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 : 002350 ( PubMed/Corpus ); précédent : 002349; suivant : 002351Axillary 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 ; 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.
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
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pubmed:22165580Le document en format XML
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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></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:22165580</idno><idno type="pmid">22165580</idno><idno type="wicri:Area/PubMed/Corpus">002350</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002350</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Axillary lymph nodes and arm lymphatic drainage pathways are spared during routine complete axillary clearance in majority of women undergoing breast cancer surgery.</title><author><name sortKey="Szuba, A" sort="Szuba, A" uniqKey="Szuba A" first="A" last="Szuba">A. Szuba</name><affiliation><nlm:affiliation>Department of Internal Medicine, Wroclaw Medical University, Wroclaw, Poland. szubaa@yahoo.com</nlm:affiliation></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="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" 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></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><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22165580</PMID><DateCreated><Year>2011</Year><Month>12</Month><Day>14</Day></DateCreated><DateCompleted><Year>2012</Year><Month>01</Month><Day>04</Day></DateCompleted><DateRevised><Year>2011</Year><Month>12</Month><Day>14</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0024-7766</ISSN><JournalIssue CitedMedium="Print"><Volume>44</Volume><Issue>3</Issue><PubDate><Year>2011</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Lymphology</Title><ISOAbbreviation>Lymphology</ISOAbbreviation></Journal><ArticleTitle>Axillary lymph nodes and arm lymphatic drainage pathways are spared during routine complete axillary clearance in majority of women undergoing breast cancer surgery.</ArticleTitle><Pagination><MedlinePgn>103-12</MedlinePgn></Pagination><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Szuba</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Internal Medicine, Wroclaw Medical University, Wroclaw, Poland. szubaa@yahoo.com</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chachaj</LastName><ForeName>Z</ForeName><Initials>Z</Initials></Author><Author ValidYN="Y"><LastName>Koba-Wszedybylb</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Hawro</LastName><ForeName>R</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Jasinski</LastName><ForeName>R</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Tarkowski</LastName><ForeName>R</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Szewczyk</LastName><ForeName>K</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Bebenek</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Forgacz</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Jodkowska</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Jedrzejuk</LastName><ForeName>D</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Janczak</LastName><ForeName>D</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Mrozinska</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Pilch</LastName><ForeName>U</ForeName><Initials>U</Initials></Author><Author ValidYN="Y"><LastName>Wozniewski</LastName><ForeName>M</ForeName><Initials>M</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Lymphology</MedlineTA><NlmUniqueID>0155112</NlmUniqueID><ISSNLinking>0024-7766</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001132" MajorTopicYN="N">Arm</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004322" MajorTopicYN="N">Drainage</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D061305" MajorTopicYN="Y">Lymphoscintigraphy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>12</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>12</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>1</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">22165580</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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