Gupta Sarina S, Mayrovitz Harvey N
Osteopathic Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.
Medical Education, Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine, Davie, USA.
Cureus. 2022 Apr 3;14(4):e23797. doi: 10.7759/cureus.23797. eCollection 2022 Apr.
Breast edema most commonly occurs after breast cancer treatment involving breast-conserving therapy, although it may have a variety of other causes. As compared to research on breast cancer treatment-related lymphedema, breast edema and its objective measurement and diagnosis is far behind. Consequences of this disparity contribute to uncertainty and variability in its diagnosis, its treatment, and even the characterization of its incidence and morbidity. Moreover, consensus on a standardized definition, objective diagnostic method, and treatment techniques for breast edema has not yet been reached, making it difficult to provide appropriate guidelines with respect to its management. Given the recent rise in breast edema incidence as an outcome of the increasing use of breast-conserving therapy, this timely review examines the current state of breast edema assessment and makes a case for standardization in part via quantitative methods to diagnose and track breast edema.
乳腺水肿最常发生在乳腺癌保乳治疗之后，不过它也可能有多种其他病因。与乳腺癌治疗相关的淋巴水肿研究相比，乳腺水肿及其客观测量和诊断远远落后。这种差距导致其诊断、治疗甚至发病率和患病率特征方面存在不确定性和变异性。此外，尚未就乳腺水肿的标准化定义、客观诊断方法和治疗技术达成共识，因此难以提供关于其管理的适当指南。鉴于随着保乳治疗使用增加，乳腺水肿发病率近期有所上升，本次及时的综述审视了乳腺水肿评估的现状，并主张部分通过定量方法对乳腺水肿进行标准化诊断和跟踪。
