Kasai-Sakamoto A, Yokoyama Y, Mizunuma H
Department of Obstetrics and Gynecology, Hirosaki University School of Medicine, Hirosaki, Aomori, Japan.
Eur J Gynaecol Oncol. 2006;27(4):419-21.
This is the first report describing lymphedema of the lower limb after surgery for ovarian cancer complicated by severe cellulitis with systemic inflammatory response syndrome (SIRS). Debridement of the lesion and a split-thickness graft were required for a complete cure. Although lymphedema as a complication after surgery for gynecologic malignancies is prone to be considered less serious on the medical side, it is considered necessary to treat lymphedema of the lower limbs while it is still in a mild state since severe cellulitis may accompany lymphedema, as in the present case.
这是首例描述卵巢癌手术后下肢淋巴水肿并发严重蜂窝织炎伴全身炎症反应综合征（SIRS）的报告。为实现彻底治愈，需要对病灶进行清创并进行中厚皮片移植。尽管妇科恶性肿瘤手术后的并发症——淋巴水肿在医学上往往被认为不太严重，但鉴于严重蜂窝织炎可能伴随淋巴水肿，如本病例所示，因此认为有必要在下肢淋巴水肿仍处于轻度状态时就进行治疗。
