Tognetti F, Poppi M, Poppi V
Neurochirurgia (Stuttg). 1983 May;26(3):86-8. doi: 10.1055/s-2008-1053617.
A new approach for the treatment of metastatic brachial plexus neuropathy at the axillary level is described. This may be used in patients previously submitted to radical mastectomy followed by radiotherapy for breast cancer. The method consists of external neurolysis of the cords of the plexus, dissection and excision of the pathological axillary contents along with the overlying atrophic cutaneous and subcutaneous tissues, reconstruction of the axilla by the latissimus dorsi musculocutaneous flap, and finally early radiotherapy by high-dose radiation delivered to the entire area. The advantages of the procedure are briefly discussed.
描述了一种治疗腋部转移性臂丛神经病变的新方法。该方法可用于先前接受过乳腺癌根治性乳房切除术并随后进行放疗的患者。该方法包括对臂丛神经束进行外部神经松解、切除病理性腋窝内容物以及覆盖其上的萎缩性皮肤和皮下组织、用背阔肌肌皮瓣重建腋窝，最后对整个区域进行高剂量早期放疗。简要讨论了该手术的优点。
