Bourguignon D, Aktouf G, Coquerel D, Auquit-Auckbur I
Service de chirurgie plastique reconstructrice et esthétique, CHU Charles-Nicolle, 1, rue de Germont, 76031 Rouen cedex, France.
Service de chirurgie plastique reconstructrice et esthétique, CHU Charles-Nicolle, 1, rue de Germont, 76031 Rouen cedex, France.
Ann Dermatol Venereol. 2015 Feb;142(2):94-8. doi: 10.1016/j.annder.2014.11.019. Epub 2015 Jan 24.
Axillary web syndrome is a rare disease similar to Mondor's disease and is usually seen after axillary surgery. Herein, we describe five new cases, all of which occurred in a setting of melanoma.
Five patients presented axillary web syndrome following sentinel node surgery, adenectomy or axillary curettage in a setting of melanoma. Therapy involving analgesics and physiotherapy to snap the cord-like structure helped accelerate resolution.
Some debate continues to surround the physiopathology of axillary web syndrome in the literature, particularly regarding its relationship with Mondor's disease, which is considered to result from superficial venous thrombosis. The lymphatic and myofascial explanation for the syndrome appears to us to be more coherent and justifies the non-aggressive therapeutic approach we adopt for our patients, who receive assurances about the benign nature of their condition and the absence of sequelae.
Axillary surgery in patients presenting melanoma appears to be a risk factor for axillary web syndrome. No relationship has as yet been demonstrated between this syndrome and the presence of axillary metastases.
腋窝网状综合征是一种类似于蒙多氏病的罕见疾病，通常在腋窝手术后出现。在此，我们描述了五例新病例，所有病例均发生在黑色素瘤患者中。
五例患者在黑色素瘤背景下，于前哨淋巴结手术、腺切除术或腋窝刮除术后出现腋窝网状综合征。采用镇痛药和物理疗法以松解条索状结构的治疗方法有助于加速症状缓解。
关于腋窝网状综合征的病理生理学，文献中仍存在一些争议，特别是其与蒙多氏病的关系，后者被认为是由浅静脉血栓形成所致。在我们看来，该综合征的淋巴和肌筋膜学解释更为合理，这也证明了我们对患者采取的非积极治疗方法的合理性，我们向患者保证其病情的良性性质以及不会留下后遗症。
黑色素瘤患者的腋窝手术似乎是腋窝网状综合征的一个危险因素。目前尚未证实该综合征与腋窝转移灶的存在之间存在关联。
