Lymphatic-Vascular Disease: Diagnosis & Treatment

Originally Presented July 21, 2018

LE&RN is proud to offer this groundbreaking seminar: Lymphatic-Vascular Disease: Diagnosis & Treatment, in association with Lymphedema Seminars. This seminar took place in 2018 and is intended for physicians who need to diagnose and/or treat patients with lymphedema and/or lipedema.

Up to 10 million Americans are estimated to suffer from lymphedema with an additional 17 million women in America estimated to have lipedema. Yet, many patients with these diseases struggle to find physicians who are prepared to undertake their necessary medical care. Upon completion of this seminar, participants will be able to recognize the physical, imaging, and laboratory findings relevant to a lymphedema or lipedema diagnosis; compare and contrast the available therapies for lymphedema and lipedema; and diagnose potential candidates for lymphatic surgery.


Stanley G. Rockson, MD
Chief of Consultative Cardiology, Allan and Tina Neill Professor of Lymphatic Research and Medicine Professor of Medicine, Director, Center for Lymphatic and Venous Disorders Stanford University School of Medicine, Falk Cardiovascular Research Center
Steven M. Dean, DO
Director of the Vascular Medicine Program, Director of Cardiovascular Medicine’s Noninvasive Peripheral Vascular Laboratory and Associate Professor of Clinical Medicine at The Ohio State University Wexner Medical Center
Joseph Dayan, MD
Plastic Surgeon Specializing in Microsurgical Reconstruction, Memorial Sloan Kettering Cancer Center, New York
Dhruv Singhal, MD
Director of Lymphatic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical Faculty Plastic Surgeon
David Hovsepian, MD
Clinical Professor, Vascular and Interventional Radiology, Stanford Healthcare Interventional Radiology



  1. The Lymphatic System

    • Review of Lymphatic Vascular Structure and Anatomy
    • Review of Lymphatic Pump Physiology, Including a Discussion of Lymphatic Load and Lymphatic Transport Capacity
    • Introduction to Lymphatic Immune Function

  2. Lymphedema

    • Clinical Presentation and Symptom Overview
    • Natural History of Disease Progression
    • Primary vs. Secondary
    • Review of Primary Disease Categories (Congenital, Praecox, Tarda)
    • Identification of High-risk Categories in Secondary Lymphedema

  3. Lymphedema Physical Examination and Staging

  4. Brief Overview of Imaging Techniques

    • Lymphoscintigraphy
    • Near Infrared Fluorescent Imaging
    • MRI and CT
    • Ultrasound
    • Lymphangiography

  5. Treatment Overview

    • Review of CDT Elements, Indications, Contraindications
    • Compression Therapy Elements and Choices
    • Pneumatic Compression Devices

  6. Lymphedema Complications

    • Cellulitis Diagnosis and Management
    • Differential Diagnosis of Acute Venous Disorders

  7. Psychosocial Considerations


  1. Lymphedema Pathogenesis and Cutaneous Histopathology

  2. Lymphedema Staging Techniques

  3. An In-depth Review of Imaging Techniques, Including Indications, Sensitivity and Specificity

  4. High-risk Surveillance Techniques and Interventions

  5. Lymphedema Differential Diagnosis

    • Evaluation of Venous Causes of Elevated Lymphatic Load
    • Lipedema
    • Obesity and Metabolic Disorders

  6. Management of Lymphedema Complications, Including Cellulitis Management

  7. Surgical Approaches to Lymphedema

    • Suction-assisted Lipectomy
    • Lymphaticovenous Anastomosis
    • Vascularized Lymph Node Transfer

  8. The Changing Field of Lymphatics

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