国际肿瘤学杂志 ›› 2015, Vol. 42 ›› Issue (11): 849-851.doi: 10.3760/cma.j.issn.1673422X.2015.11.014

• 综述 • 上一篇    下一篇

腋窝反向淋巴作图及其在乳腺癌术中的应用

钱立宇,钱军   

  1. 233000 蚌埠医学院第一附属医院肿瘤外科
  • 出版日期:2015-11-08 发布日期:2015-09-30
  • 通讯作者: 钱军,Email:qianjun215036@sina.com E-mail:qianjun215036@sina.com

Axillary reverse mapping in surgical treatment of breast cancer

Qian Liyu,Qian Jun.   

  1. Department of Oncology Surgery, First Affiliated Hospital of Bengbu Medical College, Bengbu 233000, China
  • Online:2015-11-08 Published:2015-09-30
  • Contact: Qian Jun E-mail:qianjun215036@sina.com

摘要: 腋窝反向淋巴作图(ARM)以乳腺和上肢淋巴注入到不同腋窝淋巴群为解剖理论基础,在腋窝淋巴结切除术和(或)前哨淋巴结切除术中通过不同的示踪剂显示上肢淋巴管道并加以保护,减少术后上肢水肿的发生。ARM的效果值得肯定,但其安全性及ARM淋巴结与前哨淋巴结的关系存在一定争议。

关键词: 淋巴结切除术, 乳腺肿瘤, 淋巴水肿, 腋窝反向作图

Abstract: Axillary reverse mapping (ARM) is anatomic theoretical foundation based on breast and upper limb lymph axillary lymph injected into different lymphatic populations, ARM can display upper limb lymphatic channels through different tracers during the periods of axillary lymph node dissection and sentinel lymph node dissection, to reduce the rate of postoperative upper extremity edema. Although ARM has a positive effect, it exists a controversy in safety and the relationship between its node and sentinel lymph node.

Key words: Lymph node excision, Breast neoplasms, Lymphedema, Axillary reverse mapping