Titre : Thrombose veineuse profonde du membre supérieur

Thrombose veineuse profonde du membre supérieur : Questions médicales fréquentes

Termes MeSH sélectionnés :

Lymph Node Excision
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systémiques ?", "url": "https://questionsmedicales.fr/mesh/D056824?mesh_terms=Lymph+Node+Excision&page=2#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Thrombose veineuse profonde du membre supérieur", "description": "Comment prévenir la thrombose veineuse profonde ?\nLes bas de compression sont-ils utiles ?\nQuels médicaments peuvent prévenir la thrombose ?\nL'hydratation joue-t-elle un rôle ?\nLes exercices sont-ils importants ?", "url": "https://questionsmedicales.fr/mesh/D056824?mesh_terms=Lymph+Node+Excision&page=2#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Thrombose veineuse profonde du membre supérieur", "description": "Quels traitements sont disponibles ?\nQuand utiliser des thrombolytiques ?\nLa compression est-elle recommandée ?\nQuel suivi est nécessaire après traitement ?\nLes traitements sont-ils efficaces ?", "url": "https://questionsmedicales.fr/mesh/D056824?mesh_terms=Lymph+Node+Excision&page=2#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Thrombose veineuse profonde du membre supérieur", "description": "Quelles sont les complications possibles ?\nComment l'embolie pulmonaire se produit-elle ?\nY a-t-il des risques à long terme ?\nLes complications sont-elles fréquentes ?\nComment prévenir les complications ?", "url": "https://questionsmedicales.fr/mesh/D056824?mesh_terms=Lymph+Node+Excision&page=2#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Thrombose veineuse profonde du membre supérieur", "description": "Quels sont les principaux facteurs de risque ?\nL'âge influence-t-il le risque ?\nLes femmes enceintes sont-elles à risque ?\nLe tabagisme est-il un facteur de risque ?\nLes maladies chroniques augmentent-elles le risque ?", "url": "https://questionsmedicales.fr/mesh/D056824?mesh_terms=Lymph+Node+Excision&page=2#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer une thrombose veineuse profonde ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Un écho-Doppler veineux est souvent utilisé pour confirmer la présence d'un caillot." } }, { "@type": "Question", "name": "Quels tests sanguins sont utiles ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Les tests de D-dimères peuvent aider à évaluer la probabilité d'une thrombose." } }, { "@type": "Question", "name": "Quels signes cliniques indiquent une thrombose ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Un gonflement, une douleur ou une rougeur dans le bras peuvent indiquer une thrombose." } }, { "@type": "Question", "name": "Quand faire un scanner pour le diagnostic ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Un scanner peut être requis si l'échographie est inconclusive ou si des complications sont suspectées." } }, { "@type": "Question", "name": "La thrombose peut-elle être asymptomatique ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Oui, certaines personnes peuvent ne présenter aucun symptôme malgré la présence d'un caillot." } }, { "@type": "Question", "name": "Quels sont les symptômes courants ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent douleur, gonflement, chaleur et rougeur dans le bras affecté." } }, { "@type": "Question", "name": "La douleur est-elle toujours présente ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Non, la douleur peut être légère ou absente, rendant le diagnostic difficile." } }, { "@type": "Question", "name": "Comment différencier une thrombose d'une blessure ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "La douleur d'une thrombose est souvent persistante et accompagnée de gonflement." } }, { "@type": "Question", "name": "Les symptômes peuvent-ils varier ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les symptômes peuvent varier selon la taille du caillot et la localisation." } }, { "@type": "Question", "name": "Y a-t-il des symptômes systémiques ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Des symptômes comme la fièvre peuvent survenir si une infection est présente." } }, { "@type": "Question", "name": "Comment prévenir la thrombose veineuse profonde ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Maintenir une activité physique régulière et éviter l'immobilité prolongée aide à prévenir." } }, { "@type": "Question", "name": "Les bas de compression sont-ils utiles ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, ils aident à améliorer la circulation sanguine et à réduire le risque de thrombose." } }, { "@type": "Question", "name": "Quels médicaments peuvent prévenir la thrombose ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Les anticoagulants peuvent être prescrits pour les patients à risque élevé de thrombose." } }, { "@type": "Question", "name": "L'hydratation joue-t-elle un rôle ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Oui, une bonne hydratation aide à fluidifier le sang et à prévenir la formation de caillots." } }, { "@type": "Question", "name": "Les exercices sont-ils importants ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des exercices réguliers favorisent la circulation sanguine et réduisent le risque." } }, { "@type": "Question", "name": "Quels traitements sont disponibles ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les anticoagulants sont le traitement principal pour dissoudre le caillot." } }, { "@type": "Question", "name": "Quand utiliser des thrombolytiques ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Les thrombolytiques sont utilisés dans les cas graves pour dissoudre rapidement le caillot." } }, { "@type": "Question", "name": "La compression est-elle recommandée ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des bas de compression peuvent aider à réduire le gonflement et améliorer la circulation." } }, { "@type": "Question", "name": "Quel suivi est nécessaire après traitement ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Un suivi régulier est essentiel pour surveiller la résorption du caillot et prévenir les récidives." } }, { "@type": "Question", "name": "Les traitements sont-ils efficaces ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Oui, avec un traitement approprié, la plupart des patients se rétablissent complètement." } }, { "@type": "Question", "name": "Quelles sont les complications possibles ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent l'embolie pulmonaire, qui peut être mortelle si non traitée." } }, { "@type": "Question", "name": "Comment l'embolie pulmonaire se produit-elle ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Un caillot peut se détacher et voyager vers les poumons, bloquant une artère pulmonaire." } }, { "@type": "Question", "name": "Y a-t-il des risques à long terme ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Oui, certains patients peuvent développer un syndrome post-thrombotique avec douleur chronique." } }, { "@type": "Question", "name": "Les complications sont-elles fréquentes ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Les complications graves sont rares mais nécessitent une attention médicale rapide." } }, { "@type": "Question", "name": "Comment prévenir les complications ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Un traitement précoce et un suivi régulier sont essentiels pour prévenir les complications." } }, { "@type": "Question", "name": "Quels sont les principaux facteurs de risque ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent l'immobilité prolongée, les antécédents de thrombose et certaines maladies." } }, { "@type": "Question", "name": "L'âge influence-t-il le risque ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le risque de thrombose augmente avec l'âge, surtout après 60 ans." } }, { "@type": "Question", "name": "Les femmes enceintes sont-elles à risque ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la grossesse augmente le risque de thrombose en raison des changements hormonaux." } }, { "@type": "Question", "name": "Le tabagisme est-il un facteur de risque ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le tabagisme augmente le risque de thrombose en affectant la circulation sanguine." } }, { "@type": "Question", "name": "Les maladies chroniques augmentent-elles le risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des maladies comme le cancer ou les maladies cardiaques augmentent le risque de thrombose." } } ] } ] }

Sources (8010 au total)

Predictive Value of Jugulo-omohyoid Lymph Nodes in Lateral Lymph Node Metastasis of Papillary Thyroid Cancer.

Jugulo-omohyoid lymph nodes (JOHLN) metastasis has proven to be associated with lateral lymph node metastasis (LLNM). This study aimed to reveal the clinical features and evaluate the predictive value... A total of 550 patients pathologically diagnosed with PTC between October 2015 and January 2020, all of whom underwent thyroidectomy and lateral lymph node dissection, were included in this study.... Thyroiditis, tumor location, tumor size, extra-thyroidal extension, extra-nodal extension, central lymph node metastasis (CLNM), and LLMM were associated with JOHLN. Male, upper lobe tumor, multifocal... JOLHN metastasis could be a clinically sensitive predictor of further LLM. A high-performance nomogram was established, which can provide an individual risk assessment of LNM and guide treatment decis...

Radiation, Lymph Node Dissection, or Both: Management of Lymph Node Micrometastases from Merkel Cell Carcinoma.

Regional lymph node micrometastases from Merkel cell carcinoma (MCC) can be treated with completion lymph node dissection (CLND) and/or radiation therapy (RT). It is unclear how these options compare ... This retrospective cohort study used data from years 2012-2019 of the National Cancer Database. Patients with MCC and clinically negative, but pathologically positive, lymph node metastases who receiv... A total of 962 patients were included [median (interquartile range) age, 74 (67-80) years, 662 (68.8%) male patients, 926 (96.3%) white patients]. The majority (63%, n = 606) had a CLND only, while 18... The usage of RT for nodal micrometastasis in MCC is increasing as compared with CLND. This strategy appears to be safe, with no significant difference in survival outcomes....

Clinical outcomes of neoadjuvant therapy followed by selective inguinal lymph node dissection and total mesorectal excision for metastasized low rectal cancer.

Rectal or anal canal adenocarcinoma with inguinal lymph node metastasis (ILNM) is rare and is associated with poor prognostic outcomes. This study aimed to elucidate the clinical significance of neoad... This study enrolled 15 consecutive patients who underwent neoadjuvant therapy and curative resection for rectal or anal canal adenocarcinoma with clinically suspected ILNM between 2005 and 2019 at a s... Out of the15 patients, 11 were treated with neoadjuvant chemoradiation, three with chemotherapy, and one with chemoradiation followed by chemotherapy. Fluorodeoxyglucose (FDG)-positron emission tomogr... In patients with rectal or anal canal adenocarcinoma associated with clinical ILNM, radical resection with neoadjuvant therapy provides a good long-term survival....

Robotic versus laparoscopic total mesorectal excision with lateral lymph node dissection for advanced rectal cancer: A systematic review and meta-analysis.

Lateral pelvic node dissection (LPND) poses significant technical challenges. Despite the advent of robotic surgery, determining the optimal minimally invasive approach remains a topic of debate. This... This meta-analysis was conducted according to the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) 2020 and AMSTAR 2 (Assessing the Methodological Quality of Systematic Revie... Six eligible studies involving 652 patients (316 and 336 in the R-LPND and L-LPND groups, respectively) were retrieved. The robotic approach demonstrated favourable outcomes compared with the laparosc... In summary, the robotic approach is a safe and feasible alternative for Total Mesorectal Excision (TME) with LPND in advanced rectal cancer. Notably, it is associated with lower morbidity, particularl...

Inguinal Lymph-Node Ratio (LNR) as a predictor of Pelvic Lymph-Node Metastasis in squamous cell carcinoma of penis.

To determine the predictors of pelvic lymph-node metastasis in cases of squamous cell carcinoma (SCC) of penis.... Data was retrospectively collected from 267 cases of SCC penis that presented at our institute between 2009 and 2019. Univariate and multivariate logistic regression models were used to identify indep... Pelvic Lymph-Node Metastasis (PLNM) was pathologically detected in 56 groins (29.2%). A cut-off of 0.25 was calculated for LNR based on ROC. LNR >0.25 (p = 0.003), ENE (p = 0.037), and LVI (p = 0.043)... LNR >0.25, LVI and, ENE are independent predictors of PLNM. The discriminative ability of LNR was better than PLN. PLND could be avoided if no risk factors are present....

Factors Associated With Lymph Node Yield and Effects of Lymph Node Density on Survival of Patients With Pulmonary Sarcomatoid Carcinoma.

The objective of this study was to identify factors associated with lymph node yield (LNY) during surgeries for pulmonary sarcomatoid carcinoma (PSC) and to determine effects of lymph node density (LN... The SEER Research Plus database was searched for data on patients with PSC from 1988 to 2018. Poisson regression was used of all patients with PSC to identify relevant factors associated with LNY. Uni... There were 545 eligible patients in the study sample, 175 of which were LN-positive. These patients had significantly lower 5-year OS than those with no positive LNs ( P <0.001). Poisson regression an... Patients with PSC with high LND experienced worse outcomes than those with low LND. Further risk stratification of patients with PSC may help to improve survival benefits based on prognostic indicator...

Impact of lymph node ratio and number of lymph node metastases on survival and recurrence in laryngeal squamous cell carcinoma.

The aim of this study is to assess the impact of lymph node ratio (LNR) and number of positive lymph nodes (NPLN) on mortality and recurrence rates in patients with laryngeal squamous cell carcinoma.... We conducted a retrospective multicenter international study involving 24 Otorhinolaryngology-Head and Neck Surgery divisions. Disease-specific survival (DSS) and disease-free survival (DFS) were eval... 2507 patients met the inclusion criteria. DSS and DFS were significantly different in the groups of patients stratified according to LNR and NPLN. The 5-year DSS and DFS based on LNR and NPLN demonstr... Our data demonstrate the potential prognostic value of NPLN and LNR in laryngeal squamous cell carcinoma....

Metastatic lymph node ratio as an important prognostic factor in advanced gallbladder carcinoma with at least 6 lymph nodes retrieved.

The metastatic lymph node (LN) ratio (LNR) has shown to be an important prognostic factor in various gastrointestinal malignancies. Nevertheless, the prognostic significance of LNR in gallbladder carc... From January 2007 to January 2018, 144 advanced GBC patients (T2-4 stages) who underwent curative surgery with at least 6 LNs retrieved were enrolled. Receiver operating characteristic (ROC) curve was... The optimal cut-off point for LNR was 0.28 according to the ROC curve. LNR>0.28 was associated with higher rate of D2 LN dissection (P=0.004) and higher tumor stages (P<0.001). Extent of liver resecti... LNR is correlated to advanced GBC prognosis and is a potential prognostic factor for advanced GBC with at least 6 LNs retrieved....

RATIO OF METASTATIC LYMPH NODES VS. RESECTED LYMPH NODES (N-RATIO) HAS PROGNOSTIC IMPLICATIONS IN GASTRIC CANCER.

Lymph node status is vital for gastric cancer (GC) prognosis, but the conventional pN stage may be limited by variations in lymphadenectomy and stage migration. The N-Ratio, which assesses the ratio o... To assess N-Ratios prognostic value in GC, particularly in patients with <25 resected lymph nodes.... Patients who underwent gastrectomy with curative intent for GC were retrospectively evaluated. The N-Ratio categories were determined using the ROC curve method, and the area under the curve (AUC) was... A total of 561 GC patients were included in the study, 57% had pN+ status, and 17.5% had <25 resected lymph nodes. N-Ratio, with a mean of 0.12, predicted survival with 74% accuracy (AUC=0.74; 95%CI 0... N-Ratio influenced survival in GC patients, especially in advanced lymph node disease (N-Ratio 3). Considering that N-Ratio does not impact pN0 cases, individualized prognosis assessment is essential ...