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Idiopathic Lymphedema

Idiopathic Lymphedema When a physician sees a patient with lymphedema he must determine whether the lymphedema is idiopathic or secondary to an obstructive or inflammatory process. In the majority of the 131 cases of idiopathic lymphedema in the series studied, swelling began before the age of 39 years. Onset later, therefore, should alert the physician to the possibility of an underlying malignant lesion. Idiopathic lymphedema of congenital type was present in 8 cases, and the praecox type was present in 123 in the series. Medical management, including use of an adequate support when the patient was ambulatory, was employed in the majority of cases. Results of surgical treatment were good in 8 of the 9 surgically treated patients who responded to follow-up. Lymphangiosarcoma had developed in 1 case of lymphedema of 40 years' duration. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Idiopathic Lymphedema

Schirger, Alexander; Harrison, Edgar G.; Janes, Joseph M.
JAMA , Volume 182 (1) – Oct 6, 1962
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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1962 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1962.03050400016004
Publisher site
See Article on Publisher Site

Abstract

When a physician sees a patient with lymphedema he must determine whether the lymphedema is idiopathic or secondary to an obstructive or inflammatory process. In the majority of the 131 cases of idiopathic lymphedema in the series studied, swelling began before the age of 39 years. Onset later, therefore, should alert the physician to the possibility of an underlying malignant lesion. Idiopathic lymphedema of congenital type was present in 8 cases, and the praecox type was present in 123 in the series. Medical management, including use of an adequate support when the patient was ambulatory, was employed in the majority of cases. Results of surgical treatment were good in 8 of the 9 surgically treated patients who responded to follow-up. Lymphangiosarcoma had developed in 1 case of lymphedema of 40 years' duration.

Journal

JAMA – American Medical Association

Published: Oct 6, 1962

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