Historical Review of Breast Lymphatic Studies
Historical Review of Breast Lymphatic Studies
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DOI：
10.1002/ca.20812
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发表时间：
2009-07-01
期刊：
影响因子：
2.4
通讯作者：
Taylor, G. Ian
中科院分区：
文献类型：
--
作者：
Suami, Hiroo;Pan, Wei-Ren;Taylor, G. Ian
淋巴系统的大体解剖是解剖学中研究最少的领域之一，主要是因为在展示这个几乎不可见但巨大的系统时遇到了技术困难。同样，很少有研究成人乳房的淋巴解剖。以前的研究使用年轻的怀孕女性尸体。当汞被注入输乳管或乳房淋巴管时，这些尸体使早期解剖学家能够看到乳房的解剖学。Cruikshank（1786）和库珀（1840）都定位了腋淋巴通路以及直接来自乳房的旁道。Sappey（1874）得出结论，所有来自乳房的分泌物都通过乳晕下丛流入腋窝。目前对乳房解剖学的描述可以追溯到Poirier和Cuneo（1902年）的图表。然而，很明显，这张图是由Sappey的成人乳房研究、他们的胎儿研究甚至临床反馈组成的。这项研究提供了一个历史的角度来看，以前已经被用来研究乳房的解剖学的方法，并介绍了目前的调查方法的更新。临床解剖学22：531-536，2009。2009（C）2009 Wiley-Liss，Inc.
The gross anatomy of the lymphatic system is one of the least studied areas of anatomy, primarily because of the technical difficulties encountered in demonstrating this almost invisible yet vast system. Similarly, there have been very few studies of the gross lymphatic anatomy of the adult human breast. Previous studies used young pregnant female cadavers. When mercury was injected into the lactiferous ducts or breast lymphatic channels, these cadavers enabled early anatomists to see the breast lymphatics. Both Cruikshank (1786) and Cooper (1840) located the axillary lymph pathway as well as accessory pathways directly from the breast. Sappey (1874) concluded that all lymphatics arising from the breast drained into the axilla via the subareolar plexus. Current descriptions of the breast lymphatics may be traced back to the diagram made by Poirier and Cuneo (1902). However, it is apparent that this diagram is a composite of adult breast studies by Sappey, their fetal studies and even clinical feedback. This study provides an historical perspective of the methods that have been previously used to study the lymphatics of the breast and introduces an update on current investigative approaches. Clin. Anat. 22:531-536, 2009. 2009 (C) 2009 Wiley-Liss, Inc.