A case of refractory inguinal lymphorrhea cured by lipiodol lymphangiography

Koji Tanaka, Shingo Noura, Masayuki Ohue, Yousuke Seki, Kunihito Gotou, Masaaki Motoori, Kentarou Kishi, Kou Takachi, Hidetoshi Eguchi, Terumasa Yamada, Isao Miyashiro, Hiroaki Ohigashi, Masahiko Yano, Osamu Ishikawa, Shingi Imaoka, Kouhei Murata, Masao Kameyama

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Abstract

We report a case of inguinal lymphorrhea cured by Lipiodol lymphangiography. The patient was a 80-year-old female who underwent an abdomino-perineal resection with lateral pelvic lymph node dissection and inguinal lymph node extraction for anal canal cancer. Histologically, the tumor was a poorly differentiated adenocarcinoma and considered to be stage IV (a2, n3 (+), P0, H3, M (-), cur C) in the Japanese classification of colorectal cancer. We recognized a lot of lymph node metastases in dissected lateral pelvic lymph node and inguinal lymph node. By hepatic arterial infusion using 5-FU (1250 mg/body weekly), the liver metastases had a complete response after 15 courses. She noticed a left inguinal lymph node swelling and an elevation of serum CEA level (79.5 ng/mL) was observed. There was no evidence of recurrence except left inguinal lymph nodes. She underwent a left inguinal lymph node dissection. Serous discharge from a surgical site persisted despite of conservative therapy such as compression. She received lymphangiography using 8 mL of Lipiodol from left dorsum of foot. We found three lymph ducts heading to left groin and observed a lot of Lipiodol leakage from ducts. We determined not only the site of leakage but we also confirmed a gradual decrease and a complete stop of lypmphorrhea in 7 days after lymphangiography. Slight lymph edema of left lower extremity appeared but gradually relieved. Lymphangiography using Lipiodol helps determine the site of leakage and may be an effective therapeutic modality for treating refractory lymphorrhea.

Original languageEnglish
Pages (from-to)2162-2164
Number of pages3
JournalGan to kagaku ryoho. Cancer & chemotherapy
Volume34
Issue number12
Publication statusPublished - Jan 1 2007
Externally publishedYes

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All Science Journal Classification (ASJC) codes

  • Oncology
  • Cancer Research

Cite this

Tanaka, K., Noura, S., Ohue, M., Seki, Y., Gotou, K., Motoori, M., ... Kameyama, M. (2007). A case of refractory inguinal lymphorrhea cured by lipiodol lymphangiography. Gan to kagaku ryoho. Cancer & chemotherapy, 34(12), 2162-2164.