关键词: Breast cancer chylous leakage elemene meglumine diatrizoate modified radical surgery post-operative drainage

Mesh : Axilla Breast Neoplasms / surgery Female Humans Lymph Node Excision Mastectomy / adverse effects Mastectomy, Modified Radical Middle Aged

来  源:   DOI:10.1177/03000605211021375   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
The post-operative complication of chylous leakage after breast cancer is relatively rare, and few clinical studies have been published. We report a 64-year-old woman with chylous leakage following modified radical mastectomy. We describe the patient\'s diagnostic and treatment process in detail. The patient was diagnosed with grade II (left) breast invasive ductal carcinoma. Post-operatively, the patient\'s chest wall and axilla were pressurized, and negative pressure drainage was initiated. On the fifth post-operative day, the drainage from the chest wall and axilla increased significantly, and the patient developed chylous leakage on the eighth postoperative day. We injected meglumine diatrizoate (100 mL) and elemene (10 mL) into the patient\'s axilla, and the chylous leakage gradually resolved 18 days post-operatively. In this report, we focus on managing a case of chylous leakage after modified radical mastectomy for breast cancer. Meglumine diatrizoate combined with elemene is a possible treatment for the management of this rare complication.
摘要:
乳腺癌术后乳糜漏的术后并发症相对罕见,很少有临床研究发表。我们报告了一名64岁的女性,在改良根治术后出现乳糜漏。我们详细描述了患者的诊断和治疗过程。患者被诊断为II级(左)乳腺浸润性导管癌。术后,病人的胸壁和腋窝被加压,开始负压引流。术后第五天,胸壁和腋窝的引流明显增加,患者在术后第八天出现乳糜漏。我们将泛影葡胺(100毫升)和榄香烯(10毫升)注射到患者的腋下,术后18天乳糜漏逐渐消退。在这份报告中,我们重点处理一例乳腺癌改良根治术后发生乳糜漏的病例.泛影葡胺联合榄香烯是治疗这种罕见并发症的可能方法。
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