Bianca T, Gasso G, Sangiorgio S, Grillo S, Distefano F, Genovese G
Chir Ital. 1982 Oct;34(5):693-708.
The authors, after shortly outlining some pathogenetic theories about postmastectomy "big arm", especially dwell upon the theory of the hindered venous discharge. They, subsequently, through a clear and interesting phlebographic iconography, illustrate ten of the 41 cases suffering from such syndrome, they recently had the opportunity to observe. On the basis of their own experience, and according to part of the literature thereabout, the authors think very probably the postmastectomy "big arm" is to be ascribed to the hindered venous reflux of upper limb (for thrombosis or compression), due to the operation of mastectomy. As a conclusion, they suggest the improvement or recovery of this syndrome by stepping over the stenosed venous tract through a by-pass.
作者们在简要概述了一些关于乳房切除术后“大手臂”的发病机制理论后，特别详述了静脉回流受阻理论。随后，他们通过清晰且有趣的静脉造影图像，展示了他们最近有机会观察到的41例患有该综合征病例中的10例。基于他们自己的经验，并根据相关文献的部分内容，作者们认为乳房切除术后“大手臂”很可能归因于乳房切除术导致的上肢静脉回流受阻（因血栓形成或受压）。作为结论，他们建议通过旁路跨过狭窄的静脉段来改善或治愈该综合征。
