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Aggravated Primary Lymphedema of Contralateral Upper Limb After the Radical Mastectomy: A Case Report
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摘要: 淋巴水肿是近年来康复医学领域广泛关注的热点问题, 以手法淋巴引流(manual lymphatic drainage, MLD)为关键技术的淋巴水肿综合消肿治疗正在全国各地迅速开展。本文报道1例由一侧乳腺癌根治手术诱发对侧躯干和上肢原发性淋巴水肿加重的罕见病例, 患者通过MLD治疗获得缓解。通过回顾本病例诊治过程, 可加深对淋巴水肿发病机制复杂性的认识, 并为临床个体化诊疗提供借鉴。Abstract: Lymphedema is a hot issue that has attracted wide attention in the field of rehabilitation medicine in recent years. The complex decongestive therapy of lymphedema including manual lymphatic drainage(MLD) as the key technology is developing rapidly all over the country.We report a rare case of aggravated primary lymphedema in the contralateral limb and trunk after radical mastectomy. The patient achieved remission through MLD treatment. By reviewing the diagnosis and treatment of this case, we can deepen the understanding of the complexity of the pathogenesis of lymphedema and provide reference for individualized diagnosis and treatment of lymphedema.作者贡献：刘颖负责病例诊治及论文撰写；潘伟人负责病例分析、论文修改并提供文献资料；关竞红负责乳腺癌的临床诊断和评估；赵沃娃协助查阅文献资料；龙笑负责淋巴水肿的诊断、病例分析及论文修改。利益冲突：所有作者均声明不存在利益冲突注：本研究已通过北京协和医院伦理委员会审批(审批号：S-K1885)。
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图 1 患者站立位躯干及上肢外观
A.躯干和上肢前面观：左乳房缺如(术后)，右侧胸部、右上肢及右手肿胀，左上肢无明显异常；B.躯干和上肢后面观：右侧背部、右上肢肿胀，左侧背部、左上肢无明显异常
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