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Possible Implications of Neck Lymphovenous Shunts

Possible Implications of Neck Lymphovenous Shunts Abstract Recently we read the article by Robbins and coworkers'1 entitled "Standardizing Neck Dissection Terminology." According to the classic anatomic description, the linear and continued progression of metastasis along the lymphatic chains of the neck toward the jugulosubclavian angle is a rare event, even in those patients who may reach a terminal state without any treatment. In the context of adipose tissue, small lymphoid aggregates are seen. Venous vessels linked by vascular capillary structures (interpretable as lymphovenous shunts) are isolated in the jugulodigastric region. To investigate this apparent anatomic-functional discrepancy we are now observing the ways of drainage with lymphoscintigraphy, without any diagnostic aim. We always observed a fast drainage and a distribution of the tracer similar to the N + anatomic distribution in the clinical cases; similar results were obtained with a marker of neoplastic involvement (gallium 67 citrate). The study was performed on both sides of the neck, ie, References 1. Robbins KT, Medina JE, Wolfe GT, Levine PA, Sessions RB, Pruet CW. Standardizing neck dissection terminology . Arch Otolaryngol Head Neck Surg . 1991; 117:601-605.Crossref 2. Teneff S, Stoppani F. L'Influenza delle irradiazioni sulle linfoghiandole e sulla circolazione linfatica . Rad Med . 1935;22:768. 3. Lenzi M, Bassani G. The effect of radiation on lymph and lymph vessels . Radiology . 1963;80:814.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

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References (5)

Publisher
American Medical Association
Copyright
Copyright © 1995 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1995.01890030078014
Publisher site
See Article on Publisher Site

Abstract

Abstract Recently we read the article by Robbins and coworkers'1 entitled "Standardizing Neck Dissection Terminology." According to the classic anatomic description, the linear and continued progression of metastasis along the lymphatic chains of the neck toward the jugulosubclavian angle is a rare event, even in those patients who may reach a terminal state without any treatment. In the context of adipose tissue, small lymphoid aggregates are seen. Venous vessels linked by vascular capillary structures (interpretable as lymphovenous shunts) are isolated in the jugulodigastric region. To investigate this apparent anatomic-functional discrepancy we are now observing the ways of drainage with lymphoscintigraphy, without any diagnostic aim. We always observed a fast drainage and a distribution of the tracer similar to the N + anatomic distribution in the clinical cases; similar results were obtained with a marker of neoplastic involvement (gallium 67 citrate). The study was performed on both sides of the neck, ie, References 1. Robbins KT, Medina JE, Wolfe GT, Levine PA, Sessions RB, Pruet CW. Standardizing neck dissection terminology . Arch Otolaryngol Head Neck Surg . 1991; 117:601-605.Crossref 2. Teneff S, Stoppani F. L'Influenza delle irradiazioni sulle linfoghiandole e sulla circolazione linfatica . Rad Med . 1935;22:768. 3. Lenzi M, Bassani G. The effect of radiation on lymph and lymph vessels . Radiology . 1963;80:814.Crossref

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Mar 1, 1995

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