[Lymph drainage with secondary lymphedema caused by Kaposi sarcoma].

H Einfeldt
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Abstract

For reasons not yet known HIV infected patients in the final state of their aids disease often tend to develop Kaposi's sarcoma. These tumours result in secondary lymphatic edema which is found on both sides of the sarcoma up to the regional lymphatic nodes, transferred by the tumour cells. Depending on the state of the edema, a lymph drainage treatment is indicated palliatively; the patients can thus be relieved. A fundamental deterioration of the prognosis is not to be expected, the more as all patients are in the final state of this not yet curable disease. Differing from treatment of other lymphatic edema, it is of special importance to the therapist--apart from the difficult and specifically psychic burden--to pay attention to a protection from infection by gloves as a precaution for each single treatment.

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[卡波西肉瘤引起的淋巴引流伴继发性淋巴水肿]。
由于尚不清楚的原因,艾滋病毒感染的患者在其艾滋病的最后状态往往倾向于发展卡波西氏肉瘤。这些肿瘤导致继发性淋巴水肿,由肿瘤细胞转移至肉瘤两侧直至局部淋巴结。根据水肿的情况,淋巴引流治疗是姑息性的;这样病人就可以放心了。由于所有患者都处于这种尚未治愈的疾病的最终状态,因此预计预后不会根本恶化。与其他淋巴水肿的治疗不同,除了困难和特殊的精神负担外,对治疗师来说,特别重要的是,每次治疗都要注意戴手套防止感染,作为预防措施。
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[Pathophysiology and clinical aspects of myxedema]. [Lymph node diagnosis with imaging methods. An overview with special reference to recent developments in the area of MR contrast media]. [Radiotherapy of ENT tumors and risk of lymphedema]. [Outcome of various inpatient lymph drainage procedures]. [Adjuvant therapy in lymphedema].
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