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Analysis of direct oil contrast lymphography of upper limb lymphatics traversing the axilla -- a lesson from the past -- contribution to the concept of axillary reverse mapping.

Identifieur interne : 004A87 ( Ncbi/Merge ); précédent : 004A86; suivant : 004A88

Analysis of direct oil contrast lymphography of upper limb lymphatics traversing the axilla -- a lesson from the past -- contribution to the concept of axillary reverse mapping.

Auteurs : D. Pavlista [République tchèque] ; O. Eliska

Source :

RBID : pubmed:22336143

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English descriptors

Abstract

Axillary reverse mapping (ARM) is a method to preserve upper extremity (UE) lymphatics during axillary surgery in breast cancer patients. This may reduce the incidence of lymphedema. Very precise method to demonstrate lymphatic drainage is direct X-ray lymphography.

DOI: 10.1016/j.ejso.2012.01.010
PubMed: 22336143

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pubmed:22336143

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<title xml:lang="en">Analysis of direct oil contrast lymphography of upper limb lymphatics traversing the axilla -- a lesson from the past -- contribution to the concept of axillary reverse mapping.</title>
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<term>Adult</term>
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<term>Breast Neoplasms (pathology)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Contrast Media</term>
<term>Ethiodized Oil</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision (methods)</term>
<term>Lymph Nodes (pathology)</term>
<term>Lymphatic Metastasis (diagnosis)</term>
<term>Lymphedema (etiology)</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Biopsie de noeud lymphatique sentinelle ()</term>
<term>Femelle</term>
<term>Huile éthiodée</term>
<term>Humains</term>
<term>Lymphadénectomie ()</term>
<term>Lymphoedème (étiologie)</term>
<term>Lymphographie ()</term>
<term>Lymphographie (effets indésirables)</term>
<term>Métastase lymphatique (diagnostic)</term>
<term>Noeuds lymphatiques (anatomopathologie)</term>
<term>Produits de contraste</term>
<term>Sujet âgé</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (anatomopathologie)</term>
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<term>Contrast Media</term>
<term>Ethiodized Oil</term>
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<term>Lymphography</term>
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<term>Noeuds lymphatiques</term>
<term>Tumeurs du sein</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Lymphatic Metastasis</term>
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<term>Métastase lymphatique</term>
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<term>Lymphographie</term>
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<term>Lymphedema</term>
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<term>Lymph Node Excision</term>
<term>Lymphography</term>
<term>Sentinel Lymph Node Biopsy</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Breast Neoplasms</term>
<term>Lymph Nodes</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Breast Neoplasms</term>
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<term>Lymphoedème</term>
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<term>Adult</term>
<term>Aged</term>
<term>Axilla</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
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<term>Lymphadénectomie</term>
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<front>
<div type="abstract" xml:lang="en">Axillary reverse mapping (ARM) is a method to preserve upper extremity (UE) lymphatics during axillary surgery in breast cancer patients. This may reduce the incidence of lymphedema. Very precise method to demonstrate lymphatic drainage is direct X-ray lymphography.</div>
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<Year>2012</Year>
<Month>04</Month>
<Day>02</Day>
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<DateCompleted>
<Year>2012</Year>
<Month>05</Month>
<Day>16</Day>
</DateCompleted>
<DateRevised>
<Year>2015</Year>
<Month>11</Month>
<Day>19</Day>
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<ISSN IssnType="Electronic">1532-2157</ISSN>
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<Volume>38</Volume>
<Issue>5</Issue>
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<Year>2012</Year>
<Month>May</Month>
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<Title>European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology</Title>
<ISOAbbreviation>Eur J Surg Oncol</ISOAbbreviation>
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<ArticleTitle>Analysis of direct oil contrast lymphography of upper limb lymphatics traversing the axilla -- a lesson from the past -- contribution to the concept of axillary reverse mapping.</ArticleTitle>
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<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Axillary reverse mapping (ARM) is a method to preserve upper extremity (UE) lymphatics during axillary surgery in breast cancer patients. This may reduce the incidence of lymphedema. Very precise method to demonstrate lymphatic drainage is direct X-ray lymphography.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">The evaluation of direct lymphography X-ray images of the axilla and proximal part of the upper extremity was performed in 9 subjects. As contrast was used Lipiodoil injected on the dorsal side of hand.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The lymph from UE is drained by 2-4 main afferent collectors, which in 5 of 9 cases entered into one node in the lateral axilla (ARM node). This node was considered to be the sentinel lymph node for the UE. In 4 cases a cranial collector was shown, which led directly to nodes in the upper part of the axilla. This collector had numerous anastomoses with other collectors before entering the axillary nodes. The most important finding is the demonstration of numerous lymphatic anastomoses that take place between all imaged nodes in the axilla including the caudal nodes, which is the most frequent localization of the breast sentinel lymph node.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The relationship of lymphatic drainage of the UE and breast are closely related and share numerous connections. These connections represent the main problem of the ARM concept because they may pose potencional route for metastatic cancer cells in sentinel node positive breast cancer patients. Further studies are necessary to improve understanding of this method. Axillary reverse mapping - breast cancer - lymphedema - sentinel node biopsy.</AbstractText>
<CopyrightInformation>Copyright © 2012 Elsevier Ltd. All rights reserved.</CopyrightInformation>
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