Lymphoedema Health Dictionary

Lymphoedema: From 4 Different Sources


A swelling caused by congestion of lymph in the tissues from obstruction of the lymphatic circulation due to inflammation, injury or tumour. See: LYMPHATIC SYSTEM.

Booklet: “Lymphoedema”, How the patient can alleviate symptoms. Beaconsfield Publishers Ltd, 20 Chiltern Hills Road, Beaconsfield, Bucks. 

Health Source: Bartrams Encyclopedia of Herbal Medicine
Author: Health Encyclopedia
An abnormal accumulation of lymph in the tissues, which occurs when the normal drainage of lymph is disrupted (see lymphatic system). There are various causes. In the tropical disease filariasis, lymphatic vessels may be blocked by parasitic worms. Cancer can lead to lymphoedema if vessels become blocked by deposits of cancer cells. Surgical removal of lymph nodes under the arm or in the groin, or radiotherapy to an area containing lymph nodes, may also result in lymphoedema. Rarely, the condition is due to a congenital abnormality of the lymphatic vessels known as Milroy’s disease. In addition, the disorder may occur for no known cause.

Lymphoedema may develop in the arm following a radical mastectomy. Otherwise, it usually causes swelling of the legs, to an incapacitating degree in some people. There is no known cure. Treatment consists of taking diuretic drugs, massage, wearing an elastic bandage or compression sleeve, and special exercises; these measures may bring about some improvement.

Health Source: BMA Medical Dictionary
Author: The British Medical Association
Swelling of a part or organ due to obstruction to the LYMPH vessels draining it.
Health Source: Medical Dictionary
Author: Health Dictionary
n. an accumulation of lymph in the tissues, producing swelling; the legs are most often affected. It may be due to a congenital abnormality of the lymphatic vessels (as in Milroy’s disease, congenital lymphoedema of the legs) or result from obstruction of the lymphatic vessels by a tumour, parasites, inflammation, or injury. Treatment consists of elastic support, by stockings or bandages, and diuretic drugs. A variety of surgical procedures has been devised but with little success.
Health Source: Oxford | Concise Colour Medical Dictionary
Author: Jonathan Law, Elizabeth Martin

Filariasis

The term used to describe several clinical entities caused by one or other of the nematode ?lariae; these include Wuchereria bancrofti/Brugia malayi, Onchocerca volvulus, Loa loa, Dracunculus medinensis (DRACONTIASIS or guinea-worm disease), Mansonella perstans, etc. These organisms have widely di?ering geographical distributions. Whereas lymphatic ?lariasis is present throughout much of the tropics and subtropics, ONCHOCERCIASIS (river-blindness) is largely con?ned to west and central Africa and southern America. Loaiasis is an infection of west and central Africa, and dracontiasis involves west and central Africa and western India only.

Clinically, the lymphatic ?lariases characteristically cause ELEPHANTIASIS (lymphoedema); onchocerciasis gives rise to ophthalmic complications (river-blindness), rashes and subcutaneous nodules; loaiasis causes subcutaneous ‘Calabar swellings’ and subconjunctival involvement; and dracontiasis predisposes to secondary bacterial infections (usually involving the lower limbs). Diagnosis is by ?nding the relevant ?larial nematode, either in blood (day and night ?lms should be examined), or in one or other of the body ?uids. An EOSINOPHILIA is often present in peripheral blood. Serological diagnosis is also of value. In onchocerciasis, skin-snips and the Mazotti reaction are valuable adjuncts to diagnosis.

The mainstay of chemotherapy consists of diethylcarbamazine (aimed predominantly at the larval stage of the parasite). However, ivermectin (not available in the UK) is e?ective in onchocerciasis, and metronidazole or one of the benzimidazole compounds have limited value in dracontiasis. Suramin has been used to kill adult ?larial worms. Prevention consists of eradication of the relevant insect vector.... filariasis

Decongestive Therapy

an approach that combines many of the different treatments (such as compression and physiotherapy) used to minimize the pain and swelling associated with *lymphoedema following breast surgery and radiotherapy. There are two phases: reduction (which lasts up to 12 weeks) and maintenance (which continues for life).... decongestive therapy

Lymphangiectasis

n. dilatation of the lymphatic vessels, which is usually congenital and produces enlargement of various parts of the body (e.g. the leg in Milroy’s disease). It may also be caused by obstruction of the lymphatic vessels. See lymphoedema.... lymphangiectasis

Lymphangiography

(lymphography) n. X-ray examination of the lymphatic vessels and lymph nodes after a contrast medium has been injected into them (see angiography). Lymphatic vessels in the upper part of the foot are dissected and cannulated after injecting methylene blue into the web space to identify them. Then a viscous contrast medium (Lipiodol) is injected into them at a very slow rate. Its main uses are in the investigation of the extent and spread of cancer of the lymphatic system, the investigation of lymphoedema, and postoperative collection from lymphatic damage. Newer techniques involve injection of contrast medium directly into the lymph nodes (intranodal lymphangiography). Alternatively, the lymphatic system can be imaged using a gamma camera following the injection of a radioactive tracer. This examination has now largely been replaced by other *cross-sectional imaging techniques.... lymphangiography

Lymphangitis

n. inflammation of the lymphatic vessels, which can be seen most commonly as red streaks in the skin adjacent to a focus of streptococcal infection. Occasionally a more chronic form results in *lymphoedema. The infected part is rested and the infection can be eliminated by an antibiotic (e.g. penicillin).... lymphangitis

Milroy’s Disease

see lymphoedema. [W. F. Milroy (1855–1942), US physician]... milroy’s disease

Sentinel Lymph Node

the first lymph node to show evidence of metastasis (spread) of a malignant tumour (e.g. breast cancer) via the lymphatic system. Absence of cancer cells in the sentinel node indicates that more distal lymph nodes will also be free of metastasis. In breast cancer, the change in practice to perform axillary lymph node dissection only if the sentinel node contains metastatic tumour has reduced the risk of arm lymphoedema. Similarly, in head and neck squamous cell carcinomas, the sentinel lymph node procedure is used as an alternative to neck dissection.... sentinel lymph node

Short-stretch Bandage

a bandage that exerts low resting pressure. It is inelastic but can stretch by up to 60% of its original length and is used in the treatment of *lymphoedema and venous leg ulcers.... short-stretch bandage

Stemmer’s Sign

inability to lift and pinch the skin of the base of the second toe, which is characteristic of lymphoedema. [R. Stemmer (1925–2000), French phlebologist]... stemmer’s sign



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