Prospective Study Evaluating Oncological Safety of Axillary Reverse Mapping
Identifieur interne : 006395 ( Ncbi/Merge ); précédent : 006394; suivant : 006396Prospective Study Evaluating Oncological Safety of Axillary Reverse Mapping
Auteurs : Eduardo Schunemann [Brésil] ; Maíra Teixeira D Ria [Brésil] ; Janiceli Blanca Carlotto Hablich Silvestre [Brésil] ; Plínio Gasperin [Brésil] ; Teresa Cristina Santos Cavalcanti [Brésil] ; Vinicius Milani Budel [Brésil]Source :
- Annals of Surgical Oncology [ 1068-9265 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Aisselle, Biopsie de noeud lymphatique sentinelle (effets indésirables), Bras (), Bras (anatomopathologie), Carcinome canalaire du sein (), Carcinome canalaire du sein (secondaire), Carcinome lobulaire (), Carcinome lobulaire (secondaire), Drainage, Femelle, Humains, Lymphoedème (), Lymphoedème (étiologie), Métastase lymphatique, Noeuds lymphatiques (), Noeuds lymphatiques (anatomopathologie), Pronostic, Stade de la tumeur, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Vaisseaux lymphatiques (), Vaisseaux lymphatiques (anatomopathologie), Études de suivi, Études prospectives.
- MESH :
- anatomopathologie : Bras, Noeuds lymphatiques, Tumeurs du sein, Vaisseaux lymphatiques.
- effets indésirables : Biopsie de noeud lymphatique sentinelle.
- secondaire : Carcinome canalaire du sein, Carcinome lobulaire.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Aisselle, Bras, Carcinome canalaire du sein, Carcinome lobulaire, Drainage, Femelle, Humains, Lymphoedème, Métastase lymphatique, Noeuds lymphatiques, Pronostic, Stade de la tumeur, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein, Vaisseaux lymphatiques, Études de suivi, Études prospectives.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Arm (pathology), Arm (surgery), Axilla, Breast Neoplasms (pathology), Breast Neoplasms (surgery), Carcinoma, Ductal, Breast (secondary), Carcinoma, Ductal, Breast (surgery), Carcinoma, Lobular (secondary), Carcinoma, Lobular (surgery), Drainage, Female, Follow-Up Studies, Humans, Lymph Nodes (pathology), Lymph Nodes (surgery), Lymphatic Metastasis, Lymphatic Vessels (pathology), Lymphatic Vessels (surgery), Lymphedema (etiology), Lymphedema (prevention & control), Middle Aged, Neoplasm Staging, Prognosis, Prospective Studies, Sentinel Lymph Node Biopsy (adverse effects).
- MESH :
- adverse effects : Sentinel Lymph Node Biopsy.
- etiology : Lymphedema.
- pathology : Arm, Breast Neoplasms, Lymph Nodes, Lymphatic Vessels.
- prevention & control : Lymphedema.
- secondary : Carcinoma, Ductal, Breast, Carcinoma, Lobular.
- surgery : Arm, Breast Neoplasms, Carcinoma, Ductal, Breast, Carcinoma, Lobular, Lymph Nodes, Lymphatic Vessels.
- Adult, Aged, Aged, 80 and over, Axilla, Drainage, Female, Follow-Up Studies, Humans, Lymphatic Metastasis, Middle Aged, Neoplasm Staging, Prognosis, Prospective Studies.
Abstract
Axillary reverse mapping (ARM) is a new technique developed with the aim of reducing lymphedema rates by preserving lymphatic drainage of the upper limbs during sentinel lymph node biopsy and axillary lymph node dissection (ALND). However, it is unclear whether preservation of these lymph nodes affects oncological risk. The present study evaluated the presence of metastases in ARM nodes.
A total of 45 patients underwent ARM during ALND. Blue dye was used for ARM nodes localization. All axillary lymph nodes, including ARM nodes, were removed and sent separately for pathological evaluation of metastases.
ARM identification was achieved in 40/45 patients (88.9 %). The average number of removed ARM nodes was 1.9. ARM nodes metastasis occurred in 10 of 40 patients (25 %). Patients with an axilla extensively affected by cancer had an elevated risk of metastasis to the arm’s lymph nodes (
The rate of arm lymph nodes compromised by metastases calls into question the viability of the ARM technique. Larger studies may point to particular patient profiles for which ARM can be safely use.
Url:
DOI: 10.1245/s10434-014-3626-5
PubMed: 24599413
PubMed Central: 4047480
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PMC:4047480Le document en format XML
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Mapping</title><author><name sortKey="Schunemann, Eduardo" sort="Schunemann, Eduardo" uniqKey="Schunemann E" first="Eduardo" last="Schunemann">Eduardo Schunemann</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba</wicri:regionArea><wicri:noRegion>Curitiba</wicri:noRegion></affiliation></author><author><name sortKey="D Ria, Maira Teixeira" sort="D Ria, Maira Teixeira" uniqKey="D Ria M" first="Maíra Teixeira" last="D Ria">Maíra Teixeira D Ria</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba</wicri:regionArea><wicri:noRegion>Curitiba</wicri:noRegion></affiliation></author><author><name sortKey="Silvestre, Janiceli Blanca Carlotto Hablich" sort="Silvestre, Janiceli Blanca Carlotto Hablich" uniqKey="Silvestre J" first="Janiceli Blanca Carlotto Hablich" last="Silvestre">Janiceli Blanca Carlotto Hablich Silvestre</name><affiliation wicri:level="1"><nlm:aff id="Aff2">South Paranaese Institute of Oncology, Ponta Grossa, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>South Paranaese Institute of Oncology, Ponta Grossa</wicri:regionArea><wicri:noRegion>Ponta Grossa</wicri:noRegion></affiliation></author><author><name sortKey="Gasperin, Plinio" sort="Gasperin, Plinio" uniqKey="Gasperin P" first="Plínio" last="Gasperin">Plínio Gasperin</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba</wicri:regionArea><wicri:noRegion>Curitiba</wicri:noRegion></affiliation></author><author><name sortKey="Cavalcanti, Teresa Cristina Santos" sort="Cavalcanti, Teresa Cristina Santos" uniqKey="Cavalcanti T" first="Teresa Cristina Santos" last="Cavalcanti">Teresa Cristina Santos Cavalcanti</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Pathology, Clinical Hospital of Federal University of Paraná, Curitiba, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Pathology, Clinical Hospital of Federal University of Paraná, Curitiba</wicri:regionArea><wicri:noRegion>Curitiba</wicri:noRegion></affiliation></author><author><name sortKey="Budel, Vinicius Milani" sort="Budel, Vinicius Milani" uniqKey="Budel V" first="Vinicius Milani" last="Budel">Vinicius Milani Budel</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba</wicri:regionArea><wicri:noRegion>Curitiba</wicri:noRegion></affiliation></author></analytic><series><title level="j">Annals of Surgical Oncology</title><idno type="ISSN">1068-9265</idno><idno type="eISSN">1534-4681</idno><imprint><date when="2014">2014</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 (pathology)</term><term>Arm (surgery)</term><term>Axilla</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (surgery)</term><term>Carcinoma, Ductal, Breast (secondary)</term><term>Carcinoma, Ductal, Breast (surgery)</term><term>Carcinoma, Lobular (secondary)</term><term>Carcinoma, Lobular (surgery)</term><term>Drainage</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Lymph Nodes (pathology)</term><term>Lymph Nodes (surgery)</term><term>Lymphatic Metastasis</term><term>Lymphatic Vessels (pathology)</term><term>Lymphatic Vessels (surgery)</term><term>Lymphedema (etiology)</term><term>Lymphedema (prevention & control)</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Prognosis</term><term>Prospective Studies</term><term>Sentinel Lymph Node Biopsy (adverse effects)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Biopsie de noeud lymphatique sentinelle (effets indésirables)</term><term>Bras ()</term><term>Bras (anatomopathologie)</term><term>Carcinome canalaire du sein ()</term><term>Carcinome canalaire du sein (secondaire)</term><term>Carcinome lobulaire ()</term><term>Carcinome lobulaire (secondaire)</term><term>Drainage</term><term>Femelle</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Métastase lymphatique</term><term>Noeuds lymphatiques ()</term><term>Noeuds lymphatiques (anatomopathologie)</term><term>Pronostic</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (anatomopathologie)</term><term>Vaisseaux lymphatiques ()</term><term>Vaisseaux lymphatiques (anatomopathologie)</term><term>Études de suivi</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Sentinel Lymph Node Biopsy</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Bras</term><term>Noeuds lymphatiques</term><term>Tumeurs du sein</term><term>Vaisseaux lymphatiques</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Biopsie de noeud lymphatique sentinelle</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Arm</term><term>Breast Neoplasms</term><term>Lymph Nodes</term><term>Lymphatic Vessels</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="secondaire" xml:lang="fr"><term>Carcinome canalaire du sein</term><term>Carcinome lobulaire</term></keywords><keywords scheme="MESH" qualifier="secondary" xml:lang="en"><term>Carcinoma, Ductal, Breast</term><term>Carcinoma, Lobular</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Arm</term><term>Breast Neoplasms</term><term>Carcinoma, Ductal, Breast</term><term>Carcinoma, Lobular</term><term>Lymph Nodes</term><term>Lymphatic Vessels</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>Axilla</term><term>Drainage</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Lymphatic Metastasis</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Prognosis</term><term>Prospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Bras</term><term>Carcinome canalaire du sein</term><term>Carcinome lobulaire</term><term>Drainage</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Métastase lymphatique</term><term>Noeuds lymphatiques</term><term>Pronostic</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein</term><term>Vaisseaux lymphatiques</term><term>Études de suivi</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Axillary reverse mapping (ARM) is a new technique developed with the aim of reducing lymphedema rates by preserving lymphatic drainage of the upper limbs during sentinel lymph node biopsy and axillary lymph node dissection (ALND). However, it is unclear whether preservation of these lymph nodes affects oncological risk. The present study evaluated the presence of metastases in ARM nodes.</p></sec><sec><title>Methods</title><p>A total of 45 patients underwent ARM during ALND. Blue dye was used for ARM nodes localization. All axillary lymph nodes, including ARM nodes, were removed and sent separately for pathological evaluation of metastases.</p></sec><sec><title>Results</title><p>ARM identification was achieved in 40/45 patients (88.9 %). The average number of removed ARM nodes was 1.9. ARM nodes metastasis occurred in 10 of 40 patients (25 %). Patients with an axilla extensively affected by cancer had an elevated risk of metastasis to the arm’s lymph nodes (<italic>p</italic> < 0.001).</p></sec><sec><title>Conclusions</title><p>The rate of arm lymph nodes compromised by metastases calls into question the viability of the ARM technique. Larger studies may point to particular patient profiles for which ARM can be safely use.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Giuliano, Ae" uniqKey="Giuliano A">AE Giuliano</name></author><author><name sortKey="Hunt, Kk" uniqKey="Hunt K">KK Hunt</name></author><author><name sortKey="Ballman, Kv" uniqKey="Ballman K">KV Ballman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shah Khan, M" uniqKey="Shah Khan M">M Shah-Khan</name></author><author><name sortKey="Boughey, Jc" uniqKey="Boughey J">JC Boughey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lucci, A" uniqKey="Lucci A">A Lucci</name></author><author><name sortKey="Mccall, Lm" uniqKey="Mccall L">LM McCall</name></author><author><name sortKey="Beitsch, Pd" uniqKey="Beitsch P">PD Beitsch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Langer, I" 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Gobardhan</name></author><author><name sortKey="Beek, Ma" uniqKey="Beek M">MA Beek</name></author><author><name sortKey="Voogd, Ac" uniqKey="Voogd A">AC Voogd</name></author><author><name sortKey="Luiten, Ejt" uniqKey="Luiten E">EJT Luiten</name></author></analytic></biblStruct></listBibl></div1></back></TEI><double pmid="24599413"><pmc><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Prospective Study Evaluating Oncological Safety of Axillary Reverse Mapping</title><author><name sortKey="Schunemann, Eduardo" sort="Schunemann, Eduardo" uniqKey="Schunemann E" first="Eduardo" last="Schunemann">Eduardo Schunemann</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba</wicri:regionArea><wicri:noRegion>Curitiba</wicri:noRegion></affiliation></author><author><name sortKey="D Ria, Maira Teixeira" sort="D Ria, Maira Teixeira" uniqKey="D Ria M" first="Maíra Teixeira" last="D Ria">Maíra Teixeira D Ria</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba</wicri:regionArea><wicri:noRegion>Curitiba</wicri:noRegion></affiliation></author><author><name sortKey="Silvestre, Janiceli Blanca Carlotto Hablich" sort="Silvestre, Janiceli Blanca Carlotto Hablich" uniqKey="Silvestre J" first="Janiceli Blanca Carlotto Hablich" last="Silvestre">Janiceli Blanca Carlotto Hablich Silvestre</name><affiliation wicri:level="1"><nlm:aff id="Aff2">South Paranaese Institute of Oncology, Ponta Grossa, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>South Paranaese Institute of Oncology, Ponta Grossa</wicri:regionArea><wicri:noRegion>Ponta Grossa</wicri:noRegion></affiliation></author><author><name sortKey="Gasperin, Plinio" sort="Gasperin, Plinio" uniqKey="Gasperin P" first="Plínio" last="Gasperin">Plínio Gasperin</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba</wicri:regionArea><wicri:noRegion>Curitiba</wicri:noRegion></affiliation></author><author><name sortKey="Cavalcanti, Teresa Cristina Santos" sort="Cavalcanti, Teresa Cristina Santos" uniqKey="Cavalcanti T" first="Teresa Cristina Santos" last="Cavalcanti">Teresa Cristina Santos Cavalcanti</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Pathology, Clinical Hospital of Federal University of Paraná, Curitiba, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Pathology, Clinical Hospital of Federal University of Paraná, Curitiba</wicri:regionArea><wicri:noRegion>Curitiba</wicri:noRegion></affiliation></author><author><name sortKey="Budel, Vinicius Milani" sort="Budel, Vinicius Milani" uniqKey="Budel V" first="Vinicius Milani" last="Budel">Vinicius Milani Budel</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba</wicri:regionArea><wicri:noRegion>Curitiba</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24599413</idno><idno type="pmc">4047480</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4047480</idno><idno type="RBID">PMC:4047480</idno><idno type="doi">10.1245/s10434-014-3626-5</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000C00</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000C00</idno><idno type="wicri:Area/Pmc/Curation">000B99</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000B99</idno><idno type="wicri:Area/Pmc/Checkpoint">001853</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001853</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Prospective Study Evaluating Oncological Safety of Axillary Reverse Mapping</title><author><name sortKey="Schunemann, Eduardo" sort="Schunemann, Eduardo" uniqKey="Schunemann E" first="Eduardo" last="Schunemann">Eduardo Schunemann</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba</wicri:regionArea><wicri:noRegion>Curitiba</wicri:noRegion></affiliation></author><author><name sortKey="D Ria, Maira Teixeira" sort="D Ria, Maira Teixeira" uniqKey="D Ria M" first="Maíra Teixeira" last="D Ria">Maíra Teixeira D Ria</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba</wicri:regionArea><wicri:noRegion>Curitiba</wicri:noRegion></affiliation></author><author><name sortKey="Silvestre, Janiceli Blanca Carlotto Hablich" sort="Silvestre, Janiceli Blanca Carlotto Hablich" uniqKey="Silvestre J" first="Janiceli Blanca Carlotto Hablich" last="Silvestre">Janiceli Blanca Carlotto Hablich Silvestre</name><affiliation wicri:level="1"><nlm:aff id="Aff2">South Paranaese Institute of Oncology, Ponta Grossa, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>South Paranaese Institute of Oncology, Ponta Grossa</wicri:regionArea><wicri:noRegion>Ponta Grossa</wicri:noRegion></affiliation></author><author><name sortKey="Gasperin, Plinio" sort="Gasperin, Plinio" uniqKey="Gasperin P" first="Plínio" last="Gasperin">Plínio Gasperin</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba</wicri:regionArea><wicri:noRegion>Curitiba</wicri:noRegion></affiliation></author><author><name sortKey="Cavalcanti, Teresa Cristina Santos" sort="Cavalcanti, Teresa Cristina Santos" uniqKey="Cavalcanti T" first="Teresa Cristina Santos" last="Cavalcanti">Teresa Cristina Santos Cavalcanti</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Pathology, Clinical Hospital of Federal University of Paraná, Curitiba, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Pathology, Clinical Hospital of Federal University of Paraná, Curitiba</wicri:regionArea><wicri:noRegion>Curitiba</wicri:noRegion></affiliation></author><author><name sortKey="Budel, Vinicius Milani" sort="Budel, Vinicius Milani" uniqKey="Budel V" first="Vinicius Milani" last="Budel">Vinicius Milani Budel</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba</wicri:regionArea><wicri:noRegion>Curitiba</wicri:noRegion></affiliation></author></analytic><series><title level="j">Annals of Surgical Oncology</title><idno type="ISSN">1068-9265</idno><idno type="eISSN">1534-4681</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Axillary reverse mapping (ARM) is a new technique developed with the aim of reducing lymphedema rates by preserving lymphatic drainage of the upper limbs during sentinel lymph node biopsy and axillary lymph node dissection (ALND). However, it is unclear whether preservation of these lymph nodes affects oncological risk. The present study evaluated the presence of metastases in ARM nodes.</p></sec><sec><title>Methods</title><p>A total of 45 patients underwent ARM during ALND. Blue dye was used for ARM nodes localization. All axillary lymph nodes, including ARM nodes, were removed and sent separately for pathological evaluation of metastases.</p></sec><sec><title>Results</title><p>ARM identification was achieved in 40/45 patients (88.9 %). The average number of removed ARM nodes was 1.9. ARM nodes metastasis occurred in 10 of 40 patients (25 %). Patients with an axilla extensively affected by cancer had an elevated risk of metastasis to the arm’s lymph nodes (<italic>p</italic> < 0.001).</p></sec><sec><title>Conclusions</title><p>The rate of arm lymph nodes compromised by metastases calls into question the viability of the ARM technique. 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Gobardhan</name></author><author><name sortKey="Beek, Ma" uniqKey="Beek M">MA Beek</name></author><author><name sortKey="Voogd, Ac" uniqKey="Voogd A">AC Voogd</name></author><author><name sortKey="Luiten, Ejt" uniqKey="Luiten E">EJT Luiten</name></author></analytic></biblStruct></listBibl></div1></back></TEI></pmc><pubmed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Prospective study evaluating oncological safety of axillary reverse mapping.</title><author><name sortKey="Schunemann, Eduardo" sort="Schunemann, Eduardo" uniqKey="Schunemann E" first="Eduardo" last="Schunemann">Eduardo Schunemann</name><affiliation wicri:level="1"><nlm:affiliation>Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba</wicri:regionArea><wicri:noRegion>Curitiba</wicri:noRegion></affiliation></author><author><name sortKey="D Ria, Maira Teixeira" sort="D Ria, Maira Teixeira" uniqKey="D Ria M" first="Maíra Teixeira" last="D Ria">Maíra Teixeira D Ria</name></author><author><name sortKey="Silvestre, Janiceli Blanca Carlotto Hablich" sort="Silvestre, Janiceli Blanca Carlotto Hablich" uniqKey="Silvestre J" first="Janiceli Blanca Carlotto Hablich" last="Silvestre">Janiceli Blanca Carlotto Hablich Silvestre</name></author><author><name sortKey="Gasperin, Plinio" sort="Gasperin, Plinio" uniqKey="Gasperin P" first="Plínio" last="Gasperin">Plínio Gasperin</name></author><author><name sortKey="Cavalcanti, Teresa Cristina Santos" sort="Cavalcanti, Teresa Cristina Santos" uniqKey="Cavalcanti T" first="Teresa Cristina Santos" last="Cavalcanti">Teresa Cristina Santos Cavalcanti</name></author><author><name sortKey="Budel, Vinicius Milani" sort="Budel, Vinicius Milani" uniqKey="Budel V" first="Vinicius Milani" last="Budel">Vinicius Milani Budel</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:24599413</idno><idno type="pmid">24599413</idno><idno type="doi">10.1245/s10434-014-3626-5</idno><idno type="wicri:Area/PubMed/Corpus">001639</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001639</idno><idno type="wicri:Area/PubMed/Curation">001639</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001639</idno><idno type="wicri:Area/PubMed/Checkpoint">001639</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001639</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Prospective study evaluating oncological safety of axillary reverse mapping.</title><author><name sortKey="Schunemann, Eduardo" sort="Schunemann, Eduardo" uniqKey="Schunemann E" first="Eduardo" last="Schunemann">Eduardo Schunemann</name><affiliation wicri:level="1"><nlm:affiliation>Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Gynecology and Obstetrics, Clinical Hospital of Federal University of Paraná, Curitiba</wicri:regionArea><wicri:noRegion>Curitiba</wicri:noRegion></affiliation></author><author><name sortKey="D Ria, Maira Teixeira" sort="D Ria, Maira Teixeira" uniqKey="D Ria M" first="Maíra Teixeira" last="D Ria">Maíra Teixeira D Ria</name></author><author><name sortKey="Silvestre, Janiceli Blanca Carlotto Hablich" sort="Silvestre, Janiceli Blanca Carlotto Hablich" uniqKey="Silvestre J" first="Janiceli Blanca Carlotto Hablich" last="Silvestre">Janiceli Blanca Carlotto Hablich Silvestre</name></author><author><name sortKey="Gasperin, Plinio" sort="Gasperin, Plinio" uniqKey="Gasperin P" first="Plínio" last="Gasperin">Plínio Gasperin</name></author><author><name sortKey="Cavalcanti, Teresa Cristina Santos" sort="Cavalcanti, Teresa Cristina Santos" uniqKey="Cavalcanti T" first="Teresa Cristina Santos" last="Cavalcanti">Teresa Cristina Santos Cavalcanti</name></author><author><name sortKey="Budel, Vinicius Milani" sort="Budel, Vinicius Milani" uniqKey="Budel V" first="Vinicius Milani" last="Budel">Vinicius Milani Budel</name></author></analytic><series><title level="j">Annals of surgical oncology</title><idno type="eISSN">1534-4681</idno><imprint><date when="2014" type="published">2014</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 (pathology)</term><term>Arm (surgery)</term><term>Axilla</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (surgery)</term><term>Carcinoma, Ductal, Breast (secondary)</term><term>Carcinoma, Ductal, Breast (surgery)</term><term>Carcinoma, Lobular (secondary)</term><term>Carcinoma, Lobular (surgery)</term><term>Drainage</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Lymph Nodes (pathology)</term><term>Lymph Nodes (surgery)</term><term>Lymphatic Metastasis</term><term>Lymphatic Vessels (pathology)</term><term>Lymphatic Vessels (surgery)</term><term>Lymphedema (etiology)</term><term>Lymphedema (prevention & control)</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Prognosis</term><term>Prospective Studies</term><term>Sentinel Lymph Node Biopsy (adverse effects)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Biopsie de noeud lymphatique sentinelle (effets indésirables)</term><term>Bras ()</term><term>Bras (anatomopathologie)</term><term>Carcinome canalaire du sein ()</term><term>Carcinome canalaire du sein (secondaire)</term><term>Carcinome lobulaire ()</term><term>Carcinome lobulaire (secondaire)</term><term>Drainage</term><term>Femelle</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Métastase lymphatique</term><term>Noeuds lymphatiques ()</term><term>Noeuds lymphatiques (anatomopathologie)</term><term>Pronostic</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (anatomopathologie)</term><term>Vaisseaux lymphatiques ()</term><term>Vaisseaux lymphatiques (anatomopathologie)</term><term>Études de suivi</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Sentinel Lymph Node Biopsy</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Bras</term><term>Noeuds lymphatiques</term><term>Tumeurs du sein</term><term>Vaisseaux lymphatiques</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Biopsie de noeud lymphatique sentinelle</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Arm</term><term>Breast Neoplasms</term><term>Lymph Nodes</term><term>Lymphatic Vessels</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="secondaire" xml:lang="fr"><term>Carcinome canalaire du sein</term><term>Carcinome lobulaire</term></keywords><keywords scheme="MESH" qualifier="secondary" xml:lang="en"><term>Carcinoma, Ductal, Breast</term><term>Carcinoma, Lobular</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Arm</term><term>Breast Neoplasms</term><term>Carcinoma, Ductal, Breast</term><term>Carcinoma, Lobular</term><term>Lymph Nodes</term><term>Lymphatic Vessels</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>Axilla</term><term>Drainage</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Lymphatic Metastasis</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Prognosis</term><term>Prospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Bras</term><term>Carcinome canalaire du sein</term><term>Carcinome lobulaire</term><term>Drainage</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Métastase lymphatique</term><term>Noeuds lymphatiques</term><term>Pronostic</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein</term><term>Vaisseaux lymphatiques</term><term>Études de suivi</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Axillary reverse mapping (ARM) is a new technique developed with the aim of reducing lymphedema rates by preserving lymphatic drainage of the upper limbs during sentinel lymph node biopsy and axillary lymph node dissection (ALND). However, it is unclear whether preservation of these lymph nodes affects oncological risk. The present study evaluated the presence of metastases in ARM nodes.</div></front></TEI></pubmed></double></record>Pour manipuler ce document sous Unix (Dilib)
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