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阳性乳腺淋巴瘤:发生率,诊断和相关的危险因素
Mohamed Ibrahim1, Hany Habashy1, Sherif Monib2
1General Surgery Department, Fayoum University Hospital, Faiyum, Egypt.
Indian journal of surgical oncology
|October 30, 2023
概括
乳腺淋巴是不常见的,但与高BMI,更大的乳房和手术有关. 超声波可以通过测量皮肤和皮下厚度变化来帮助检测它.
科学领域:
- 在瘤学瘤学.
- 医疗成像医学成像
- 手术并发症 手术并发症
背景情况:
- 经过乳腺癌手术后的上肢淋巴瘤有记录,但乳腺淋巴瘤很少被研究.
- 鉴定乳腺淋巴风险因素和诊断方法对于患者护理至关重要.
研究的目的:
- 为了确定与乳腺淋巴瘤相关的危险因素.
- 评估乳腺超声波在评估乳腺淋巴 edem 的实用性.
主要方法:
- 对286名为乳腺癌进行局部切除术的患者进行病例系列分析.
- 手术后6个月和12个月的临床评估和乳房超声波扫描.
- 乳房皮肤/皮下厚度和细胞变化的比较.
主要成果:
- 乳腺淋巴在7.7%的患者 (22/286) 中被确诊,其定义是皮肤/皮下厚度增加≥5mm,与对侧乳房相比,没有显著的放射治疗变化.
- 确定的危险因素包括高体重指数 (BMI),更大的乳房体积,上外象限瘤和下淋巴结清除.
- 超声波显示了通过测量组织厚度来评估乳腺淋巴瘤的潜力.
结论:
- 在这个队列中,乳腺淋巴的发病率为7.7%.
- 高BMI,更大的乳腺体积,特定的瘤位置和下淋巴结清除与乳腺淋巴胀风险增加有关.
- 皮肤/皮下厚度≥5mm的差异可能表明乳腺淋巴瘤,特别是当放射治疗变化最小时.
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