Department of Surgery, Division of Breast Surgery, Montefiore Medical Center, Montefiore Breast Care Center, 1250 Waters Place, Tower 1, 7th Floor, Bronx, NY 10461, USA.
Department of Surgery, Division of Breast Surgery, Montefiore Medical Center, Montefiore Breast Care Center, 1250 Waters Place, Tower 1, 7th Floor, Bronx, NY 10461, USA.
Adv Surg. 2024 Sep;58(1):65-77. doi: 10.1016/j.yasu.2024.04.005. Epub 2024 May 8.
Breast cancer related lymphedema (BCRL) affects many breast cancer survivors and drastically affects their quality of life. There are several surveillance methods for BCRL that are critical at early detection. Prevention of BCRL involves knowledge of alternatives to aggressive axillary surgery, avoidance of axillary surgery, and de-escalation of axillary surgery. There are also techniques to better delineate the anatomy in the axilla to avoid taking nodes that drain the upper extremity. A multidisciplinary approach with medical oncology and radiation oncology can also help avoid unnecessary surgery or radiation that can together strongly increase the risk of BCRL.
乳腺癌相关淋巴水肿（BCRL）影响许多乳腺癌幸存者，并严重影响其生活质量。有几种 BCRL 的监测方法对于早期发现至关重要。BCRL 的预防包括了解腋窝根治性手术的替代方法、避免腋窝手术以及降低腋窝手术的强度。还有一些技术可以更好地描绘腋窝中的解剖结构，以避免切除引流上肢的淋巴结。肿瘤内科和放射肿瘤科的多学科方法也有助于避免不必要的手术或放疗，这些治疗方法一起会大大增加 BCRL 的风险。
