Leduc, O., Lemoine, M., Gobillard, A., Hardy, M., Maire, S., Higuet, M., Dewilde, J., Bernard, F., Vaes, H., Badii, N., Adriaenssens, N., Leduc, A., & Bourgeois, P. (2015). Evaluation of the Axillry Web Syndromes (AWS) by lymphoscintigraphy imagings. The European Journal of Lymphology and Related Problems, 26(72), 19.

@article{f0a478b0b38945218f84cfa3ca98a682,
title = "Evaluation of the Axillry Web Syndromes (AWS) by lymphoscintigraphy imagings",
abstract = "Introduction: The Axillary Web Syndrome (AWS) follows surgery for breast neoplasia and consists in the appearance of one or more frequently two or three cords of subcutaneous tissue. Strings originate from the axilla, spread to the antero-medial surface of the arm down to the elbow and then move into the antero-medial aspect of the forearm and sometimes into the root of the thumb. The purpose of this study was to analyse these cords by lymphoscintigraphy before (and after) physical treatment. Material and methods: The two upper limbs of 21 women with clinically (either obvious, or suspected) unilateralized AWS were investigated using one simplified lymphoscintigraphic protocol as developed by PB. Results: Lymphoscintigraphy was analyzed as normal in a single case. Another presented only points of colloidal attachment on the lymphatic vessels with a normal function when compared to the normal limb. In all other patients, a decreased lymphatic function was observed. Among these 19 patients, 7 showed, either localized, or extensive lymphatic colloidal {"}stasis{"} (pattern A). In six patients, one complete stop on the lymphatic pathway was found (sometimes with first signs of developing collaterals) (pattern B) and in six additional cases, lymph stasis with localized colloidal attachment on the lymphatic pathway with obvious collateralisation(s) (pattern C) (and in two cases dermal bacflow). Conclusion: Our lymphoscintigraphic evaluations of these situations suggest that the AWS begins with one {"}inflammation{"} of the lymphatic vessel (pattern A), evolves toward lymphatic thrombosis pattern B) with the final development of lymphatic collaterals (pattern C).",
keywords = "clinical article, controlled study, dermis, female, human, imaging, inflammation, lymphatic system, lymphoscintigraphy, physiotherapy, thrombosis, upper limb",
author = "O. Leduc and M. Lemoine and A. Gobillard and M. Hardy and S. Maire and M. Higuet and J. Dewilde and F. Bernard and H. Vaes and N. Badii and N. Adriaenssens and A. Leduc and P. Bourgeois",
year = "2015",
month = mar,
day = "31",
language = "English",
volume = "26",
pages = "19",
journal = "The European Journal of Lymphology and Related Problems",
issn = "0778-5569",
publisher = "European Group of Lymphology",
number = "72",
}