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Chapter

Chapter
Lymphoscintigraphy
DOI link for Lymphoscintigraphy
Lymphoscintigraphy book
Lymphoscintigraphy
DOI link for Lymphoscintigraphy
Lymphoscintigraphy book
ABSTRACT
With the increasing importance of sentinel lymph nodes in cancer management, the subject of lymphoscintigraphy has now diverged into two more or less distinct clinical areas: firstly, lymphoscintigraphy for the identification of sentinel nodes and secondly, lymphoscintigraphy in the investigation of the swollen limb and other lymphatic diseases, such as lymph leaks. An increasing level of interest in the first has tended to overshadow interest in the second of these two general clinical applications. This chapter concerns the second, especially lymphoscintigraphy for the investigation of a swollen limb. Lymph leaks are extremely difficult to find using conventional ‘extremity lymphoscintigraphy’ and will not be considered in this chapter. The interested reader is instead referred to a recent article on the use of an orally administered 123I-labeled medium chain fatty acid, methyl iodophenyl pentadecanoic acid (BMIPP), which, following intestinal re-absorption as the intact molecule, is delivered directly to intestinal lymphatics.1