Department of Surgical Oncology, Dharmais Hospital National Cancer Center, Indonesia.
Department of Plastic and Reconstructive Surgery, National Center for Global Health and Medicine Hospital, Japan.
Eur J Surg Oncol. 2019 Jul;45(7):1138-1145. doi: 10.1016/j.ejso.2019.01.004. Epub 2019 Jan 4.
Breast cancer is the most common cancer in Dharmais hospital. The treatment can give rise to breast cancer treatment-related lymphedema (BCRL) that will cause significant morbidities. Based on author's (BB) patient series in Dharmais hospital, BCRL occurred in 27.7% after axillary lymph nodes dissection (ALND). The development of diagnostic modalities as well as lymphatic microsurgery have become promising instruments for lymphedema treatment. To date, modern approach of lymphedema care and surgical intervention have not been recognized and established in Indonesia. A literature review in this field is needed to overcome our limitation in BRCL or lymphedema management.
乳腺癌是 Dharmais 医院最常见的癌症。治疗可能会引起乳腺癌治疗相关的淋巴水肿(BCRL),从而导致严重的发病。根据作者(BB)在 Dharmais 医院的患者系列,腋窝淋巴结清扫术(ALND)后 BCRL 的发生率为 27.7%。诊断方法的发展以及淋巴微外科已成为淋巴水肿治疗的有前途的手段。迄今为止,淋巴水肿护理和手术干预的现代方法在印度尼西亚尚未得到认可和确立。需要对该领域进行文献回顾,以克服我们在 BRCL 或淋巴水肿管理方面的局限性。