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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"https://questionsmedicales.fr/mesh/D056824?mesh_terms=Lymph+Node+Excision&page=4#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=4#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=4#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 (7998 au total)

Hot dots - which nodes should be removed in sentinel lymph node biopsy for melanoma?

Sentinel lymph node biopsy (SLNB) is a critical staging tool for melanoma patients. The optimal number of lymph nodes removed in SLNB remains unclear. In this study, we retrospectively analysed and te... The study population consisted of melanoma patients undergoing SLNB. During the operation all radioactive and blue nodes were removed and sent for histopathological analysis. The... Altogether 175 patients with clinically occult metastasis presented with one or more positive, i.e. metastatic, SLNs. The mean number of lymph nodes removed was 4.5, and the mean number of positive ly... By removing the hottest node and all nodes with radioactivity >10% of the hottest node, 97% of patients with SLN metastases are correctly staged with or without using blue dye....

Nonsentinel Axillary Lymph Node Status in Clinically Node-Negative Early Breast Cancer After Primary Systemic Therapy and Positive Sentinel Lymph Node: A Predictive Model Proposal.

In clinically node-negative (cN0) early stage breast cancer (EBC) undergoing primary systemic treatment (PST), post-treatment positive sentinel lymph node (SLN+) directs axillary lymph node dissection... We conducted an observational study on imaging-confirmed cN0 EBC, who underwent PST and breast surgery that resulted in SLN+ and underwent ALND. The association among baseline/postsurgical clinic-path... Non-SLN+ were detected in 22.2% cases after ALND. Only progesterone receptor (PR) levels and macrometastatic SLN+ were independently associated to non-SLN+. LR identified PR, Ki67, and type and number... In cN0 EBC with post-PST SLN+, non-SLN+ at ALND are infrequent (~22%) and independently associated to PR levels and macrometastatic SLN. ALND-predict multiparametric score accurately predicted absence...

Lymph node stain after radical resection of rectal cancer mainly increased the harvest of mini lymph node: A randomized controlled trial.

The lymph node status plays an important role in rectal cancer, which depends on adequate lymph node harvest. Lymph node stain techniques increase the lymph node harvest. The aim of this prospective s... From May 2020 to May 2022, 172 stage II-III rectal cancer patients were randomized to methylene blue (MB) stained group or unstained group to retrieve the lymph nodes. Methylene blue solution was inje... The number of lymph nodes harvested with MB was significantly higher (22.0 (14.8, 32.0) vs 14.5 (11.0, 22.0); p < 0.001) without difference in positive patients or number of positive nodes. The positi... Intra-arterial injection of MB can significantly increase the number of lymph nodes harvested in rectal cancers, especially those mini lymph nodes. However, methylene blue staining did not significant...

Prognostic value of the lymph node ratio in surgically treated stage III colorectal cancer patients with high numbers of harvested lymph nodes.

The lymph node ratio (LNR), defined as the number of positive lymph nodes (LN) divided by the total number of harvested LN, has been demonstrated to be an independent factor in the prognosis of surgic... Stage III CRC patients who underwent curative resections over an 8-year period were included to the study. Demographics, clinicopathological features, surgical as well as recurrence and survival outco... Among a total of 493 surgically treated CRC cases, 104 patients were included to the study consisting of 68 (65.4%) men and 36 (34.6%) women with a median age of 64 (inter-quartile range: 55-74) years... The LNR may be assessed as an adjunct to the current staging systems for the prediction of oncological outcomes and survival of surgically treated stage III CRC patients....

Lymph node distribution in patients with remnant gastric cancer.

Remnant gastric cancer (RGC) is defined as a carcinoma that develops in the gastric remnant from 5 years after gastrectomy, regardless of the primary gastric disease. The pattern of lymph node dissemi... In a total of 1380 patients with gastric cancer, between 1998 and 2020, 43 patients operated on for RGC were analyzed. The pattern of lymph node dissemination was evaluated based on the number of diss... A mean of 13.0 ± 8.1 lymph nodes were dissected. The incidence of lymph node involvement by dissected station was higher at Stations 19, 11p, 3, 4sb and 7 (50, 40, 37.5, 36 and 31.7%, respectively). A... There was no predilection for lymph node involvement when comparing the lesser and greater gastric curvature. The dissection of Stations 3, 4sb and 4sa is fundamental in surgical treatment with curati...

Immune microenvironment and lymph node yield in colorectal cancer.

Lymph node (LN) harvesting is associated with outcomes in colonic cancer. We sought to interrogate whether a distinctive immune milieu of the primary tumour is associated with LN yield.... A total of 926 treatment-naive patients with colorectal adenocarcinoma with more than 12 LNs (LN-high) were compared with patients with 12 or fewer LNs (LN-low). We performed immunohistochemistry and ... The LN-high group was comprised of younger patients, longer resections, larger tumours, right-sided location, and tumours with deficient mismatch repair (dMMR). The tumour microenvironment showed high... Our findings corroborate that higher LN yield is associated with a survival benefit. LN yield is associated with an immune high microenvironment, suggesting that tumour immune milieu influences the LN...

Deep learning detection of melanoma metastases in lymph nodes.

In melanoma patients, surgical excision of the first draining lymph node, the sentinel lymph node (SLN), is a routine procedure to evaluate lymphogenic metastases. Metastasis detection by histopatholo... In this multi-center study, a deep learning method was established on histological tissue sections of sentinel lymph nodes collected from the clinical routine. The algorithm was trained to highlight p... The established method was able to detect the existence of metastasis on individual tissue cuts with an area under the curve of 0.9630 and 0.9856 respectively on two test cohorts from different labora... Our results demonstrate that AI-based SLN melanoma metastasis detection has great potential and could become a routinely applied aid for pathologists. Our current study focused on assessing establishe...