肿瘤切除术后及腋窝前哨淋巴结清扫术后乳糜漏：病例报告

A chyle leak following a tumorectomy and an axillary sentinel lymph node dissection: Case report.

作者信息

Allegrini Marie, Gaillard Chloé, Brousse Susie, Levêque Jean, Nyangoh-Timoh Krystel

机构信息

Department of Gynecology and Obstetrics and Human Reproduction, Universitary Hospital Anne de Bretagne, Hospices Civils de Rennes, Rennes, France.

Department of Gynecology and Obstetrics and Human Reproduction, Universitary Hospital Anne de Bretagne, Hospices Civils de Rennes, Rennes, France; Department of Surgical Oncology, Comprehensive Cancer Center Eugène Marquis, Rennes, France.

出版信息

J Gynecol Obstet Hum Reprod. 2023 Mar;52(3):102544. doi: 10.1016/j.jogoh.2023.102544. Epub 2023 Jan 21.

DOI:10.1016/j.jogoh.2023.102544

PMID:36693540

Abstract

A chyle leak following a tumorectomy is a rare complication of surgery for breast cancer. We report a case of chylous leakage after axillary sentinel lymph node dissection. A 78-year-old woman with a left breast invasive ductal carcinoma underwent a breast-conserving surgery and had two sentinel lymph nodes removed. Ten days after surgery she came back with a swelling the left breast and the axilla, the drainage fluid was "milky". She underwent a second surgery for positive margins, during which time we did a mass ligature in the axilla and placed a drain that was remove when it wasn't productive anymore.

摘要

肿瘤切除术后乳糜漏是乳腺癌手术罕见的并发症。我们报告1例腋窝前哨淋巴结清扫术后乳糜漏的病例。一名78岁左乳浸润性导管癌女性接受了保乳手术，切除了2枚前哨淋巴结。术后10天，她因左乳和腋窝肿胀复诊，引流液呈“乳白色”。她因切缘阳性接受了二次手术，术中对腋窝进行了肿块结扎，并放置了引流管，待引流液不再产生后拔除。