J Breast Cancer.  2012 Mar;15(1):133-134. 10.4048/jbc.2012.15.1.133.

Chylous Leakage: A Rare Complication after Axillary Lymph Node Dissection in Breast Cancer and Surgical Management

Affiliations
  • 1Department of Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea. dosangs@catholic.ac.kr

Abstract

Chylous leakage is an extremely rare complication of surgery for breast cancer. We experienced a case of chylous leakage after axillary lymph node dissection. A 38-year-old woman with invasive ductal carcinoma in the left breast underwent a modified radical mastectomy after four cycles of neoadjuvant chemotherapy. The postoperative serosanguinous drainage fluid became "milky" on the fourth postoperative day. After trying conservative management, we re-explored the axilla and ligated the lymphatic trunk. Although the success of many cases supports conservative management, timely surgical intervention represents an alternative in cases where leakage persists or where the output is high.

Keyword

Breast neoplasms; Chyle; Lymph node excision; Surgical procedures

MeSH Terms

Adult
Axilla
Breast
Breast Neoplasms
Carcinoma, Ductal
Chyle
Drainage
Female
Humans
Lymph Node Excision
Lymph Nodes
Mastectomy, Modified Radical

Figure

  • Figure 1 Operative findings. The clear fluid is running from one duct (black arrow).


Cited by  1 articles

Postmastectomy/Axillary Node Dissection Chyloma: The Additional Value of SPECT/CT Lymphoscintigraphy
Sue Ping Thang, Aaron Kian Ti Tong, David Chee Eng Ng
J Breast Cancer. 2014;17(3):291-294.    doi: 10.4048/jbc.2014.17.3.291.


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