For patients like 77-year-old Ms. Huang (pseudonym), overcoming breast cancer was only the first step. Years after a modified radical mastectomy and axillary lymph node dissection, she developed debilitating swelling, heaviness, and pain in her left arm. This condition, known as secondary lymphedema, is a common challenge after cancer treatment.

At Foshan Chancheng Hospital's Breast Surgery Department, Dr. Zhu Jintao and his team are addressing this challenge with advanced supermicrosurgical techniques. Utilizing precision diagnostic tools and high-powered microscopes, they perform specialized procedures to restore the body's natural drainage system.

Dr. Zhu Jintao conducts a preoperative assessment for a patient using Indocyanine Green (ICG) lymphography.

A Case in Point: A Path to Dramatic Improvement

Aunt Huang presented with significant left arm swelling. To plan her treatment, Dr. Zhu employed Indocyanine Green (ICG) Lymphography, a real-time imaging technology that maps the lymphatic system with exceptional clarity. This diagnostic step was crucial in designing her surgical plan: a lymphaticovenular anastomosis (LVA).

During the LVA procedure, Dr. Zhu's team used a surgical microscope to meticulously identify and isolate submillimeter lymphatic vessels and venules. With precision microsuturing, they created new connections between these tiny structures, effectively bypassing damaged areas. The result was immediately observable: lymphatic fluid began to flow through the new pathways, relieving the accumulated stagnation.

The patient is currently in surgery

Following her surgery and a tailored rehabilitation program, the swelling in Ms. Huang's arm subsided markedly. The improved comfort and mobility allowed her to return to daily activities, demonstrating a significant enhancement in her quality of life.

Could ICG Lymphography Benefit You?

ICG lymphography is a highly sensitive diagnostic tool for investigating the cause of swelling. It is particularly valuable for:

Identifying Lymphedema: Differentiating lymphedema from venous or other causes of edema when the diagnosis is unclear.

Early Detection: Identifying lymphatic dysfunction at its earliest stages, even before persistent, visible swelling occurs. This is especially important for high-risk individuals, such as those who have undergone lymph node dissection or radiation therapy.

Surgical Planning: Providing a detailed “roadmap” of the lymphatic vessels for surgeons planning a reconstructive procedure like LVA.

Understanding Suitability (Relative Contraindications)

ICG lymphography may not be recommended for individuals with:

A documented severe allergy to iodine or indocyanine green.

Uncontrolled hyperthyroidism.

Pregnancy.