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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Prof. Dr. Károly Kett
7625 Pécs Hunyadi u. 19/1
Ungarn
Phone: 36/72/21 53 56
Email: kkett@t-online.hu
