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一名患有上腔静脉血栓形成的患者在接受乳腺癌腋窝前哨淋巴结活检后发生乳糜漏——病例报告及文献复习

Chyle leak following an axillary sentinel lymph node biopsy for breast cancer in a patient with superior vena caval thrombosis - a case report and review of the literature.

作者信息

Al-Ishaq Z, Gupta S, Collins M A, Sircar T

机构信息

Department of Surgery, New Cross Hospital, Royal Wolverhampton NHS Trust , Wolverhampton, West Midlands , UK.

University of Liverpool School of Medicine , Liverpool, Merseyside , UK.

出版信息

Ann R Coll Surg Engl. 2018 Jul;100(6):e147-e149. doi: 10.1308/rcsann.2018.0074. Epub 2018 Apr 16.

DOI:10.1308/rcsann.2018.0074
PMID:29658338
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6111904/
Abstract

Chyle leak is a very rare complication following an axillary lymph node dissection. We report a case of chyle leak following sentinel lymph node biopsy in a patient with breast cancer with superior vena caval thrombosis. To our knowledge, this is the first case report of chyle leakage following axillary sentinel lymph node biopsy. We describe the aetiology, prevention and treatment strategy that can be adopted in these patients.

摘要

乳糜漏是腋窝淋巴结清扫术后一种非常罕见的并发症。我们报告一例患有上腔静脉血栓形成的乳腺癌患者在进行前哨淋巴结活检后发生乳糜漏的病例。据我们所知,这是首例关于腋窝前哨淋巴结活检后乳糜漏的病例报告。我们描述了这些患者中可采用的病因、预防和治疗策略。

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本文引用的文献

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Management of Chyle Leak after Head and Neck Surgery: Review of Current Treatment Strategies.头颈部手术后乳糜漏的管理:当前治疗策略综述
Int J Otolaryngol. 2017;2017:8362874. doi: 10.1155/2017/8362874. Epub 2017 Jan 19.
2
Chylous Fistula following Axillary Lymphadenectomy: Benefit of Octreotide Treatment.腋窝淋巴结清扫术后乳糜瘘:奥曲肽治疗的益处
Case Rep Surg. 2016;2016:6098019. doi: 10.1155/2016/6098019. Epub 2016 Jan 26.
3
Chyle leak following right axillary lymph node dissection: A case report and review of current literature.右腋窝淋巴结清扫术后乳糜漏:一例病例报告及当前文献综述
Int J Surg Case Rep. 2016;20:68-73. doi: 10.1016/j.ijscr.2015.12.044. Epub 2016 Jan 7.
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Med J Malaysia. 2013 Jun;68(3):262-3.
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