Keshtgar M R, Saunders C, Ell P J, Baum M
Academic Department of Surgery, Royal Free and University College Medical School, UCL, London, UK.
Breast. 1999 Jun;8(3):152-3. doi: 10.1054/brst.1999.0029.
Langer's axillary arch is a relatively rare anatomical variation of latissimus dorsi muscle insertion. The clinical importance of this condition in axillary lymph node dissection (ALND) and lymphoedema as well as latissimus dorsi flap reconstruction has been described previously. Axillary vein obstruction in association with this condition has also been reported. We report two cases of Langer's axillary arch encountered during sentinel lymph node (SLN) biopsy which had some bearing on the procedure.
朗格腋弓是背阔肌附着点相对罕见的解剖变异。此前已描述了这种情况在腋窝淋巴结清扫术（ALND）、淋巴水肿以及背阔肌皮瓣重建中的临床重要性。也有关于与这种情况相关的腋静脉阻塞的报道。我们报告了在哨位淋巴结（SLN）活检过程中遇到的两例朗格腋弓病例，这对该操作有一定影响。
