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By B.B. Lee, Simon J. Simonian, Benoit Blondeau, Lawrence L. Tretbar, Cheryl L. Morgan

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Lymphedema: Diagnosis and Treatment by B.B. Lee, Simon J. Simonian, Benoit Blondeau, Lawrence L. PDF

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Contrib Embryol. 1922. 9. Lee BB. Critical issues on the management of congenital vascular malformation. Ann Vasc Surg. 2004;18:380–392. 10. Lee BB, Kim DI, Hwang JH, et al. Contemporary management of chronic lymphedema—personal experiences. Lymphology. 2002;35. 11. Lee BB. Chronic lymphedema, no more stepchild to modern medicine. Eur J Lymphology. 2004;14: 6–12. 12. Mortimer PS. The pathophysiology of lymphedema. Cancer. 1998. 13. Papendieck CM. Lymphangiomatosis and dermoepidermal disturbances of lymphangioadenodysplasias.

Lymphology. 2002;35. 17. Bernas MJ, Witte CL, Witte MH. The diagnosis and treatment of peripheral lymphedema. Lymphology. 2001. 18. Lee BB, Bergan JJ. New clinical and laboratory staging systems to improve management of chronic lymphedema. Lymphology. 2005;38:122–129. 19. Lee BB, Bergan JJ. Advanced management of congenital vascular malformations: a multidisciplinary approach. Cardiovasc Surg. 2002;10:523– 533. 20. Casley-Smith JR, Mason MR, Morgan RG. Complex physical therapy for the lymphedematous leg.

Diagnosis Diagnostic investigation of the swollen limb is initiated with a carefully taken history and complete physical examination. These clinical examinations may be adequate to make an appropriate diagnosis. If not, they should be followed by noninvasive diagnostic tests designed specifi fically to assess the truncular form, from a simple tape measurement of the limb to infrared optometric determination of limb volume. When available, lymphoscintigraphy (see chapter 2) should be used to assess lymphatic function within the extremities (15–17).

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