Campisi staging system for lymphedema

Stage 1

1A: No edema with presence of lymphatic dysfunctions (eg, after mastectomy and axillary lymphadenectomy, without any difference in volume and consistence between the arms)

1B: Mild edema, reversible with declivous position and night rest

Stage 2

Persistent edema that regresses only partially with declivous position and night rest

Stage 3

Persistent and ingravescent edema (acute erysipeloid lymphangites)

Stage 4

Fibrotic lymphedema (with initial lymphstatic verrucosis) and column-shaped limb

Stage 5

Elephantiasis with severe limb deformation, scleroindurative pachidermitis, and marked and widespread lymphstatic verrucosis

From: Campisi C, Boccardo F, Zilli A, et al. Long-term results after lymphatic-venous anastomoses for the treatment of obstructive lymphedema. Microsurgery 2001; 21(4):135–139. https://onlinelibrary.wiley.com/doi/abs/10.1002/micr.1025. Copyright © 2001 Wiley-Liss, Inc. Reproduced with permission of John Wiley & Sons Inc. This image has been provided by or is owned by Wiley. Further permission is needed before it can be downloaded to PowerPoint, printed, shared or emailed. Please contact Wiley's permissions department either via email: [email protected] or use the RightsLink service by clicking on the 'Request Permission' link accompanying this article on Wiley Online Library (https://onlinelibrary.wiley.com/).

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Campisi staging system for lymphedema