Massive localised lymphoedema: Clinical presentation and MR imaging characteristics

Monica Khanna, Ali M. Naraghi, David Salonen, Rejpaul Bhumbra, Brendan C. Dickson, Mark J. Kransdorf, Lawrence M. White

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Three morbidly obese women were referred to us with suspected soft-tissue sarcomas. All lesions arose from the medial subcutaneous tissues of the thigh, and were shown to represent massive localised lymphoedema (MLL), a rare condition occurring in morbidly obese adults. MR imaging typically demonstrates a sharply demarcated, pedunculated mass consisting of fat partitioned by fibrous septae surrounded by a thickened dermis. There is oedema both within the mass and tracking along the subcutaneous septae in a "lace-like" fashion outwards from the pedicle, outlining large lobules of fat. Minimal enhancement is observed within the dermis of the lesion following intravenous gadolinium administration. Obesity is a growing problem that is likely to result in an increase in the prevalence of this condition; therefore, familiarity with the radiological appearance is important in establishing a correct diagnosis in this condition that may mimic a soft-tissue sarcoma.

Original languageEnglish (US)
Pages (from-to)647-652
Number of pages6
JournalSkeletal Radiology
Volume40
Issue number5
DOIs
StatePublished - May 2011

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Lymphedema
Dermis
Sarcoma
Fats
Subcutaneous Tissue
Gadolinium
Thigh
Intravenous Administration
Edema
Obesity
Recognition (Psychology)

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Khanna, M., Naraghi, A. M., Salonen, D., Bhumbra, R., Dickson, B. C., Kransdorf, M. J., & White, L. M. (2011). Massive localised lymphoedema: Clinical presentation and MR imaging characteristics. Skeletal Radiology, 40(5), 647-652. https://doi.org/10.1007/s00256-010-1080-4

Massive localised lymphoedema : Clinical presentation and MR imaging characteristics. / Khanna, Monica; Naraghi, Ali M.; Salonen, David; Bhumbra, Rejpaul; Dickson, Brendan C.; Kransdorf, Mark J.; White, Lawrence M.

In: Skeletal Radiology, Vol. 40, No. 5, 05.2011, p. 647-652.

Research output: Contribution to journalArticle

Khanna, M, Naraghi, AM, Salonen, D, Bhumbra, R, Dickson, BC, Kransdorf, MJ & White, LM 2011, 'Massive localised lymphoedema: Clinical presentation and MR imaging characteristics', Skeletal Radiology, vol. 40, no. 5, pp. 647-652. https://doi.org/10.1007/s00256-010-1080-4
Khanna M, Naraghi AM, Salonen D, Bhumbra R, Dickson BC, Kransdorf MJ et al. Massive localised lymphoedema: Clinical presentation and MR imaging characteristics. Skeletal Radiology. 2011 May;40(5):647-652. https://doi.org/10.1007/s00256-010-1080-4
Khanna, Monica ; Naraghi, Ali M. ; Salonen, David ; Bhumbra, Rejpaul ; Dickson, Brendan C. ; Kransdorf, Mark J. ; White, Lawrence M. / Massive localised lymphoedema : Clinical presentation and MR imaging characteristics. In: Skeletal Radiology. 2011 ; Vol. 40, No. 5. pp. 647-652.
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