Forte Antonio J, Huayllani Maria T, Boczar Daniel, Cinotto Gabriela, Ciudad Pedro, Manrique Oscar J, Lu Xiaona, McLaughlin Sarah A
Division of Plastic Surgery and Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Jacksonville, FL, USA.
Department of Plastic, Reconstructive and Burn Surgery, Arzobispo Loayza National Hospital, Lima, Peru.
Gland Surg. 2020 Apr;9(2):589-595. doi: 10.21037/gs.2020.02.08.
Breast cancer-related lymphedema (BCRL) incidence has been increasing overtime. Currently, there is not a preferred imaging tool for diagnosis, staging, and assessment of the disease. We aim to review the use of ultrasound elastography (UE) in BCRL patients. A systematic review was performed by querying PubMed, EMBASE, Ovid Healthstar, and Ovid Medline databases for studies that evaluated the use of UE in BCRL. The keywords "elastography" AND "lymphedema" in titles and abstracts were used for the search. The search retrieved 12, 12, 5 and 6 articles in each database, respectively. From these, only 4 met the inclusion criteria. UE methods included two-dimensional strain imaging, shear wave elastography (SWE), and global UE. Two of the studies evaluated the use of UE in the assessment of BCRL, while only 1 considered its use for diagnosis and staging. Based on our systematic review, UE appears to be a great tool in the assessment of BCRL to differentiate affected from non-affected arms.
乳腺癌相关淋巴水肿（BCRL）的发病率长期以来一直在上升。目前，对于该疾病的诊断、分期和评估，尚无首选的成像工具。我们旨在综述超声弹性成像（UE）在BCRL患者中的应用。通过查询PubMed、EMBASE、Ovid Healthstar和Ovid Medline数据库，对评估UE在BCRL中应用的研究进行了系统综述。在标题和摘要中使用关键词“弹性成像”和“淋巴水肿”进行检索。每个数据库分别检索到12篇、12篇、5篇和6篇文章。其中，只有4篇符合纳入标准。UE方法包括二维应变成像、剪切波弹性成像（SWE）和整体UE。两项研究评估了UE在BCRL评估中的应用，而只有1项研究考虑了其在诊断和分期中的应用。基于我们的系统综述，UE似乎是评估BCRL以区分患侧和未患侧手臂的一个很好的工具。
