Axillary web syndrome: nature and localization.
Identifieur interne : 006386 ( Main/Exploration ); précédent : 006385; suivant : 006387Axillary web syndrome: nature and localization.
Auteurs : O. Leduc [Belgique] ; M. Sichere ; A. Moreau ; J. Rigolet ; A. Tinlot ; S. Darc ; F. Wilputte ; J. Strapart ; T. Parijs ; A. Clément ; T. Snoeck ; F. Pastouret ; A. LeducSource :
- Lymphology [ 0024-7766 ] ; 2009.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Tumeurs du sein, Vaisseaux lymphatiques.
- diagnostic : Lymphoedème.
- effets indésirables : Lymphadénectomie.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Aisselle, Femelle, Humains, Pronostic, Sujet âgé, Syndrome, Taux de survie, Tumeurs du sein.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Lymph Node Excision.
- diagnosis : Lymphedema.
- etiology : Lymphedema.
- pathology : Breast Neoplasms, Lymphatic Vessels.
- surgery : Breast Neoplasms.
- Adult, Aged, Axilla, Female, Humans, Middle Aged, Prognosis, Survival Rate, Syndrome.
Abstract
Axillary Web Syndrome (AWS) is a complication that can arise in patients following treatment for breast cancer. It is also known variously as syndrome of the axillary cords, syndrome of the axillary adhesion, and cording lymphedema. The exact origin, presentation, course, and treatment of AWS is still largely undefined. Because so little is known about AWS, we undertook a case series study consisting of 15 women who had undergone breast cancer surgery and presented with AWS. All subjects received a clinical examination which included body size determination and detailed measurements of the size and location of the cords. The cords were found to originate from the axilla, continue on the medial aspect of the arm up to the epitrochlea region, then to the anteromedian aspect of the forearm, and finally reaching the base of the thumb. The cords averaged approximately 44% of the limb length. Correlation of the cord location with anatomical studies shows that in fact this path follows the specific course taken by the antero-radial pedicle which arises at the anterior aspect of the elbow from the brachial medial pedicule to anastomose in the axilla at the level of the lateral thoracic chain nodes. Although our series is small, the correspondence between the physical findings and the anatomical studies strongly supports the notion that the cords are lymphatic in origin.
PubMed: 20218085
Affiliations:
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Leduc</name><affiliation wicri:level="3"><nlm:affiliation>Haute Ecole P.H. Spaak, Département de Kinésithérapie, Unité de Lympho-Phlébologie, Bruxelles, Belgique. oleduc@skynet.be</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Haute Ecole P.H. Spaak, Département de Kinésithérapie, Unité de Lympho-Phlébologie, Bruxelles</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author><author><name sortKey="Sichere, M" sort="Sichere, M" uniqKey="Sichere M" first="M" last="Sichere">M. Sichere</name></author><author><name sortKey="Moreau, A" sort="Moreau, A" uniqKey="Moreau A" first="A" last="Moreau">A. Moreau</name></author><author><name sortKey="Rigolet, J" sort="Rigolet, J" uniqKey="Rigolet J" first="J" last="Rigolet">J. Rigolet</name></author><author><name sortKey="Tinlot, A" sort="Tinlot, A" uniqKey="Tinlot A" first="A" last="Tinlot">A. Tinlot</name></author><author><name sortKey="Darc, S" sort="Darc, S" uniqKey="Darc S" first="S" last="Darc">S. Darc</name></author><author><name sortKey="Wilputte, F" sort="Wilputte, F" uniqKey="Wilputte F" first="F" last="Wilputte">F. Wilputte</name></author><author><name sortKey="Strapart, J" sort="Strapart, J" uniqKey="Strapart J" first="J" last="Strapart">J. Strapart</name></author><author><name sortKey="Parijs, T" sort="Parijs, T" uniqKey="Parijs T" first="T" last="Parijs">T. Parijs</name></author><author><name sortKey="Clement, A" sort="Clement, A" uniqKey="Clement A" first="A" last="Clément">A. Clément</name></author><author><name sortKey="Snoeck, T" sort="Snoeck, T" uniqKey="Snoeck T" first="T" last="Snoeck">T. Snoeck</name></author><author><name sortKey="Pastouret, F" sort="Pastouret, F" uniqKey="Pastouret F" first="F" last="Pastouret">F. Pastouret</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="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Axilla</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (surgery)</term><term>Female</term><term>Humans</term><term>Lymph Node Excision (adverse effects)</term><term>Lymphatic Vessels (pathology)</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (etiology)</term><term>Middle Aged</term><term>Prognosis</term><term>Survival Rate</term><term>Syndrome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème (diagnostic)</term><term>Lymphoedème (étiologie)</term><term>Pronostic</term><term>Sujet âgé</term><term>Syndrome</term><term>Taux de survie</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (anatomopathologie)</term><term>Vaisseaux lymphatiques (anatomopathologie)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs du sein</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="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphatic Vessels</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><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>Axilla</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Prognosis</term><term>Survival Rate</term><term>Syndrome</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>Pronostic</term><term>Sujet âgé</term><term>Syndrome</term><term>Taux de survie</term><term>Tumeurs du sein</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Axillary Web Syndrome (AWS) is a complication that can arise in patients following treatment for breast cancer. It is also known variously as syndrome of the axillary cords, syndrome of the axillary adhesion, and cording lymphedema. The exact origin, presentation, course, and treatment of AWS is still largely undefined. Because so little is known about AWS, we undertook a case series study consisting of 15 women who had undergone breast cancer surgery and presented with AWS. All subjects received a clinical examination which included body size determination and detailed measurements of the size and location of the cords. The cords were found to originate from the axilla, continue on the medial aspect of the arm up to the epitrochlea region, then to the anteromedian aspect of the forearm, and finally reaching the base of the thumb. The cords averaged approximately 44% of the limb length. Correlation of the cord location with anatomical studies shows that in fact this path follows the specific course taken by the antero-radial pedicle which arises at the anterior aspect of the elbow from the brachial medial pedicule to anastomose in the axilla at the level of the lateral thoracic chain nodes. Although our series is small, the correspondence between the physical findings and the anatomical studies strongly supports the notion that the cords are lymphatic in origin.</div></front></TEI><affiliations><list><country><li>Belgique</li></country><region><li>Région de Bruxelles-Capitale</li></region><settlement><li>Bruxelles</li></settlement></list><tree><noCountry><name sortKey="Clement, A" sort="Clement, A" uniqKey="Clement A" first="A" last="Clément">A. Clément</name><name sortKey="Darc, S" sort="Darc, S" uniqKey="Darc S" first="S" last="Darc">S. Darc</name><name sortKey="Leduc, A" sort="Leduc, A" uniqKey="Leduc A" first="A" last="Leduc">A. Leduc</name><name sortKey="Moreau, A" sort="Moreau, A" uniqKey="Moreau A" first="A" last="Moreau">A. Moreau</name><name sortKey="Parijs, T" sort="Parijs, T" uniqKey="Parijs T" first="T" last="Parijs">T. Parijs</name><name sortKey="Pastouret, F" sort="Pastouret, F" uniqKey="Pastouret F" first="F" last="Pastouret">F. Pastouret</name><name sortKey="Rigolet, J" sort="Rigolet, J" uniqKey="Rigolet J" first="J" last="Rigolet">J. Rigolet</name><name sortKey="Sichere, M" sort="Sichere, M" uniqKey="Sichere M" first="M" last="Sichere">M. Sichere</name><name sortKey="Snoeck, T" sort="Snoeck, T" uniqKey="Snoeck T" first="T" last="Snoeck">T. Snoeck</name><name sortKey="Strapart, J" sort="Strapart, J" uniqKey="Strapart J" first="J" last="Strapart">J. Strapart</name><name sortKey="Tinlot, A" sort="Tinlot, A" uniqKey="Tinlot A" first="A" last="Tinlot">A. Tinlot</name><name sortKey="Wilputte, F" sort="Wilputte, F" uniqKey="Wilputte F" first="F" last="Wilputte">F. Wilputte</name></noCountry><country name="Belgique"><region name="Région de Bruxelles-Capitale"><name sortKey="Leduc, O" sort="Leduc, O" uniqKey="Leduc O" first="O" last="Leduc">O. Leduc</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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