From the *Department of Mammo-Pelvic Surgery, †Multidisciplinary Clinic of Lymphology, ‡Service of Kinesitherapy, §Service of Nuclear Medicine, Jules Bordet Institute, Brussels; and ∥HE PHSpaak, Brussels, Belgium.
Clin Nucl Med. 2017 Jun;42(6):e297-e299. doi: 10.1097/RLU.0000000000001640.
An efficient evaluation of the lymphatic drainage from the breasts (thoracic wall) and/or the upper limbs is essential in the management of patients with breast cancer (BC) and/or BC-related lymphedema. Lymphoscintigraphy was performed in 2 patients with lymphedema. Lymphatic drainage was observed from the upper limb or breast to the posterior paravertebral and/or pararenal lymph nodes. The cases demonstrate lymphatic drainage pathways toward unusual and mostly unrecognized lymph nodes, which may be at risk for further evolution of BC and may be important for the physical treatment of BC-related lymphedema.
对乳腺癌（BC）和/或与 BC 相关的淋巴水肿患者，评估乳房（胸壁）和/或上肢的淋巴引流情况非常重要。对 2 例淋巴水肿患者进行了淋巴闪烁显像。观察到上肢或乳房的淋巴引流至后椎旁和/或肾旁淋巴结。这些病例表明存在朝向异常和大多未被认识的淋巴结的淋巴引流途径，这些淋巴结可能有进一步发展为 BC 的风险，对于与 BC 相关的淋巴水肿的物理治疗也可能非常重要。
