Lymphovenous anastomosis and complex decongestive therapy for severe deformed lymphedema with recurrent infection:A case report  

作　　者：He-Jun Wang Qing-Qing He Chang-Rui Liu Ying-Ying Wang Xun-Wei Liu 

机构地区：[1]Department of Thyroid and Breast Surgery,The 960th Hospital of People’s Liberation Army,Jinan 250000,Shandong Province,China [2]Department of Oncology,The 960th Hospital of People’s Liberation Army,Jinan 250000,Shandong Province,China

出　　处：《World Journal of Clinical Cases》2024年第22期5159-5167,共9页世界临床病例杂志

摘　　要：BACKGROUND Lower extremity lymphedema is a common complication following treatment for gynecological malignancies.Its incidence rate can reach up to 70%,affecting~20 million people worldwide.However,specialized treatment centers are scarce,and there is a lack of consensus on treatment approaches.Furthermore,there are even fewer reports on the systematic and effective treatment of severe lymphedema with malformations.Effective management of this condition remains a significant challenge for clinicians.CASE SUMMARY A 40-year-old woman developed bilateral leg swelling 6 years after receiving treatment for endometrial cancer.Since August 2018,she experienced>30 episodes of lymphangitis.Upon presentation,she exhibited bilateral leg swelling and deformation,with four large swellings in the posterior thigh that impeded movement,and pain in the limbs.Skin manifestations included lichenoid lesions and features of deep sclerosis.Radionuclide lymphoscintigraphy confirmed the diagnosis of lower limb lymphedema.After 6 mo of complex decongestive therapy(CDT)and three lymphaticovenous anastomosis(LVA)treatments,the patient lost 49 kg in weight.She also experienced a maximum circumference reduction of 35.2 cm in the left lower limb and 37.5 cm in the right lower limb.The leg pain disappeared,her swelling significantly decreased,and she regained the ability to walk,cycle,and run normally.CONCLUSION The combined application of CDT and LVA therapy demonstrates significant positive effects in the treatment of severe,deformed stage III lymphedema.

关 键 词：Lower extremity lymphedema Endometrial cancer Lymphaticovenous anastomosis Complex decongestive therapy Gynecological malignancies Recurrent infection Case report 

分 类 号：R654.7[医药卫生—外科学]