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我们对治疗乳腺癌相关性淋巴水肿有哪些了解?对治疗选择的现有知识进行综述。

What do we know about treating breast-cancer-related lymphedema? Review of the current knowledge about therapeutic options.

机构信息

Department of Plastic Surgery, Faculty of Medicine, Medical University of Gdańsk, 80-214, Gdańsk, Poland.

出版信息

Breast Cancer. 2023 Mar;30(2):187-199. doi: 10.1007/s12282-022-01428-z. Epub 2022 Dec 26.

Abstract

Breast-cancer-related lymphedema (BCRL) is a common consequence of oncological treatment. Its management is a complicated, chronic, and arduous process. Therapeutic options can be divided on non-surgical and surgical methods, although there is still no clear consensus about their effectiveness in preventing or stopping the disease. That brings problems in everyday practice, as there are no guidelines about proper time for starting therapy and no agreement about which management will be beneficial for each patient. The aim of this review is to summarize current knowledge about possible treatment choices, non-surgical so as surgical, indicate knowledge gaps, and try to direct pathways for future studies.

摘要

乳腺癌相关淋巴水肿(BCRL)是肿瘤治疗的常见后果。其管理是一个复杂、慢性和艰巨的过程。治疗方案可分为非手术和手术方法,尽管对于这些方法在预防或停止疾病方面的有效性仍没有明确的共识。这给日常实践带来了问题,因为没有关于开始治疗的适当时间的指南,也没有关于哪种管理对每个患者有益的共识。本综述的目的是总结关于可能的治疗选择的现有知识,包括非手术和手术方法,指出知识空白,并尝试为未来的研究指明方向。

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