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Lymphatic Anatomy of the Female Pelvis

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1. Lymphatic Anatomy of the Female Pelvis

Lymphatic Anatomy of the Female Pelvis Lymphatic Anatomy of the Female Pelvis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) Lymphatic Anatomy of the Female Pelvis Lymphatic Anatomy of the Female Pelvis Aka: Lymphatic Anatomy of the Female Pelvis , Gynecologic Lymphatic Anatomy , Breast Lymphatic Anatomy , Lymphatic Drainage of the Female Pelvis , Lymphatic Drainage of the Breast II. Anatomy Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Lymphatic Anatomy

2018 FP Notebook

2. Lymphatic Anatomy of the Female Pelvis

Lymphatic Anatomy of the Female Pelvis Lymphatic Anatomy of the Female Pelvis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) Lymphatic Anatomy of the Female Pelvis Lymphatic Anatomy of the Female Pelvis Aka: Lymphatic Anatomy of the Female Pelvis , Gynecologic Lymphatic Anatomy , Breast Lymphatic Anatomy , Lymphatic Drainage of the Female Pelvis , Lymphatic Drainage of the Breast II. Anatomy Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Lymphatic Anatomy

2015 FP Notebook

3. Appropriate Use Criteria: Imaging of the Abdomen & Pelvis

Appropriate Use Criteria: Imaging of the Abdomen & Pelvis Clinical Appropriateness Guidelines: Advanced Imaging Appropriate Use Criteria: Imaging of the Abdomen & Pelvis Effective Date: March 12, 2018 Proprietary Date of Origin: 03/30/2005 Last revised: 11/01/2016 Last reviewed: 11/27/2017 Copyright © 2018. AIM Specialty Health. All Rights Reserved 8600 W Bryn Mawr Avenue South Tower - Suite 800 Chicago, IL 60631 P . 773.864.4600 www.aimspecialtyhealth.comTable of Contents | Copyright © 2018 (...) . AIM Specialty Health. All Rights Reserved. 2 Table of Contents Description and Application of the Guidelines 3 Administrative Guidelines 4 Ordering of Multiple Studies 4 Pre-test Requirements 5 Abdominal & Pelvic Imaging 6 CT of the Abdomen 6 MRI of the Abdomen 15 MRCP of the Abdomen 20 CTA/MRA of the Abdomen 22 CTA Abdominal Aorta and Bilateral Illiofemoral Lower Extremity Run-off 26 CT of the Pelvis 28 MRI of the Pelvis 35 Fetal MRI 41 CTA/MRA of the Pelvis 43 CT of the Abdomen & Pelvis

2018 AIM Specialty Health

4. Urothelial Tumors of the Renal Pelvis and Ureters (Diagnosis)

used in patients with small, lower-grade, superficial lesions. Additionally, patients who would be at risk for dialysis after nephroureterectomy and those who are medically unfit for radical surgery can be offered minimally invasive and renal-sparing techniques. Previous Next: Relevant Anatomy The renal pelvis is the portion of the urinary collecting system formed by the confluence of two or three major calices. The ureter is a 20- to 30-cm tubular structure lying on the psoas muscle. It follows (...) Urothelial Tumors of the Renal Pelvis and Ureters (Diagnosis) Urothelial Tumors of the Renal Pelvis and Ureters: Problem, Epidemiology, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDUyNDQ5LW92ZXJ2aWV3

2014 eMedicine.com

5. Urothelial Tumors of the Renal Pelvis and Ureters (Overview)

used in patients with small, lower-grade, superficial lesions. Additionally, patients who would be at risk for dialysis after nephroureterectomy and those who are medically unfit for radical surgery can be offered minimally invasive and renal-sparing techniques. Previous Next: Relevant Anatomy The renal pelvis is the portion of the urinary collecting system formed by the confluence of two or three major calices. The ureter is a 20- to 30-cm tubular structure lying on the psoas muscle. It follows (...) Urothelial Tumors of the Renal Pelvis and Ureters (Overview) Urothelial Tumors of the Renal Pelvis and Ureters: Problem, Epidemiology, Etiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDUyNDQ5LW92ZXJ2aWV3

2014 eMedicine.com

6. Patterns of lymphatic drainage in the adult laboratory rat. (PubMed)

administration & dosage Female Forelimb anatomy & histology Head anatomy & histology Hindlimb anatomy & histology Injections, Intradermal Injections, Intraperitoneal Lymph Nodes anatomy & histology Lymphatic System anatomy & histology Lymphoid Tissue anatomy & histology Male Neck anatomy & histology Pelvis anatomy & histology Rats Rats, Inbred Strains anatomy & histology Serum Albumin, Radio-Iodinated administration & dosage Tail anatomy & histology Thorax anatomy & histology 1971 9 1 1971 9 1 0 1 1971 9 1 0 (...) Patterns of lymphatic drainage in the adult laboratory rat. 5153800 1972 11 08 2018 11 13 0021-8782 109 Pt 3 1971 Sep Journal of anatomy J. Anat. Patterns of lymphatic drainage in the adult laboratory rat. 369-83 Tilney N L NL eng Journal Article England J Anat 0137162 0021-8782 0 Colloids 0 Coloring Agents 0 Serum Albumin, Radio-Iodinated 7440-44-0 Carbon IM Abdomen anatomy & histology Animals Animals, Laboratory anatomy & histology Carbon administration & dosage Colloids Coloring Agents

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1971 Journal of anatomy

7. Pattern analysis of regional spread and therapeutic lymph node dissection in cervical cancer based on ontogenetic anatomy. (PubMed)

for the treatment of cervical cancer dispensing with adjuvant radiotherapy offer the possibility to accurately determine the topography of regional lymph node metastases which is the prerequisite for optimized diagnostic and therapeutic lymph node dissection.Patients with cervical cancer FIGO stages IB-IIB were treated with total mesometrial resection (TMMR) and lymph node dissection after exposing the ontogenetic visceroparietal compartments of the female pelvis. Resected lymph nodes were allocated to regions (...) positive patients.The pattern of regional spread in cervical cancer can be comprehended and predicted from ontogenetic lymphatic compartments. In patients with early cervical cancer lymph node dissection based on ontogenetic anatomy achieves high regional tumor control without adjuvant radiation.Copyright © 2011 Elsevier Inc. All rights reserved.

2011 Gynecologic Oncology

8. AIM Clinical Appropriateness Guidelines for Radiation Oncology

, anteroposterior and superoinferior shifts were required in 15%, 6% and 19% of cases respectively supporting the use of pre- treatment imaging. The ACR-ASTRO practice parameter for IGRT indicates that “when the target is not clearly visible and bony anatomy is not sufficient for adequate target alignment, fiducial markers may be needed.” For soft tissue targets such as the prostate, implanted fiducial markers have been validated as an accurate way to localize the target when using orthogonal imaging. Based (...) with deep seated tumors of the abdomen and pelvis, surface landmarks are known to be inaccurate. In a study performed before the term image-guidance was coined, the authors report the need to shift an average of 11.4 mm in left-right axis and 7.2 mm in the superior-inferior axis in order to properly align obese patients receiving pelvic radiotherapy for prostate cancer based on pre-treatment portal imaging. Wong has also reported that using computed tomography based IGRT, shifts of greater than 10 mm

2019 AIM Specialty Health

9. Paediatric Urology

of the testis: an artery and lymphatic sparing technique. J Urol, 1992. 148: 1808. 300. Hopps, C.V., et al. Intraoperative varicocele anatomy: a microscopic study of the inguinal versus subinguinal approach. J Urol, 2003. 170: 2366. 301. Kocvara, R., et al. Lymphatic sparing laparoscopic varicocelectomy: a microsurgical repair. J Urol, 2005. 173: 1751. 302. Riccabona, M., et al. Optimizing the operative treatment of boys with varicocele: sequential comparison of 4 techniques. J Urol, 2003. 169: 666. 303 (...) . Marmar, J., et al. New scientific information related to varicoceles. J Urol, 2003. 170: 2371. 304. Minevich, E., et al. Inguinal microsurgical varicocelectomy in the adolescent: technique and preliminary results. J Urol, 1998. 159: 1022. 305. Mirilas, P., et al. Microsurgical subinguinal varicocelectomy in children, adolescents, and adults: surgical anatomy and anatomically justified technique. J Androl, 2012. 33: 338. 306. Esposito, C., et al. Technical standardization of laparoscopic lymphatic

2019 European Association of Urology

10. Renal Cell Carcinoma

in the diagnosis and management of renal cell carcinoma: role of multidetector ct and three-dimensional CT. Radiographics, 2001. 21 Spec No: S237. 96. Wittekind Ch., et al. TNM supplement, A Commentary on Uniform Use. Wittekind Ch., Greene F., Henson D.E., Hutter R.V., Sobin L.H., Editors. 2012, Wiley-Blackwell. 97. Klatte, T., et al. A Literature Review of Renal Surgical Anatomy and Surgical Strategies for Partial Nephrectomy. Eur Urol, 2015. 68: 980. 98. Spaliviero, M., et al. An Arterial Based Complexity

2019 European Association of Urology

11. Clinical Appropriateness Guidelines: Radiation Oncology Brachytherapy, intensity modulated radiation therapy (IMRT), stereotactic body radiation therapy (SBRT) and stereotactic radiosurgery (SRS) treatment guidelines

treatment to a higher dose, the IGRT group was noted to have similar genitourinary and gastrointestinal toxicities. Pre-treatment corrective left-right, anteroposterior and superoinferior shifts were required in 15%, 6% and 19% of cases respectively supporting the use of pre- treatment imaging. The ACR-ASTRO practice parameter for IGRT indicates that “when the target is not clearly visible and bony anatomy is not sufficient for adequate target alignment, fiducial markers may be needed.” For soft tissue (...) in the non-IMRT setting can be justified in cases where the use of surface tattoos and standard immobilization techniques are known to be inadequate. In obese patients with deep seated tumors of the abdomen and pelvis, surface landmarks are known to be inaccurate. In a study performed before the term image-guidance was coined, the authors report the need to shift an average of 11.4 mm in left-right axis and 7.2 mm in the superior-inferior axis in order to properly align obese patients receiving pelvic

2018 AIM Specialty Health

12. Imaging Guidelines

notice. 31. OVERVIEW Part 1: General Issues Key Points z Chest and pelvic radiographs continue to be a primary adjunct to diagnose immediate threats to life related to breathing and hemorrhage in the chest and/ or extraperitoneal pelvis. z A best practice is concurrent trauma evaluation and radiograph interpretation to facilitate timely treatment interventions for patients with severe injuries. z Definitive imaging of complex vascular injuries ideally requires at least a 64-channel scanner to perform (...) ) and/or extraperitoneal pelvis (pelvis radiograph). These radiographs allow the treating physician to expeditiously assess for, and immediately intervene in, life-threatening conditions such as cardiac tamponade, pneumothorax, or hemothorax. Perform a chest radiograph in all trauma patients with potential for thoracic injury and for evaluation of any tubes and lines placed during resuscitation. In the experienced provider’s hands, FAST may have sensitivities higher than a conventional chest radiograph

2018 American College of Surgeons

13. Cardiovascular Health in Turner Syndrome: A Scientific Statement From the American Heart Association

for Clinical Practice Diagnosis If TS is highly suspected or has been confirmed prenatally, a fetal echocardiogram should be performed. If congenital heart disease is confirmed, then follow-up care by a pediatric cardiologist is recommended to provide counseling on the anatomy and physiology of the specific defect, recommended site and mode of delivery, and postnatal multidisciplinary management plan. Diagnosis of a BAV or a left-sided obstructive lesion, whether prenatally or postnatally, in a female (...) or partial absence of the second sex chromosome in either all or part of the cells of an individual. It is the most common chromosomal abnormality affecting females, occurring in 1 in 2500 live-born girls. Characteristic clinical features include short stature, premature ovarian failure, and lymphedema. Early morbidity and mortality are increased in patients with TS compared with the general population and are related mainly to cardiovascular complications. Congenital heart abnormalities occur in up

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2018 American Heart Association

14. Lymphoma

of Abbreviations Dissemination Maintenance Conflict of Interest Appendix A (Chemotherapy Regimens) Appendix B: General Radiotherapy Guidelines Appendix C: Prognostic Models Appendix D: Lymphoma Response Criteria Appendix E: New Lymphoma Patient Data Sheet Appendix F: Ideal Body Weight CLINICAL PRACTICE GUIDELINE LYHE-002 Version 11 Page 3 of 5 BACKGROUND Lymphomas encompass a group of lymphoproliferative malignant diseases that originate from T- and B- cells in the lymphatic system. Traditionally, lymphomas (...) predictable than Hodgkin lymphoma and prognosis depends on the histologic type, stage, and treatment. In Canadian males and females, the incidence rates for non-Hodgkin lymphoma showed a marked increase by approximately 50% between 1978 and the late 1990s, but have since stabilized. 1 Mortality rates have followed a similar pattern. The clearest risk factor for the disease is immunosuppression associated with HIV infection, or medications used to prevent rejection in organ transplantation. Other factors

2016 CPG Infobase

15. Clinical practice guidelines for the care of girls and women with Turner syndrome: proceedings from the 2016 Cincinnati International Turner Syndrome Meeting

suspected or has been confirmed prenatally, a fetal echocardiogram should be performed (⨁⨁◯◯). R 4.11. We recommend that diagnosis of a bicuspid aortic valve or a left-sided obstructive lesion in a female fetus or child should prompt a genetic evaluation for TS (⨁⨁◯◯). R 4.12. We recommend referral to a pediatric cardiologist when congenital heart disease is detected prenatally in a fetus with TS to provide counseling regarding the anatomy and physiology of the specific defect, recommended site and mode (...) aortic valve 14–34 Coarctatio aorta 7–14 Aortic dilation/aneurysm 3–42 Kidneys Horseshoe kidney 10 Abnormal positioning or duplication of renal pelvis, ureters or vessels 15 Renal aplasia 3 Neurocognitive and psychosocial issues a Emotional immaturity ~40 Specific (nonverbal) learning disorder ~40 Psychological and behavioral problems ~25 a The data are inconsistent, and the given percentages should be viewed with caution. The diagnosis of TS should be a foremost consideration in any female

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2016 European Society of Human Reproduction and Embryology

16. European Society of Endocrinology Clinical practice guidelines for the care of girls and women with Turner syndrome

suspected or has been confirmed prenatally, a fetal echocardiogram should be performed (⨁⨁◯◯). R 4.11. We recommend that diagnosis of a bicuspid aortic valve or a left-sided obstructive lesion in a female fetus or child should prompt a genetic evaluation for TS (⨁⨁◯◯). R 4.12. We recommend referral to a pediatric cardiologist when congenital heart disease is detected prenatally in a fetus with TS to provide counseling regarding the anatomy and physiology of the specific defect, recommended site and mode (...) aortic valve 14–34 Coarctatio aorta 7–14 Aortic dilation/aneurysm 3–42 Kidneys Horseshoe kidney 10 Abnormal positioning or duplication of renal pelvis, ureters or vessels 15 Renal aplasia 3 Neurocognitive and psychosocial issues a Emotional immaturity ~40 Specific (nonverbal) learning disorder ~40 Psychological and behavioral problems ~25 a The data are inconsistent, and the given percentages should be viewed with caution. The diagnosis of TS should be a foremost consideration in any female

2017 European Society of Endocrinology

17. Genetics of Skin Cancer (PDQ®): Health Professional Version

fibrosarcomas and endothelial cells form angiosarcomas, Kaposi sarcoma, and other vascular tumors. There are a number of immune cell types that move in and out of the skin to blood vessels and lymphatics; these include mast cells, lymphocytes, mononuclear cells, histiocytes, and granulocytes. These cells can increase in number in inflammatory diseases and can form tumors within the skin. For example, urticaria pigmentosa is a condition that arises from mast cells and is occasionally associated with mast (...) cell carcinoma (right panel). Squamous cell carcinomas Figure 4. Squamous cell carcinoma on the face with thick keratin top layer (left panel) and squamous cell carcinoma on the leg (right panel). Melanomas Figure 5. Melanomas with characteristic asymmetry, border irregularity, color variation, and large diameter. References Vandergriff TW, Bergstresser PR: Anatomy and physiology. In: Bolognia JL, Jorizzo JL, Schaffer JV: Dermatology. 3rd ed. [Philadelphia, Pa]: Elsevier Saunders, 2012, pp 43-54

2018 PDQ - NCI's Comprehensive Cancer Database

18. Ovarian Epithelial, Fallopian Tube, and Primary Peritoneal Cancer Treatment (PDQ®): Health Professional Version

of cancer death in women.[ ] Estimated new cases and deaths from ovarian cancer in the United States in 2019:[ ] New cases: 22,530. Deaths: 13,980. Anatomy The fimbriated ends of the fallopian tubes are in close apposition to the ovaries and in the peritoneal space, as opposed to the corpus uteri (body of the uterus) that is located under a layer of peritoneum. Normal female reproductive system anatomy. Risk Factors Increasing age is the most important risk factor for most cancers. Other risk factors (...) to ovarian cancer.[ ] (Refer to the section in the PDQ summary on for more information.) (Refer to the section in the PDQ summary on for more information.) Clinical Presentation Ovarian, fallopian tube, or peritoneal cancer may not cause early signs or symptoms. When signs or symptoms do appear, the cancer is often advanced. Signs and symptoms include the following: Pain, swelling, or a feeling of pressure in the abdomen or pelvis. Vaginal bleeding that is heavy or irregular, especially after menopause

2018 PDQ - NCI's Comprehensive Cancer Database

19. Adult Hodgkin Lymphoma Treatment (PDQ®): Health Professional Version

in 2019:[ ] New cases: 8,110. Deaths: 1,000. More than 75% of all newly diagnosed patients with adult HL can be cured with combination chemotherapy and/or radiation therapy.[ ] Over the last five decades, U.S. national mortality has fallen more rapidly for adult HL than for any other malignancy.[ ] Anatomy Anatomy of the lymph system. HL most frequently presents in lymph node groups above the diaphragm and/or in mediastinal lymph nodes. Involvement of Waldeyer's ring or tonsillar lymph glands (...) dehydrogenase, uric acid, and phosphorus. Radiographic examination. Computed tomography (CT) of the neck, chest, abdomen, and pelvis; or metabolic imaging (fluorine F 18-fludeoxyglucose positron emission tomography [PET]) with PET-CT. HIV testing. Hepatitis B and C serology. All stages of adult HL can be subclassified into A and B categories: B for those with defined general symptoms (described below) and A for those without B symptoms. The B designation is given to patients with any of the following

2018 PDQ - NCI's Comprehensive Cancer Database

20. Unusual Cancers of Childhood Treatment (PDQ®): Health Professional Version

, the predominance of rare cancers in the adolescent population, and the lack of clinical trials for adolescents with rare cancers such as melanoma. Figure 1. Age-adjusted and age-specific (0–14 years) Surveillance, Epidemiology, and End Results (SEER) cancer incidence rates from 2009 to 2012 by International Classification of Childhood Cancer group and subgroup and age at diagnosis, including myelodysplastic syndrome and group III benign brain/central nervous system tumors for all races, males, and females (...) . Figure 2. Age-adjusted and age-specific (15–19 years) Surveillance, Epidemiology, and End Results (SEER) cancer incidence rates from 2009 to 2012 by International Classification of Childhood Cancer group and subgroup and age at diagnosis, including myelodysplastic syndrome and group III benign brain/central nervous system tumors for all races, males, and females. Some investigators have used large databases, such as the Surveillance, Epidemiology, and End Results (SEER) and the National Cancer

2018 PDQ - NCI's Comprehensive Cancer Database

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