Intercostobrachial Nerves as a Novel Anatomic Landmark for Dividing the Axillary Space in Lymph Node Dissection
Identifieur interne : 003541 ( Main/Exploration ); précédent : 003540; suivant : 003542Intercostobrachial Nerves as a Novel Anatomic Landmark for Dividing the Axillary Space in Lymph Node Dissection
Auteurs : Jianyi Li [République populaire de Chine] ; Yang Zhang [République populaire de Chine] ; Wenhai Zhang [République populaire de Chine] ; Shi Jia [République populaire de Chine] ; Xi Gu [République populaire de Chine] ; Yan Ma [République populaire de Chine] ; Dan Li [République populaire de Chine]Source :
- ISRN Oncology [ 2090-5661 ] ; 2013.
Abstract
Url:
DOI: 10.1155/2013/279013
PubMed: 23401796
PubMed Central: 3563178
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Intercostobrachial Nerves as a Novel Anatomic Landmark for Dividing the Axillary Space in Lymph Node Dissection</title><author><name sortKey="Li, Jianyi" sort="Li, Jianyi" uniqKey="Li J" first="Jianyi" last="Li">Jianyi Li</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Breast Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Breast Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004</wicri:regionArea><wicri:noRegion>Liaoning 110004</wicri:noRegion></affiliation></author><author><name sortKey="Zhang, Yang" sort="Zhang, Yang" uniqKey="Zhang Y" first="Yang" last="Zhang">Yang Zhang</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Breast Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Breast Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004</wicri:regionArea><wicri:noRegion>Liaoning 110004</wicri:noRegion></affiliation></author><author><name sortKey="Zhang, Wenhai" sort="Zhang, Wenhai" uniqKey="Zhang W" first="Wenhai" last="Zhang">Wenhai Zhang</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Breast Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Breast Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004</wicri:regionArea><wicri:noRegion>Liaoning 110004</wicri:noRegion></affiliation></author><author><name sortKey="Jia, Shi" sort="Jia, Shi" uniqKey="Jia S" first="Shi" last="Jia">Shi Jia</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Breast Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Breast Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004</wicri:regionArea><wicri:noRegion>Liaoning 110004</wicri:noRegion></affiliation></author><author><name sortKey="Gu, Xi" sort="Gu, Xi" uniqKey="Gu X" first="Xi" last="Gu">Xi Gu</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Breast Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Breast Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004</wicri:regionArea><wicri:noRegion>Liaoning 110004</wicri:noRegion></affiliation></author><author><name sortKey="Ma, Yan" sort="Ma, Yan" uniqKey="Ma Y" first="Yan" last="Ma">Yan Ma</name><affiliation wicri:level="1"><nlm:aff id="I2">Ultrasound Diagnosis Center, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Ultrasound Diagnosis Center, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004</wicri:regionArea><wicri:noRegion>Liaoning 110004</wicri:noRegion></affiliation></author><author><name sortKey="Li, Dan" sort="Li, Dan" uniqKey="Li D" first="Dan" last="Li">Dan Li</name><affiliation wicri:level="1"><nlm:aff id="I3">Pathological Diagnosis Center, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Pathological Diagnosis Center, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004</wicri:regionArea><wicri:noRegion>Liaoning 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J:intercostobrachial:nerves:as</idno><idno type="wicri:Area/Main/Merge">003547</idno><idno type="wicri:Area/Main/Curation">003541</idno><idno type="wicri:Area/Main/Exploration">003541</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Intercostobrachial Nerves as a Novel Anatomic Landmark for Dividing the Axillary Space in Lymph Node Dissection</title><author><name sortKey="Li, Jianyi" sort="Li, Jianyi" uniqKey="Li J" first="Jianyi" last="Li">Jianyi Li</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Breast Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Breast Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004</wicri:regionArea><wicri:noRegion>Liaoning 110004</wicri:noRegion></affiliation></author><author><name sortKey="Zhang, Yang" sort="Zhang, Yang" uniqKey="Zhang Y" first="Yang" last="Zhang">Yang Zhang</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Breast Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Breast Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004</wicri:regionArea><wicri:noRegion>Liaoning 110004</wicri:noRegion></affiliation></author><author><name sortKey="Zhang, Wenhai" sort="Zhang, Wenhai" uniqKey="Zhang W" first="Wenhai" last="Zhang">Wenhai Zhang</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Breast Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Breast Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004</wicri:regionArea><wicri:noRegion>Liaoning 110004</wicri:noRegion></affiliation></author><author><name sortKey="Jia, Shi" sort="Jia, Shi" uniqKey="Jia S" first="Shi" last="Jia">Shi Jia</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Breast Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Breast Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004</wicri:regionArea><wicri:noRegion>Liaoning 110004</wicri:noRegion></affiliation></author><author><name sortKey="Gu, Xi" sort="Gu, Xi" uniqKey="Gu X" first="Xi" last="Gu">Xi Gu</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Breast Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Breast Surgery, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004</wicri:regionArea><wicri:noRegion>Liaoning 110004</wicri:noRegion></affiliation></author><author><name sortKey="Ma, Yan" sort="Ma, Yan" uniqKey="Ma Y" first="Yan" last="Ma">Yan Ma</name><affiliation wicri:level="1"><nlm:aff id="I2">Ultrasound Diagnosis Center, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Ultrasound Diagnosis Center, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004</wicri:regionArea><wicri:noRegion>Liaoning 110004</wicri:noRegion></affiliation></author><author><name sortKey="Li, Dan" sort="Li, Dan" uniqKey="Li D" first="Dan" last="Li">Dan Li</name><affiliation wicri:level="1"><nlm:aff id="I3">Pathological Diagnosis Center, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Pathological Diagnosis Center, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004</wicri:regionArea><wicri:noRegion>Liaoning 110004</wicri:noRegion></affiliation></author></analytic><series><title level="j">ISRN Oncology</title><idno type="ISSN">2090-5661</idno><idno type="eISSN">2090-567X</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Purpose</italic>. Our aim was to assess the feasibility of using the intercostobrachial nerves (ICBNs) as a possible new anatomic landmark for axillaries lymph node dissection in breast cancer patients. <italic>Background Data Summary</italic>. The preservation of ICBN is now an accepted procedure in this type of dissection; however, it could be improved further to reduce the number of postoperative complications. The axillary space is divided into lower and upper parts by the ICBN—a thorough investigation of the metastasis patterns in lymph nodes found in this area could supply new information leading to such improvements. <italic>Methods</italic>. Seventy-two breast cancer patients, all about to undergo lymph node dissection and with sentinel lymph nodes identified, were included in this trial. The lymph nodes were collected in two groups, from lower and upper axillary spaces, relative to the intercostobrachial nerves. The first group was further subdivided into sentinel (SLN) and nonsentinel (non-SLN) nodes. All lymph nodes were tested to detect macro- and micrometastasis. <italic>Results</italic>. All the sentinel lymph nodes were found under the intercostobrachial nerves; more than 10 lymph nodes were located in that space. Moreover, when lymph nodes macrometastasize or micrometastasize above the intercostobrachial nerves, we also observe metastasis-positive nodes under the nerves; when the lower group nodes show no metastasis, the upper group is also metastasis free. <italic>Conclusions</italic>. Our results show that the intercostobrachial nerves are good candidates for a new anatomic landmark to be used in lymph node dissection procedure.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Andersson, Y" uniqKey="Andersson Y">Y Andersson</name></author><author><name sortKey="Frisell, J" uniqKey="Frisell J">J Frisell</name></author><author><name sortKey="Sylvan, M" uniqKey="Sylvan M">M Sylvan</name></author><author><name sortKey="De Boniface, J" uniqKey="De Boniface J">J De Boniface</name></author><author><name sortKey="Bergkvist, L" uniqKey="Bergkvist L">L Bergkvist</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Beal, Sh" uniqKey="Beal S">SH Beal</name></author><author><name sortKey="Martinez, Sr" uniqKey="Martinez S">SR Martinez</name></author><author><name sortKey="Canter, Rj" uniqKey="Canter R">RJ Canter</name></author><author><name sortKey="Chen, Sl" uniqKey="Chen S">SL 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sortKey="Ma, Yan" sort="Ma, Yan" uniqKey="Ma Y" first="Yan" last="Ma">Yan Ma</name><name sortKey="Zhang, Wenhai" sort="Zhang, Wenhai" uniqKey="Zhang W" first="Wenhai" last="Zhang">Wenhai Zhang</name><name sortKey="Zhang, Yang" sort="Zhang, Yang" uniqKey="Zhang Y" first="Yang" last="Zhang">Yang Zhang</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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