Serveur d'exploration sur le lymphœdème

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Axillary reverse lymphatic mapping in breast cancer surgery: a comprehensive review

Identifieur interne : 002F13 ( Main/Exploration ); précédent : 002F12; suivant : 002F14

Axillary reverse lymphatic mapping in breast cancer surgery: a comprehensive review

Auteurs : Nazgol Seyednejad [Canada] ; Urve Kuusk ; Sam M. Wiseman

Source :

RBID : Pascal:14-0219500

Descripteurs français

English descriptors

Abstract

Axillary reverse lymphatic mapping (ARM) is a surgical technique that was first described in 2007 as a method for preserving the lymphatic drainage of the arm during sentinel lymph node biopsy (SLNB) or axillary lymph node dissection (ALND) for breast cancer. We found that the ARM technique had several limitations that include a poor success rate for identification of arm lymph nodes (ARM nodes) and lymphatics. The occurrence of common lymphatic drainage pathways of the arm and the breast in a subset of patients also raises concerns regarding its oncological soundness. Furthermore, the effectiveness of the ARM procedure in reducing lymphedema risk in breast cancer patients that undergo a variety of treatments, has yet to be clearly defined.


Affiliations:


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Le document en format XML

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<term>Anatomic pathology</term>
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<term>Biopsy</term>
<term>Breast cancer</term>
<term>Lymphadenectomy</term>
<term>Lymphatic</term>
<term>Lymphatic system</term>
<term>Lymphedema</term>
<term>Reversibility</term>
<term>Review</term>
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<term>Axillaire</term>
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<term>Cancer du sein</term>
<term>Chirurgie</term>
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<term>Revue bibliographique</term>
<term>Ganglion axillaire</term>
<term>Lymphadénectomie</term>
<term>Biopsie</term>
<term>Anatomopathologie</term>
<term>Lymphoedème</term>
<term>Ganglion sentinelle</term>
<term>Traitement</term>
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<div type="abstract" xml:lang="en">Axillary reverse lymphatic mapping (ARM) is a surgical technique that was first described in 2007 as a method for preserving the lymphatic drainage of the arm during sentinel lymph node biopsy (SLNB) or axillary lymph node dissection (ALND) for breast cancer. We found that the ARM technique had several limitations that include a poor success rate for identification of arm lymph nodes (ARM nodes) and lymphatics. The occurrence of common lymphatic drainage pathways of the arm and the breast in a subset of patients also raises concerns regarding its oncological soundness. Furthermore, the effectiveness of the ARM procedure in reducing lymphedema risk in breast cancer patients that undergo a variety of treatments, has yet to be clearly defined.</div>
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