Idiopathic Lymphedema

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Abstract
When a physician sees a patient with lymphedema he must determine whether the lymphedema is idiopathic or secondary to an obstructive or inflammatory process. In the majority of the 131 cases of idiopathic lymphedema in the series studied, swelling began before the age of 39 years. Onset later, therefore, should alert the physician to the possibility of an underlying malignant lesion. Idiopathic lymphedema of congenital type was present in 8 cases, and the praecox type was present in 123 in the series. Medical management, including use of an adequate support when the patient was ambulatory, was employed in the majority of cases. Results of surgical treatment were good in 8 of the 9 surgically treated patients who responded to follow-up. Lymphangiosarcoma had developed in 1 case of lymphedema of 40 years' duration.
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