Ivens D, Hoe A L, Podd T J, Hamilton C R, Taylor I, Royle G T
Wessex Radiotherapy Centre, Royal South Hants Hospital, Southampton, UK.
Br J Cancer. 1992 Jul;66(1):136-8. doi: 10.1038/bjc.1992.230.
The importance of axillary dissection as part of the primary surgical procedure in the treatment of operable cases of carcinoma of the breast is established. The morbidity of this procedure, however, is less well documented. A study of 126 women who had had full axillary dissection as part of their initial surgical treatment was undertaken to assess their degree of morbidity in terms of numbness, pain, weakness, swelling, and stiffness. Seventy per cent of cases complained of numbness, 33% of pain, 25% of weakness, 24% of limb swelling, and 15% of stiffness. Objective measurements confirmed decreased sensation in 81%, weakness in 27%, swelling in 10%, and stiffness in 10%. In no case were these symptoms described as severe, though they did have an effect upon the daily lives of 39%. The side effects of full axillary dissection are common and all women should be warned of them prior to surgery; however they are usually mild and therefore should not preclude this procedure as a part of definitive surgical treatment.
腋窝清扫作为乳腺癌可手术病例初次手术治疗的一部分，其重要性已得到确立。然而，该手术的发病率记录较少。对126例接受了全腋窝清扫作为初始手术治疗一部分的女性进行了一项研究，以评估她们在麻木、疼痛、无力、肿胀和僵硬方面的发病程度。70%的病例主诉麻木，33%主诉疼痛，25%主诉无力，24%主诉肢体肿胀，15%主诉僵硬。客观测量证实81%感觉减退，27%无力，10%肿胀，10%僵硬。尽管这些症状对39%的人的日常生活有影响，但无一例被描述为严重。全腋窝清扫的副作用很常见，所有女性在手术前都应被告知；然而，它们通常较轻，因此不应排除将该手术作为确定性手术治疗的一部分。
