Diagnosing Lymphoedema

Lymphoedema in most cases is diagnosed clinically based on signs and symptoms. You may be at higher risk of Lymphoedema in some instances such as having had prior or recent cancer treatment, especially involving lymph node biopsy or clearance surgery, or radiotherapy to lymph nodes.

In some cases, certain imaging tests are required to make the diagnosis of Lymphoedema. The gold standard test is Indocyanine Green (ICG) Lymphography which not only helps us in confirming the diagnosis of lymphoedema but is also invaluable to the patient, their lymphedema therapist and surgeon in planning conservative and surgical treatment options based on the condition of the lymphatic vessels and the drainage patterns.

Other imaging modalities such as CT, MRI, radionuclide lymphoscintigraphy are sometimes also utilised.

At LALSA we have a holistic approach to ICG mapping which includes the patient, therapist and treating physicians and surgeons in the process in order achieve optimal treatment outcomes. Please refer to the ICG mapping menu on our approach to ICG Mapping in the next page.