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Postoperative Lymphocele
Matthew T. Heller, MD, FSAR
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Lymphatic cyst or pseudocyst; lymphocyst
          • Definitions

            • Lymph-filled cystic space that lacks epithelial lining

          IMAGING

          • General Features

            • CT Findings

              • MR Findings

                • Ultrasonographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Van Praet C et al: Contemporary minimally-invasive extended pelvic lymph node dissection for prostate cancer before curative radiotherapy: Prospective standardized analysis of complications. Int J Urol. ePub, 2014
                                        2. Loock MT et al: MR imaging features of nongynaecologic cystic lesions of the pelvis. Clin Imaging. 37(2):211-8, 2013
                                        3. Shanbhogue AK et al: Uncommon primary pelvic retroperitoneal masses in adults: a pattern-based imaging approach. Radiographics. 32(3):795-817, 2012
                                        4. Alago W Jr et al: Management of postoperative lymphoceles after lymphadenectomy: percutaneous catheter drainage with and without povidone-iodine sclerotherapy. Cardiovasc Intervent Radiol. 36(2):466-71, 2013
                                        5. Lee JY et al: Lymphocele after extraperitoneal robot-assisted radical prostatectomy: a propensity score-matching study. Int J Urol. 20(12):1169-76, 2013
                                        6. Khoder WY et al: Risk factors for pelvic lymphoceles post-radical prostatectomy. Int J Urol. 18(9):638-43, 2011
                                        7. Moyle PL et al: Nonovarian cystic lesions of the pelvis. Radiographics. 30(4):921-38, 2010
                                        8. Tam KF et al: Natural history of pelvic lymphocysts as observed by ultrasonography after bilateral pelvic lymphadenectomy. Ultrasound Obstet Gynecol. 32(1):87-90, 2008
                                        9. Kenney PA et al: Complications of laparoscopic retroperitoneal lymph node dissection in testicular cancer. World J Urol. 26(6):561-9, 2008
                                        10. Mekaru K et al: Laparoscopic marsupialization of pelvic lymphocele under transvaginal ultrasonographic guidance. J Minim Invasive Gynecol. 15(4):498-501, 2008
                                        11. Lohrmann C et al: Postoperative lymphoceles: detection with high-resolution MR lymphangiography. J Vasc Interv Radiol. 17(6):1057-62, 2006
                                        12. Karcaaltincaba M et al: Radiologic imaging and percutaneous treatment of pelvic lymphocele. Eur J Radiol. 55(3):340-54, 2005
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Pathology

                                              • Clinical Issues

                                                TERMINOLOGY

                                                • Synonyms

                                                  • Lymphatic cyst or pseudocyst; lymphocyst
                                                • Definitions

                                                  • Lymph-filled cystic space that lacks epithelial lining

                                                IMAGING

                                                • General Features

                                                  • CT Findings

                                                    • MR Findings

                                                      • Ultrasonographic Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Gross Pathologic & Surgical Features

                                                                • Microscopic Features

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Demographics

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Van Praet C et al: Contemporary minimally-invasive extended pelvic lymph node dissection for prostate cancer before curative radiotherapy: Prospective standardized analysis of complications. Int J Urol. ePub, 2014
                                                                              2. Loock MT et al: MR imaging features of nongynaecologic cystic lesions of the pelvis. Clin Imaging. 37(2):211-8, 2013
                                                                              3. Shanbhogue AK et al: Uncommon primary pelvic retroperitoneal masses in adults: a pattern-based imaging approach. Radiographics. 32(3):795-817, 2012
                                                                              4. Alago W Jr et al: Management of postoperative lymphoceles after lymphadenectomy: percutaneous catheter drainage with and without povidone-iodine sclerotherapy. Cardiovasc Intervent Radiol. 36(2):466-71, 2013
                                                                              5. Lee JY et al: Lymphocele after extraperitoneal robot-assisted radical prostatectomy: a propensity score-matching study. Int J Urol. 20(12):1169-76, 2013
                                                                              6. Khoder WY et al: Risk factors for pelvic lymphoceles post-radical prostatectomy. Int J Urol. 18(9):638-43, 2011
                                                                              7. Moyle PL et al: Nonovarian cystic lesions of the pelvis. Radiographics. 30(4):921-38, 2010
                                                                              8. Tam KF et al: Natural history of pelvic lymphocysts as observed by ultrasonography after bilateral pelvic lymphadenectomy. Ultrasound Obstet Gynecol. 32(1):87-90, 2008
                                                                              9. Kenney PA et al: Complications of laparoscopic retroperitoneal lymph node dissection in testicular cancer. World J Urol. 26(6):561-9, 2008
                                                                              10. Mekaru K et al: Laparoscopic marsupialization of pelvic lymphocele under transvaginal ultrasonographic guidance. J Minim Invasive Gynecol. 15(4):498-501, 2008
                                                                              11. Lohrmann C et al: Postoperative lymphoceles: detection with high-resolution MR lymphangiography. J Vasc Interv Radiol. 17(6):1057-62, 2006
                                                                              12. Karcaaltincaba M et al: Radiologic imaging and percutaneous treatment of pelvic lymphocele. Eur J Radiol. 55(3):340-54, 2005