Comprehensive Breast Program, Moffitt Cancer Center, Tampa, Florida.
Diagnostic Imaging and Interventional Radiology, Moffitt Cancer Center, Tampa, Florida.
Breast J. 2020 Mar;26(3):514-516. doi: 10.1111/tbj.13533. Epub 2019 Sep 8.
Postoperative chyle leak is an exceedingly rare complication following breast and axillary surgery. We present the first described case of chyle leak following breast-conserving surgery and sentinel lymph node biopsy. Management should begin with appropriated conservative measures aimed at reduction of lymph production and flow. Intervention is warranted when conservative strategies fail and include sclerotherapy, lymphangiography, embolization, and surgery. Breast surgeons should be mindful of this potential complication when operating in the axilla and be familiar with its stepwise management.
术后乳糜漏是乳房和腋窝手术后一种极其罕见的并发症。我们报告首例保乳手术和前哨淋巴结活检术后乳糜漏病例。治疗应从旨在减少淋巴生成和流动的适当保守措施开始。如果保守策略失败，则需要介入治疗，包括硬化疗法、淋巴管造影术、栓塞和手术。乳房外科医生在腋窝手术时应注意这种潜在的并发症，并熟悉其逐步管理。
