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(Leduc O, Leduc A, Brassine E, Leurquin M, Léonard L) |
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| Methodology: the population consisted of 7 s/p mastectomy female patients who underwent the conventional physical treatment (manual lymphatic drainage, pressotherapy and multiple layer bandages). However, despite a significant decrease in the oedema following the conventional treatment approach an in-between arm difference still remained. | |
| MRI analysis (D1.6): | Side to side comparison (uninvolved to involved side) |
| Adipose panniculus
is more pronounced on
the involved (pathological) side. |
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| Cleavages in
the adipose
panniculus are observed on the involved side. A fibrous cutaneous tissue appeared in the extra-fascicular compartment. |
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| Distally, closer to the elbow, the muscular-adipose tissue junction becomes more irregular. |
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| Conclusion: we observed more adipose panniculus and fibrous tissue on the involved side. Furthermore, on the involved side adipose tissue invading the intra-fascicular compartment was also observed. Therefore, the search for an absolute oedema reduction with the conventional approach could be impractical. (cfr "Consensus document of the edema treatment") | |
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