Identification and description of the axillary web syndrome (AWS) by clinical signs, MRI and US imaging.
Identifieur interne : 002A11 ( Main/Exploration ); précédent : 002A10; suivant : 002A12Identification and description of the axillary web syndrome (AWS) by clinical signs, MRI and US imaging.
Auteurs : O. Leduc ; E. Fumière ; S. Banse ; C. Vandervorst ; A. Clément ; T. Parijs ; F. Wilputte ; F. Maquerlot ; M. Ezquer Echandia ; A. Tinlot ; A. LeducSource :
- Lymphology [ 0024-7766 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Aisselle (), Aisselle (anatomopathologie), Aisselle (imagerie diagnostique), Biopsie de noeud lymphatique sentinelle (effets indésirables), Bras (anatomopathologie), Bras (imagerie diagnostique), Femelle, Humains, Imagerie par résonance magnétique, Lymphadénectomie (effets indésirables), Lymphoedème (diagnostic), Lymphoedème (imagerie diagnostique), Lymphoedème (étiologie), Mastectomie, Mastectomie partielle, Sensibilité et spécificité, Sujet âgé, Syndrome, Tumeurs du sein (), Vaisseaux lymphatiques (anatomopathologie), Vaisseaux lymphatiques (imagerie diagnostique), Échographie.
- MESH :
- anatomopathologie : Aisselle, Bras, Vaisseaux lymphatiques.
- diagnostic : Lymphoedème.
- effets indésirables : Biopsie de noeud lymphatique sentinelle, Lymphadénectomie.
- imagerie diagnostique : Aisselle, Bras, Lymphoedème, Vaisseaux lymphatiques.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Aisselle, Femelle, Humains, Imagerie par résonance magnétique, Mastectomie, Mastectomie partielle, Sensibilité et spécificité, Sujet âgé, Syndrome, Tumeurs du sein, Échographie.
English descriptors
- KwdEn :
- Adult, Aged, Arm (diagnostic imaging), Arm (pathology), Axilla (diagnostic imaging), Axilla (pathology), Axilla (surgery), Breast Neoplasms (surgery), Female, Humans, Lymph Node Excision (adverse effects), Lymphatic Vessels (diagnostic imaging), Lymphatic Vessels (pathology), Lymphedema (diagnosis), Lymphedema (diagnostic imaging), Lymphedema (etiology), Magnetic Resonance Imaging, Mastectomy, Mastectomy, Segmental, Middle Aged, Sensitivity and Specificity, Sentinel Lymph Node Biopsy (adverse effects), Syndrome, Ultrasonography.
- MESH :
- adverse effects : Lymph Node Excision, Sentinel Lymph Node Biopsy.
- diagnosis : Lymphedema.
- diagnostic imaging : Arm, Axilla, Lymphatic Vessels, Lymphedema.
- etiology : Lymphedema.
- pathology : Arm, Axilla, Lymphatic Vessels.
- surgery : Axilla, Breast Neoplasms.
- Adult, Aged, Female, Humans, Magnetic Resonance Imaging, Mastectomy, Mastectomy, Segmental, Middle Aged, Sensitivity and Specificity, Syndrome, Ultrasonography.
Abstract
The Axillary Web Syndrome (AWS) follows surgery for breast neoplasia and consists of one, or more frequently two or three, cords of subcutaneous tissue. Cords originate from the axilla, spread to the antero-medial surface of the arm down to the elbow and then move into the antero-medial aspect of the forearm and sometimes into the root of the thumb. The purpose of this study was to compare two techniques, ultrasound (US) and Magnetic Resonance Imaging (MRI) for their sensitivity and accuracy in identifying AWS cords and to provide insights to the origin of this pathology. US examinations were performed on fifteen patients using a high frequency probe (17 MHz). We first palpated and marked the cord with location aided by maximum abduction. To identify the cord with MRI (1.5 Tesla), a catheter filled with a gel detectable under MRI was placed on the skin at the site of the cord. We found that in some US cases, the dynamic abduction maneuver was essential to facilitate detection of the cord. This dynamic method on ultrasound confirmed the precise location of the cord even if it was located deeper in the hypodermis fascia junction. US and MRI images revealed features of the cords and surrounding tissues. Imaging the cords was difficult with either of the imaging modalities. However, US seemed to be more efficient than MRI and allowed dynamic evaluation. Overall analysis of our study results supports a lymphatic origin of the AWS cord.
PubMed: 25915977
Affiliations:
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Parijs</name></author><author><name sortKey="Wilputte, F" sort="Wilputte, F" uniqKey="Wilputte F" first="F" last="Wilputte">F. Wilputte</name></author><author><name sortKey="Maquerlot, F" sort="Maquerlot, F" uniqKey="Maquerlot F" first="F" last="Maquerlot">F. Maquerlot</name></author><author><name sortKey="Ezquer Echandia, M" sort="Ezquer Echandia, M" uniqKey="Ezquer Echandia M" first="M" last="Ezquer Echandia">M. Ezquer Echandia</name></author><author><name sortKey="Tinlot, A" sort="Tinlot, A" uniqKey="Tinlot A" first="A" last="Tinlot">A. Tinlot</name></author><author><name sortKey="Leduc, A" sort="Leduc, A" uniqKey="Leduc A" first="A" last="Leduc">A. 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Leduc</name></author><author><name sortKey="Fumiere, E" sort="Fumiere, E" uniqKey="Fumiere E" first="E" last="Fumière">E. Fumière</name></author><author><name sortKey="Banse, S" sort="Banse, S" uniqKey="Banse S" first="S" last="Banse">S. Banse</name></author><author><name sortKey="Vandervorst, C" sort="Vandervorst, C" uniqKey="Vandervorst C" first="C" last="Vandervorst">C. Vandervorst</name></author><author><name sortKey="Clement, A" sort="Clement, A" uniqKey="Clement A" first="A" last="Clément">A. Clément</name></author><author><name sortKey="Parijs, T" sort="Parijs, T" uniqKey="Parijs T" first="T" last="Parijs">T. Parijs</name></author><author><name sortKey="Wilputte, F" sort="Wilputte, F" uniqKey="Wilputte F" first="F" last="Wilputte">F. Wilputte</name></author><author><name sortKey="Maquerlot, F" sort="Maquerlot, F" uniqKey="Maquerlot F" first="F" last="Maquerlot">F. Maquerlot</name></author><author><name sortKey="Ezquer Echandia, M" sort="Ezquer Echandia, M" uniqKey="Ezquer Echandia M" first="M" last="Ezquer Echandia">M. Ezquer Echandia</name></author><author><name sortKey="Tinlot, A" sort="Tinlot, A" uniqKey="Tinlot A" first="A" last="Tinlot">A. Tinlot</name></author><author><name sortKey="Leduc, A" sort="Leduc, A" uniqKey="Leduc A" first="A" last="Leduc">A. Leduc</name></author></analytic><series><title level="j">Lymphology</title><idno type="ISSN">0024-7766</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Arm (diagnostic imaging)</term><term>Arm (pathology)</term><term>Axilla (diagnostic imaging)</term><term>Axilla (pathology)</term><term>Axilla (surgery)</term><term>Breast Neoplasms (surgery)</term><term>Female</term><term>Humans</term><term>Lymph Node Excision (adverse effects)</term><term>Lymphatic Vessels (diagnostic imaging)</term><term>Lymphatic Vessels (pathology)</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (etiology)</term><term>Magnetic Resonance Imaging</term><term>Mastectomy</term><term>Mastectomy, Segmental</term><term>Middle Aged</term><term>Sensitivity and Specificity</term><term>Sentinel Lymph Node Biopsy (adverse effects)</term><term>Syndrome</term><term>Ultrasonography</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle ()</term><term>Aisselle (anatomopathologie)</term><term>Aisselle (imagerie diagnostique)</term><term>Biopsie de noeud lymphatique sentinelle (effets indésirables)</term><term>Bras (anatomopathologie)</term><term>Bras (imagerie diagnostique)</term><term>Femelle</term><term>Humains</term><term>Imagerie par résonance magnétique</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème (diagnostic)</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphoedème (étiologie)</term><term>Mastectomie</term><term>Mastectomie partielle</term><term>Sensibilité et spécificité</term><term>Sujet âgé</term><term>Syndrome</term><term>Tumeurs du sein ()</term><term>Vaisseaux lymphatiques (anatomopathologie)</term><term>Vaisseaux lymphatiques (imagerie diagnostique)</term><term>Échographie</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term><term>Sentinel Lymph Node Biopsy</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Aisselle</term><term>Bras</term><term>Vaisseaux lymphatiques</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Arm</term><term>Axilla</term><term>Lymphatic Vessels</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Biopsie de noeud lymphatique sentinelle</term><term>Lymphadénectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Aisselle</term><term>Bras</term><term>Lymphoedème</term><term>Vaisseaux lymphatiques</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Arm</term><term>Axilla</term><term>Lymphatic Vessels</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Axilla</term><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Mastectomy</term><term>Mastectomy, Segmental</term><term>Middle Aged</term><term>Sensitivity and Specificity</term><term>Syndrome</term><term>Ultrasonography</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Femelle</term><term>Humains</term><term>Imagerie par résonance magnétique</term><term>Mastectomie</term><term>Mastectomie partielle</term><term>Sensibilité et spécificité</term><term>Sujet âgé</term><term>Syndrome</term><term>Tumeurs du sein</term><term>Échographie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The Axillary Web Syndrome (AWS) follows surgery for breast neoplasia and consists of one, or more frequently two or three, cords of subcutaneous tissue. Cords originate from the axilla, spread to the antero-medial surface of the arm down to the elbow and then move into the antero-medial aspect of the forearm and sometimes into the root of the thumb. The purpose of this study was to compare two techniques, ultrasound (US) and Magnetic Resonance Imaging (MRI) for their sensitivity and accuracy in identifying AWS cords and to provide insights to the origin of this pathology. US examinations were performed on fifteen patients using a high frequency probe (17 MHz). We first palpated and marked the cord with location aided by maximum abduction. To identify the cord with MRI (1.5 Tesla), a catheter filled with a gel detectable under MRI was placed on the skin at the site of the cord. We found that in some US cases, the dynamic abduction maneuver was essential to facilitate detection of the cord. This dynamic method on ultrasound confirmed the precise location of the cord even if it was located deeper in the hypodermis fascia junction. US and MRI images revealed features of the cords and surrounding tissues. Imaging the cords was difficult with either of the imaging modalities. However, US seemed to be more efficient than MRI and allowed dynamic evaluation. Overall analysis of our study results supports a lymphatic origin of the AWS cord.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Banse, S" sort="Banse, S" uniqKey="Banse S" first="S" last="Banse">S. Banse</name><name sortKey="Clement, A" sort="Clement, A" uniqKey="Clement A" first="A" last="Clément">A. Clément</name><name sortKey="Ezquer Echandia, M" sort="Ezquer Echandia, M" uniqKey="Ezquer Echandia M" first="M" last="Ezquer Echandia">M. Ezquer Echandia</name><name sortKey="Fumiere, E" sort="Fumiere, E" uniqKey="Fumiere E" first="E" last="Fumière">E. Fumière</name><name sortKey="Leduc, A" sort="Leduc, A" uniqKey="Leduc A" first="A" last="Leduc">A. Leduc</name><name sortKey="Leduc, O" sort="Leduc, O" uniqKey="Leduc O" first="O" last="Leduc">O. Leduc</name><name sortKey="Maquerlot, F" sort="Maquerlot, F" uniqKey="Maquerlot F" first="F" last="Maquerlot">F. Maquerlot</name><name sortKey="Parijs, T" sort="Parijs, T" uniqKey="Parijs T" first="T" last="Parijs">T. Parijs</name><name sortKey="Tinlot, A" sort="Tinlot, A" uniqKey="Tinlot A" first="A" last="Tinlot">A. Tinlot</name><name sortKey="Vandervorst, C" sort="Vandervorst, C" uniqKey="Vandervorst C" first="C" last="Vandervorst">C. Vandervorst</name><name sortKey="Wilputte, F" sort="Wilputte, F" uniqKey="Wilputte F" first="F" last="Wilputte">F. Wilputte</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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