Axillary lymph nodes and arm lymphatic drainage pathways are spared during routine complete axillary clearance in majority of women undergoing breast cancer surgery.
Identifieur interne : 005063 ( Main/Exploration ); précédent : 005062; suivant : 005064Axillary lymph nodes and arm lymphatic drainage pathways are spared during routine complete axillary clearance in majority of women undergoing breast cancer surgery.
Auteurs : A. Szuba [Pologne] ; Z. Chachaj ; M. Koba-Wszedybylb ; R. Hawro ; R. Jasinski ; R. Tarkowski ; K. Szewczyk ; M. Bebenek ; J. Forgacz ; A. Jodkowska ; D. Jedrzejuk ; D. Janczak ; M. Mrozinska ; U. Pilch ; M. WozniewskiSource :
- Lymphology [ 0024-7766 ] ; 2011.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- etiology : Lymphedema.
- methods : Lymph Node Excision.
- surgery : Breast Neoplasms.
- Adult, Aged, Aged, 80 and over, Arm, Axilla, Drainage, Female, Humans, Lymphoscintigraphy, Middle Aged.
Abstract
Alterations in axillary lymph nodes (ALNs) after complete axillary lymph node dissection (ALND) in comparison to the preoperative status were evaluated using lymphoscintigraphy performed preoperatively and 1-6 weeks after surgery in 30 women with a new diagnosis of unilateral, invasive breast carcinoma. Analysis of lymphoscintigrams revealed that ALNs after surgery were present in 26 of 30 examined women. In comparison to preoperative status, they were visualized in the same location (12 women), in the same and additionally in different locations (9 women), or only in different locations (4 women). No lymph nodes were visualized in one woman and lymphocoele were in 4 women. Thus, after ALND, a variable number of axillary lymph nodes remain and were visualized on lymphoscintigraphy in the majority of women. The classical ALND, therefore, does not allow complete dissection and removal of axillary nodes with total disruption of axillary lymphatic pathways, accounting in part for the variable incidence and severity of lymphedema after the procedure.
PubMed: 22165580
Affiliations:
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Szuba</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Wroclaw Medical University, Wroclaw, Poland. szubaa@yahoo.com</nlm:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Internal Medicine, Wroclaw Medical University, Wroclaw</wicri:regionArea><wicri:noRegion>Wroclaw</wicri:noRegion></affiliation></author><author><name sortKey="Chachaj, Z" sort="Chachaj, Z" uniqKey="Chachaj Z" first="Z" last="Chachaj">Z. Chachaj</name></author><author><name sortKey="Koba Wszedybylb, M" sort="Koba Wszedybylb, M" uniqKey="Koba Wszedybylb M" first="M" last="Koba-Wszedybylb">M. Koba-Wszedybylb</name></author><author><name sortKey="Hawro, R" sort="Hawro, R" uniqKey="Hawro R" first="R" last="Hawro">R. Hawro</name></author><author><name sortKey="Jasinski, R" sort="Jasinski, R" uniqKey="Jasinski R" first="R" last="Jasinski">R. Jasinski</name></author><author><name sortKey="Tarkowski, R" sort="Tarkowski, R" uniqKey="Tarkowski R" first="R" last="Tarkowski">R. Tarkowski</name></author><author><name sortKey="Szewczyk, K" sort="Szewczyk, K" uniqKey="Szewczyk K" first="K" last="Szewczyk">K. Szewczyk</name></author><author><name sortKey="Bebenek, M" sort="Bebenek, M" uniqKey="Bebenek M" first="M" last="Bebenek">M. Bebenek</name></author><author><name sortKey="Forgacz, J" sort="Forgacz, J" uniqKey="Forgacz J" first="J" last="Forgacz">J. Forgacz</name></author><author><name sortKey="Jodkowska, A" sort="Jodkowska, A" uniqKey="Jodkowska A" first="A" last="Jodkowska">A. Jodkowska</name></author><author><name sortKey="Jedrzejuk, D" sort="Jedrzejuk, D" uniqKey="Jedrzejuk D" first="D" last="Jedrzejuk">D. Jedrzejuk</name></author><author><name sortKey="Janczak, D" sort="Janczak, D" uniqKey="Janczak D" first="D" last="Janczak">D. Janczak</name></author><author><name sortKey="Mrozinska, M" sort="Mrozinska, M" uniqKey="Mrozinska M" first="M" last="Mrozinska">M. Mrozinska</name></author><author><name sortKey="Pilch, U" sort="Pilch, U" uniqKey="Pilch U" first="U" last="Pilch">U. Pilch</name></author><author><name sortKey="Wozniewski, M" sort="Wozniewski, M" uniqKey="Wozniewski M" first="M" last="Wozniewski">M. Wozniewski</name></author></analytic><series><title level="j">Lymphology</title><idno type="ISSN">0024-7766</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Arm</term><term>Axilla</term><term>Breast Neoplasms (surgery)</term><term>Drainage</term><term>Female</term><term>Humans</term><term>Lymph Node Excision (methods)</term><term>Lymphedema (etiology)</term><term>Lymphoscintigraphy</term><term>Middle Aged</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Bras</term><term>Drainage</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie ()</term><term>Lymphoedème (étiologie)</term><term>Lymphoscintigraphie</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein ()</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymph Node Excision</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>Aged, 80 and over</term><term>Arm</term><term>Axilla</term><term>Drainage</term><term>Female</term><term>Humans</term><term>Lymphoscintigraphy</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Bras</term><term>Drainage</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie</term><term>Lymphoscintigraphie</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Alterations in axillary lymph nodes (ALNs) after complete axillary lymph node dissection (ALND) in comparison to the preoperative status were evaluated using lymphoscintigraphy performed preoperatively and 1-6 weeks after surgery in 30 women with a new diagnosis of unilateral, invasive breast carcinoma. Analysis of lymphoscintigrams revealed that ALNs after surgery were present in 26 of 30 examined women. In comparison to preoperative status, they were visualized in the same location (12 women), in the same and additionally in different locations (9 women), or only in different locations (4 women). No lymph nodes were visualized in one woman and lymphocoele were in 4 women. Thus, after ALND, a variable number of axillary lymph nodes remain and were visualized on lymphoscintigraphy in the majority of women. The classical ALND, therefore, does not allow complete dissection and removal of axillary nodes with total disruption of axillary lymphatic pathways, accounting in part for the variable incidence and severity of lymphedema after the procedure.</div></front></TEI><affiliations><list><country><li>Pologne</li></country></list><tree><noCountry><name sortKey="Bebenek, M" sort="Bebenek, M" uniqKey="Bebenek M" first="M" last="Bebenek">M. Bebenek</name><name sortKey="Chachaj, Z" sort="Chachaj, Z" uniqKey="Chachaj Z" first="Z" last="Chachaj">Z. Chachaj</name><name sortKey="Forgacz, J" sort="Forgacz, J" uniqKey="Forgacz J" first="J" last="Forgacz">J. Forgacz</name><name sortKey="Hawro, R" sort="Hawro, R" uniqKey="Hawro R" first="R" last="Hawro">R. Hawro</name><name sortKey="Janczak, D" sort="Janczak, D" uniqKey="Janczak D" first="D" last="Janczak">D. Janczak</name><name sortKey="Jasinski, R" sort="Jasinski, R" uniqKey="Jasinski R" first="R" last="Jasinski">R. Jasinski</name><name sortKey="Jedrzejuk, D" sort="Jedrzejuk, D" uniqKey="Jedrzejuk D" first="D" last="Jedrzejuk">D. Jedrzejuk</name><name sortKey="Jodkowska, A" sort="Jodkowska, A" uniqKey="Jodkowska A" first="A" last="Jodkowska">A. Jodkowska</name><name sortKey="Koba Wszedybylb, M" sort="Koba Wszedybylb, M" uniqKey="Koba Wszedybylb M" first="M" last="Koba-Wszedybylb">M. Koba-Wszedybylb</name><name sortKey="Mrozinska, M" sort="Mrozinska, M" uniqKey="Mrozinska M" first="M" last="Mrozinska">M. Mrozinska</name><name sortKey="Pilch, U" sort="Pilch, U" uniqKey="Pilch U" first="U" last="Pilch">U. Pilch</name><name sortKey="Szewczyk, K" sort="Szewczyk, K" uniqKey="Szewczyk K" first="K" last="Szewczyk">K. Szewczyk</name><name sortKey="Tarkowski, R" sort="Tarkowski, R" uniqKey="Tarkowski R" first="R" last="Tarkowski">R. Tarkowski</name><name sortKey="Wozniewski, M" sort="Wozniewski, M" uniqKey="Wozniewski M" first="M" last="Wozniewski">M. Wozniewski</name></noCountry><country name="Pologne"><noRegion><name sortKey="Szuba, A" sort="Szuba, A" uniqKey="Szuba A" first="A" last="Szuba">A. Szuba</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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