Kett K
III. Chirurgische Klinik der Universität Pécs, Komitatskrankenhaus Baranya.
Langenbecks Arch Chir Suppl Kongressbd. 1997;114:1219-21.
Lymph stasis detectable by means of breast lymphography and which developed as a consequence of axillary lymph node metastases has proved to be a valuable factor in the prognosis of breast cancer. As with secondary lymphedema, lymph vessels were found to be dilated, which was regarded as a consequence of tumoral obstruction, and the elevated pressure in these lymph vessels may cause hematogenous spread of the tumors through venous shunts. Significant correlation between preoperative lymphographic findings and the incidence of distant forming 5 years postoperatively was also found, which leads to the conclusion that the distant metastases exist prior to the operation can account for the late tumor recurrence.
通过乳腺淋巴造影可检测到的、因腋窝淋巴结转移而出现的淋巴淤滞，已被证明是乳腺癌预后的一个重要因素。与继发性淋巴水肿一样，发现淋巴管扩张，这被认为是肿瘤阻塞的结果，这些淋巴管内压力升高可能导致肿瘤通过静脉分流发生血行转移。还发现术前淋巴造影结果与术后5年远处转移的发生率之间存在显著相关性，由此得出结论，术前存在的远处转移可解释肿瘤的晚期复发。
