Funktionale Anatomie des axillären Lymphsystems beim Mammakarzinom: Simultane Mamma- und Armlymphographie

Zusammenfassung

Mit direkter simultaner Lymphographie der Brust und des homolateralen Armes bei Patientinnen mit Mammakarzinom wird das Lymphsystem der Mamma mit besonderer Berücksichtigung tumorbedingter Veränderungen und deren prognostischer Beurteilung dargestellt. Die lymphographischen Untersuchungen ergaben, dass das Lymphsystem der befallenen Brust und das des homolateralen Arms nur im Bereich der zentralen axillären Lymphknotenstation zusammenfließen. Ferner wird die Möglichkeit einer Reduktion der postoperativen Morbidität diskutiert, wenn sich aufgrund des Ergebnisses der simultanen Lymphographie von Brust und homolateralem Arm überflüssige Erweiterungen der operativen axillären Dissektion vermeiden lassen.

Abstract

Based on the simultaneously performed direct lymphography of mamma and the homolateral upper extremity in patients with mammary carcinoma, the following issues were raised and discussed: Visualisation of the mammary lymphatic system by way of lymphography, with special respect to its lesions caused by the tumor and the prognostic evaluation of these lesions. The results of lymphographic examinations showed that the lymphatic system of the affected mamma and that of the homolateral arm only join in the region of the central axillary lymph node station. Furthermore, some problems related to postoperative morbidity were raised which, relying upon the findings of the simultaneously performed direct lymphography of the mamma and the homolateral arm, are provoked by the unnecessarily expanded operative dissection.

Schlüsselwörter

Mammakarzinom - Axilla - Lymphknoten

Key words

breast cancer - axillary lymph nodes

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