00662nas a2200145   4500000000100000008004100001260003800042653001500080100002100095700001100116245001500127300001000142520034600152020001800498       2020                            d  bSpringer International Publishing10aLymphedema1 aGerhard-Herman M1 aAday A00aLymphedema  a91-953 aLymphatic vascular insufficiency leads to swelling that extends to the digits. It can be primary or secondary to surgery, trauma, infection and cancer. There is multi-pronged treatment for this disabling condition. In addition, it can be associated with many vascular anomalies and, most worrisome, can rarely transform to lymphangiosarcoma.  a9783030447144