From histo-anatomy to sonography in lymphedema: EURO-MUSCULUS/USPRM approach.


Ricci V., Ricci C., Gervasoni F., Andreoli A., Özcakar L.

European journal of physical and rehabilitation medicine, vol.58, pp.108-117, 2022 (Peer-Reviewed Journal) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 58
  • Publication Date: 2022
  • Doi Number: 10.23736/s1973-9087.21.06853-2
  • Journal Name: European journal of physical and rehabilitation medicine
  • Journal Indexes: Science Citation Index Expanded, Scopus, CINAHL, EMBASE, MEDLINE
  • Page Numbers: pp.108-117
  • Keywords: Extremities, Edema, Ultrasonography, Dermis, Subcutaneous tissue, BASIC SCANNING PROTOCOLS, COMPLEX DECONGESTIVE THERAPY, ULTRASONOGRAPHIC EVALUATION, CHANNELS, FLUID, LIMB

Abstract

Lymphedema is a disorder characterized by the accumulation of protein-rich lymphatic fluid in the cutaneous and subcutaneous tissue. Based on the underlying causes, it is classified into primary and secondary forms. The use of ultrasound has recently become widespread in the field of lymphedema - especially for its diagnosis and treatment planning. In this study, we briefly reviewed the anatomy and histology of the skin and subcutaneous tissue - to propose a standardized ultrasound assessment of the superficial tissues in patients with upper-/lower-limb lymphedema. We believe that identification of the sono-histological patterns of the dermo-epidermal complex and subcutaneous tissue has place to serve as a simple and reproducible strategy to evaluate their edema diseases that are often subject to an inaccurate diagnosis in daily clinical practice.