Golematis B C, Delikaris P G, Balarutsos C, Karamanakos P P
Am J Surg. 1975 Mar;129(3):286-8. doi: 10.1016/0002-9610(75)90241-x.
Radical mastectomy is followed by swelling of the arm, and although the number of surgeons employing the operation is decreasing, postmastectomy lymphedema continues to be a serious complication. In the present report based on 158 women who underwent modified radical (126) or simple (32) mastectomy and occasionally radiation for histologically proved adenocarcinoma of the breast, the pathogenesis and treatment of postmastectomy lymphedema are discussed. The following conclusions can be drawn: (1) The occurrence of postmastectomy lymphedema diminishes the less extensive the operation. (2) Mild lymphedema that develops early postoperatively tends to subside. (3) Conservative treatment in the majority of cases is effective in controlling postmastectomy lymphedema of a mild to moderate degree. (4) Modified radical mastectomy, which is as radical as Halsted's operation, is rarely followed by lymphedema.
根治性乳房切除术后会出现手臂肿胀，尽管采用该手术的外科医生数量在减少，但乳房切除术后淋巴水肿仍然是一种严重的并发症。在本报告中，基于158例接受改良根治性（126例）或单纯性（32例）乳房切除术且偶尔接受放疗的经组织学证实为乳腺癌的女性患者，对乳房切除术后淋巴水肿的发病机制和治疗进行了讨论。可以得出以下结论：（1）乳房切除术后淋巴水肿的发生率随着手术范围越小而降低。（2）术后早期出现的轻度淋巴水肿往往会消退。（3）在大多数情况下，保守治疗对于控制轻度至中度的乳房切除术后淋巴水肿是有效的。（4）与霍尔斯特德手术一样根治性的改良根治性乳房切除术很少继发淋巴水肿。
