{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:12:42Z","timestamp":1777936362127,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2017,6,20]],"date-time":"2017-06-20T00:00:00Z","timestamp":1497916800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vasc Med"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:p>Lymphedema, a chronic debilitating disease, is not always easily diagnosed. A total of 254 new patients ((217 women, 37 men), median (Q1\u2013Q3) age 61 (46\u201372) years) were referred for suspected limb lymphedema to an exclusively lymphedema-dedicated department for a first consultation (January \u2013 March 2015) were included; among 118 with upper limb involvement, 100 (84.7%) were diagnosed with post-breast cancer therapy and four with primary lymphedemas; among 136 with lower limb involvement, 31 (22.8%) were diagnosed with primary lymphedemas and 35 (25.7%) with post-cancer lymphedemas. The main alternative diagnoses were: 32 (45.7%) lipedemas\/lipo-lymphedemas and 21 (30%) chronic venous insufficiencies. Age at symptom onset, body mass index, referral origins and first-symptom-to-specialized-consultation intervals differed between primary, post-cancer lymphedema and alternative diagnosis patients. Among the entire cohort, 57 (22.4%) had cellulitis. For all 135 (53.1%) upper or lower limb post-cancer lymphedemas and the 119 (46.9%) others, the median (Q1\u2013Q3) first-symptom-to-specialized-consultation intervals were 1.4 (0.7\u20133.8) and 4 (1.1\u201318.8) years, respectively ( p &lt; 0.0001). Specialized consultations confirmed primary and post-cancer lymphedema diagnoses and identified others, especially for patients with suspected lower limb lymphedema.<\/jats:p>","DOI":"10.1177\/1358863x17714884","type":"journal-article","created":{"date-parts":[[2017,6,21]],"date-time":"2017-06-21T02:02:07Z","timestamp":1498010527000},"page":"331-336","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Specialized consultations in a hospital-based referral center for patients suspected of having limb lymphedema: Impact on diagnosis"],"prefix":"10.1177","volume":"22","author":[{"given":"St\u00e9phane","family":"Vignes","sequence":"first","affiliation":[{"name":"Department of Lymphology, Centre National de R\u00e9f\u00e9rence des Maladies Vasculaires Rares (Lymphoed\u00e8mes Primaires), H\u00f4pital Cognacq-Jay, Paris, 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