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Lymphedema: Pathogenesis and Novel Therapies
Annual Review of Medicine ( IF 15.1 ) Pub Date : 2018-01-29 00:00:00 , DOI: 10.1146/annurev-med-060116-022900
Joseph H. Dayan 1, 2 , Catherine L. Ly 1 , Raghu P. Kataru 1 , Babak J. Mehrara 1, 2
Affiliation  

Lymphedema affects up to 1 in 6 patients who undergo treatment for a solid tumor in the United States. Its prevalence has increased as more effective oncologic therapies have improved patient survival, but there remains no definitive cure. Recent research has elucidated new details in the pathogenesis of the disease and has demonstrated that it is fundamentally an immunologic process that ultimately results in inflammation, fibroadipose deposition, impaired lymphangiogenesis, and dysfunctional lymphatic pumping. These findings have allowed for the development of novel medical and surgical therapies that may potentially alter the standard of care for a disease that has largely been treated by compression. This review seeks to provide an overview of the emerging therapies and how they can be utilized for effective management of lymphedema.

中文翻译:


淋巴水肿:发病机理和新疗法

在美国,淋巴水肿最多会影响接受实体瘤治疗的患者中的六分之一。随着更有效的肿瘤治疗方法改善了患者的生存率,其患病率也有所提高,但仍没有确切的治疗方法。最近的研究阐明了该疾病的发病机理的新细节,并证明从根本上说这是一个免疫过程,最终导致炎症,纤维脂肪沉积,淋巴管生成受损和淋巴泵功能障碍。这些发现允许开发新的医学和外科疗法,这些疗法可能潜在地改变已经通过压迫治疗的疾病的护理标准。这篇综述旨在概述新兴疗法以及如何将其用于淋巴水肿的有效管理。

更新日期:2018-01-29
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