow in 6, and only lymphatic stasis in 10. 2.Accoridng to the level of location of lymphatic obstruction, there were 17 at external iliac lymph nodes, 10 belowthe inguinal lymph nodes, and 8 above the common iliac lymph nodes. 3. Lymphatic collateral circulation wasdeveloped mainly by neoformation of subcutaneous lymphatics below the inguinal lymph nodes obstrcution, collateralflow into the internal iliac lymphatics at external iliac lymph nodes obstruction, collateral flow into themesenteric and mediastinal lymphatics above the common iliac lymph nodes obstruction. 4. Pulmonary oil embolismwas developed in 12 of 175(7%) in control group, but in 14 of 35(40%) in lymphatic obstruction group. Fineally,the dynamic evaluation of lymphatic flow on lymphangiography is more important than the morphologic evaluation oflymph nodes in advanced malignant disease.

MeSH Terms

Collateral Circulation
Contrast Media
Dilatation
Lymph Nodes
Lymphography
Contrast Media