Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492008005000002
Jornal Vascular Brasileiro
Review Article

Avaliação das compensações linfáticas no pós-operatório de câncer de mama com dissecção axilar através da linfocintilografia

Evaluation of lymphatic compensation by lymphoscintigraphy in the postoperative period of breast cancer surgery with axillary dissection

Laura Ferreira de Rezende; Felipe Villela Pedras; Celso Dario Ramos; Maria Salete Costa Gurgel

Downloads: 1
Views: 1247

Resumo

O sistema linfático é um componente do corpo humano intimamente relacionado ao sistema venoso. Entretanto, o conhecimento científico a seu respeito é limitado. A etiologia e os fatores de risco para o desenvolvimento do linfedema no pós-operatório de câncer de mama são multifatoriais e ainda não foram completamente esclarecidos. O objetivo desta revisão da literatura foi descrever o padrão linfocintilográfico e avaliar as compensações linfáticas do membro superior no pós-operatório de câncer de mama com dissecção axilar.

Palavras-chave

Sistema linfático, drenagem linfática, dissecção axilar, linfocintilografia, câncer de mama

Abstract

The lymphatic system is a component of the human body that is closely related to the venous system. However, scientific knowledge of this system is limited. The etiology and risk factors for the development of postoperative lymphedema in patients with breast cancer seem to be multifactorial and have not been fully understood yet. The objective of this review of the literature was to describe lymphoscintigraphic pattern and to evaluate upper limb lymphatic compensation following breast cancer surgery with axillary dissection.

Keywords

Lymphatic system, lymphatic drainage, axillary dissection, lymphoscintigraphy, breast cancer

Referências

. 2007.

Soran A, D"Angelo G, Begovic M. Breast cancer-related lymphedema: what are the significant predictors and how they affect the severity of lymphedema?. Breast J. 2006;12:536-43.

Werner RS, McCormick B, Petrek J, Cox L, Cirrincione C, Gray JR. Arm edema in conservatively managed breast cancer: obesity is a major predictive factor. Radiology. 1991;180:177-84.

Guedes Neto HI. Arm edema after treatment for breast cancer. Lymphology. 1997;30:35-6.

Warren AG, Brorson H, Borud LJ, Slavin SA. Lymphedema: a comprehensive review. Ann Plast Surg. 2007;59:464-72.

Lee TS, Kilbreath SL, Refshauge KM, Herbert RD, Beith JM. Prognosis of the upper limb following surgery and radiation for breast cancer. Breast Cancer Res Treat. 2008;110:19-37.

Szuba A, Shin WS, Strauss HW, Rockson S. The third circulation: radionuclide lymphoscintigraphy in the evaluation of lymphedema. J Nucl Med. 2003;44:43-57.

Consensus Document of International Society of Lymphology: The diagnosis and treatment of peripheral lymphedema. Lymphology. 2003;36:84-91.

Vignes S, Arrault M, Dupuy A. Factors associated with increased breast cancer-related lymphedema volume. Acta Oncol. 2007;46:1138-42.

Kiel KD, Rademacker AW. Early stage breast cancer: arm edema after wide excision and breast irradiation. Radiology. 1996;198:279-83.

Foldi E, Foldi M, Clodius L. The lymphedema chaos: a lancet. Ann Plast Surg. 1989;22:505-15.

Gashev AA, Zawieja DC. Physiology of human lymphatic contractility: a historical perspective. Lymphology. 2001;34:124-34.

Guyton AC. Tratado de Fisiologia Medica. 1998.

Suami H, Pan WR, Taylor GI. Changes in the lymph structure of the upper limb after axillary dissection: radiographic and anatomical study in human cadaver. Plast Reconstr Surg. 2007;120:982-91.

Kim C, Li B, Papaiconomou C, Zakharov A, Johnston M. Functional impact of lymphangiogenesis on fluid transport after lymph node excision. Lymphology. 2003;36:111-9.

Clodius L. Minimizing secondary arm lymphedema from axillary dissection. Lymphology. 2001;34:106-10.

Howarth DM. Increased lymphoscintigraphy flow pattern in the lower extremity under evaluation for lymphedema. Mayo Clin Proc. 1997;72:423-9.

Hwang JH, Kwon JY, Lee KW. Changes in lymphatic function after complex physical therapy for lymphedema. Lymphology. 1999;32:15-21.

Bourgeois P, Leduc O, Leduc A. Imaging techniques in the management and prevention of posttherapeutic upper limb edemas. Cancer. 1998;83(^s12 Suppl American):2805-13.

Svensson W, Glass DM, Bradley D, Peters AM. Measurement of lymphatic function with technetium-99m-labelled polyclonal immunoglobulin. Eur J Nucl Med. 1999;26:504-10.

Gloviczki P, Calcagno D, Schirger A. Noninvasive evaluation of the swollen extremity: experiences with 190 lymphoscintigraphy examinations. J Vasc Surg. 1989;9:683-9.

Yuan Z, Chen L, Luo Q, Zhu J, Lu H, Zhu R. The role of radionuclide lymphoscintigraphy in extremity lymphedema. Ann Nucl Med. 2006;20:341-4.

Scarsbrook AF, Ganeshan A, Bradley KM. Pearls and pitfalls of radionuclide imaging of the lymphatic system: Part 2: evaluation of extremity lymphoedema. Bri J Radiol. 2007;80:219-26.

Williams WH, Witte CL, Witte MH, Mcneill GC. Radionuclide lymphangioscintigraphy in the evaluation of peripheral lymphedema. Clin Nucl Med. 2000;25:451-64.

Cambria RA, Gloviczki P, Naessens JM, Wahner HW. Noninvasive evaluation of the lymphatic system with lymphoscintigraphy: a prospective, semiquantitative analysis in 386 extremities. J Vasc Surg. 1993;18:773-82.

O'Mahony S, Rose SL, Chilvers AJ. Finding an optimal method for imaging lymphatic vessels of the upper limb. Eur J Nucl Med Mol Imaging. 2004;31:555-63.

Szuba A, Strauss W, Sirsikar SP, Rockson SG. Quantitative radionuclide lymphoscintigraphy predicts outcome of manual lymphatic therapy in breast cancer-related lymphedema of the upper extremity. Nucl Med Commun. 2002;23:1171-5.

Ter SE, Alavi A, Kim CK, Merli G. Lymphoscintigraphy: A reliable test for the diagnosis of lymphedema. Clin Nucl Med. 1993;18:646-54.

Lane KN, Dolan LB, Worsley D, Mckenzie DC. Upper extremity lymphatic function at rest and during exercise in breast cancer survivors with and without lymphedema compared with healthy controls. J Appl Physiol. 2007;103:917-25.

Weissleder H, Weissleder R. Lymphedema: evaluation of qualitative and quantitative lymphoscintigraphy in 238 patients. Radiology. 1988;167:729-35.

Petrek JA, Pressman PI, Smith RA. Lymphedema: current issues in research and management. CA Cancer J Clin. 2000;50:292-307.

Baulieu F, Itti R, Taieb W, Richard G, Martinat H, Barsotti J. Lymphoscintigraphy: A predictive test of post-traumatic lymphedema of the lower limbs. Rev Chir Orthop Reparatrice Appar Mot. 1985;71:327-32.

Nos C, Lesieur B, Clough KB, Lecuru F. Blue dye injection in the arm in order to conserve the lymphatic drainage of the arm in breast cancer patients requiring an axillary dissection. Ann Surg Oncol. 2007;14:2490-6.

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
5ddd47e20e882578511da3e9 jvb Articles
Links & Downloads

J Vasc Bras

Share this page
Page Sections