男性淋巴水肿的临床特征:单中心经验。

Hande Özdemir
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引用次数: 0

摘要

目的:本研究的目的是分析男性患者的人口学和临床特征。方法:回顾性分析52例男性淋巴水肿患者的临床资料。分析并报告淋巴水肿的病程、诊断类型、部位和分期及主诉。此外,基于年龄、淋巴水肿病因和脂肪团病史的亚组在人口学和临床特征方面进行了比较。结果:慢性静脉功能不全是导致淋巴水肿最常见的原因(32.7%),其次是癌症相关性淋巴水肿(30.8%)。淋巴水肿的位置各不相同,46.2%发生在单侧下肢,32.7%发生在双下肢,上肢、生殖区和头颈部的比例较小。淋巴水肿的中位病程为12个月,最常见的转诊来源是心血管外科医生。最常见的症状是肿胀和感觉沉重。约23.1%的患者有蜂窝织炎病史。与癌症相关的淋巴水肿患者不同,非癌症相关的淋巴水肿患者体重指数更高,病程更长,其中三分之一的患者有蜂窝织炎病史。结论:认识到淋巴水肿也可影响男性是至关重要的。及时诊断有潜在危险因素的男性,如慢性静脉功能不全和癌症,对于预防淋巴水肿及其相关并发症至关重要。
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Clinical characteristics of male lymphedema: A single center-experience.

Objectives: The aim of this study was to analyze the demographic and clinical characteristics of male patients.

Methods: Retrospective data were collected from the files of 52 male patients with lymphedema. Duration, diagnostic category, localization and stage of lymphedema, and complaints were analyzed and reported. In addition, subgroups based on age, lymphedema etiology and cellulite history were compared in terms of demographic and clinical characteristics.

Results: The most common cause of lymphedema was chronic venous insufficiency (32.7%), followed by cancer-related lymphedema (30.8%). The location of the lymphedema varied, with 46.2% having it in the unilateral lower extremity, 32.7% in both lower extremities, and smaller percentages in the upper extremities, genital area, and head and neck. The median duration of lymphedema was 12 months, and the most common referral source was cardiovascular surgeons. The most common symptoms reported were swelling and feeling of heaviness. Approximately 23.1% of patients had a history of cellulitis. Non-cancer related lymphedema patients had higher body mass index and longer duration, and a third of them had a history of cellulitis, unlike cancer-related lymphedema patients.

Conclusion: It is crucial to acknowledge that lymphedema can also affect men. Prompt diagnosis of men with potential risk factors, such as chronic venous insufficiency and cancer, is vital to prevent lymphedema and its associated complications.

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