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Lymphatic obstruction - Overview

Alternative Names

Lymphedema

Definition of Lymphatic obstruction:

Lymphatic obstruction is a blockage of the lymph nodes -- vessels that drain fluid from tissues throughout the body and allow immune cells to travel where they are needed.

Lymphatic obstruction is also called lymphedema, which means swelling of the lymph passages. Lymph nodes may be enlarged for any reason.

Causes, incidence, and risk factors:

There are many causes of lymphatic obstruction, including:

In Western societies, one of the most common causes of lymphedema is removal of the breast (mastectomy) and underarm lymph tissue for breast cancer. This can cause lymphedema of the arm in 10% - 15% of patients. This occurs because the lymphatic drainage of the arm passes through the armpit (axilla), and tissue in the axilla is removed during mastectomy.

Rare forms of lymphedema that are present from birth (congenital) may result from problems in the development of the lymphatic vessels.

  • Reviewed last on: 8/2/2008
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Kerchner K, Fleischer A, Yosipovitch G. Lower extremity lymphedema update: pathophysiology, diagnosis, and treatment guidelines. J Am Acad Dermatol. 2008;59:324-331.

Freedman DO. Filariasis. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 379.

Muss HB. Breast Cancer and Differential Diagnosis of Benign Lesions. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 208.

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