WEINBERGER, Vít, David CIBULA and Michal ZIKÁN. Lymphocele: prevalence and management in gynecological malignancies. Expert Review of Anticancer Therapy. London: Expert reviews, 2014, vol. 14, No 3, p. 307-317. ISSN 1473-7140. Available from: https://dx.doi.org/10.1586/14737140.2014.866043.
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Basic information
Original name Lymphocele: prevalence and management in gynecological malignancies
Authors WEINBERGER, Vít (203 Czech Republic, guarantor, belonging to the institution), David CIBULA (203 Czech Republic) and Michal ZIKÁN (203 Czech Republic).
Edition Expert Review of Anticancer Therapy, London, Expert reviews, 2014, 1473-7140.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30214 Obstetrics and gynaecology
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
WWW http://informahealthcare.com/doi/abs/10.1586/14737140.2014.866043
Impact factor Impact factor: 2.249
RIV identification code RIV/00216224:14110/14:00075369
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1586/14737140.2014.866043
UT WoS 000335327000009
Keywords in English gynecological malignancy; complications of surgical treatment; lymphadenectomy; lymphocele; intervention radiology
Tags EL OK
Tags International impact, Reviewed
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 27/11/2014 16:20.
Abstract
A lymphocele is a cystic mass that may occur in the retroperitoneum following a systematic pelvic and/or para-aortic lymphadenectomy. Lymphoceles may be the cause of severe morbidity, or rarely mortality. Symptomatic lymphoceles manifest with pain, compression of adjacent structures, lymphoedema, deep vein thrombosis or inflammation. The morbidity associated with a symptomatic lymphocele may reduce the quality of life of a patient, as well as delay subsequent cancer treatment. The number and positivity of removed lymph nodes, surgical approach, type of tumor, radiotherapy and BMI rate are among the most discussed risk factors of lymphocele formation. The incidence of postoperative lymphocele is reported in the broad range of 1-58%; 5-18% of those who are symptomatic. Only symptomatic lymphoceles should be treated. Mini-invasive methods involving catheter drainage and sclerotization tend to prevail. Surgery either via laparoscopy or laparotomy remains an option in recurring, poorly accessible or inflammatory lymphoceles.
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