Second Department of Obstetrics and Gynecology, Medical School, Aristotle University Thessaloniki, Thessaloniki, Greece.
Department of Gynecology, Gynecological Endocrinology and Oncology, Philipps Universitaet Marburg, Marburg, Hesse, Germany.
Curr Probl Cancer. 2019 Dec;43(6):100470. doi: 10.1016/j.currproblcancer.2019.02.002. Epub 2019 Mar 15.
Axillary web syndrome (AWS) refers to the development of fibrotic bands or "cords" in the axilla of patients who have undergone axillary lymph node dissection for breast cancer. We review the incidence, pathogenesis, risk factors, and management of AWS. AWS is a common complication in patients who undergo axillary lymph node dissection. Even though AWS is self-limited in most cases, it causes significant morbidity. The optimal management of AWS is unclear but physiotherapy appears to be beneficial. The widespread use of less invasive procedures to evaluate the presence of metastasis in the axillary lymph nodes (ie, sentinel lymph node biopsy) is expected to reduce the incidence of AWS. The close collaboration of surgeons, oncologists, and physiotherapists is necessary for the prevention and management of this frequent condition.
腋网综合征（AWS）是指乳腺癌腋窝淋巴结清扫术后患者腋窝内纤维性带或“索条”的形成。我们对 AWS 的发病率、发病机制、危险因素和处理进行综述。AWS 是腋窝淋巴结清扫术患者的常见并发症。尽管 AWS 在大多数情况下是自限性的，但它会引起明显的发病率。AWS 的最佳处理方法尚不清楚，但物理治疗似乎有益。预计在腋窝淋巴结中评估转移存在的侵袭性较低的方法（即前哨淋巴结活检）的广泛应用将降低 AWS 的发生率。外科医生、肿瘤学家和理疗师之间的密切合作对于这种常见疾病的预防和处理是必要的。
