Fok Denise Seok Fun, Joethy Janna
Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore.
Arch Plast Surg. 2018 Mar;45(2):171-176. doi: 10.5999/aps.2016.02047. Epub 2018 Mar 15.
Central venous stenosis is a rare cause of unilateral breast edema occurring in hemodialysis patients that needs to be differentiated from other differential diagnoses, including, but not limited to, inflammatory breast carcinoma, mastitis, lymphedema, and congestive heart failure. All reports of similar cases in the available literature have described improvement or resolution of the edema after treatment. Herein, we report and discuss the pathophysiology of breast edema formation in a patient who presented with massive left-sided breast edema 7 years after being diagnosed with central venous stenosis. Medical and minimally invasive therapy had not been successful, so she underwent reduction mammoplasty to relieve the symptoms.
中心静脉狭窄是血液透析患者单侧乳腺水肿的罕见病因，需要与其他鉴别诊断相区分，包括但不限于炎性乳腺癌、乳腺炎、淋巴水肿和充血性心力衰竭。现有文献中所有类似病例报告均描述了治疗后水肿有所改善或消退。在此，我们报告并讨论一名患者乳腺水肿形成的病理生理学情况，该患者在被诊断为中心静脉狭窄7年后出现左侧乳房重度水肿。药物和微创治疗均未成功，因此她接受了乳房缩小成形术以缓解症状。
