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Axillary reverse mapping: Is it feasible in locally advanced breast cancer patients?

Identifieur interne : 002D21 ( Main/Exploration ); précédent : 002D20; suivant : 002D22

Axillary reverse mapping: Is it feasible in locally advanced breast cancer patients?

Auteurs : Rohan Khandelwal [Inde] ; C U Poovamma [Inde] ; Chauhan Shilpy [Inde] ; M. Prema [Inde] ; Pais Anthony [Inde]

Source :

RBID : pubmed:24934169

Descripteurs français

English descriptors

Abstract

Axillary dissection is associated with a high incidence of lymphedema, which has been brought down with the introduction of sentinel lymph node biopsy (SLNB) in patients with early breast cancer. However, sentinel lymph node biopsy is not widely accepted in patients of locally advanced breast cancer (LABC) [T3N1, Any T4, Any N2-3 with no distant metastasis] after neo-adjuvant chemotherapy (NACT) and these patients routinely undergo axillary lymph node clearance. Axillary reverse mapping (ARM) with blue dye has the potential to differentiate the arm lymphatics from the breast lymphatics and it can be used to decrease lymphedema in patients undergoing ALND by preserving these lymphatics. However, ARM in LABC patients is yet to be accepted as the standard of care.

DOI: 10.3233/BD-140371
PubMed: 24934169


Affiliations:


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Le document en format XML

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<div type="abstract" xml:lang="en">Axillary dissection is associated with a high incidence of lymphedema, which has been brought down with the introduction of sentinel lymph node biopsy (SLNB) in patients with early breast cancer. However, sentinel lymph node biopsy is not widely accepted in patients of locally advanced breast cancer (LABC) [T3N1, Any T4, Any N2-3 with no distant metastasis] after neo-adjuvant chemotherapy (NACT) and these patients routinely undergo axillary lymph node clearance. Axillary reverse mapping (ARM) with blue dye has the potential to differentiate the arm lymphatics from the breast lymphatics and it can be used to decrease lymphedema in patients undergoing ALND by preserving these lymphatics. However, ARM in LABC patients is yet to be accepted as the standard of care.</div>
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