LymphedemaV1, PubMed, Curation, bibRecord, 000837

Does Axillary Reverse Mapping Prevent Lymphedema After Lymphadenectomy?

Identifieur interne : 000837 ( PubMed/Curation ); précédent : 000836; suivant : 000838

Does Axillary Reverse Mapping Prevent Lymphedema After Lymphadenectomy?

Auteurs : Evan Tummel [États-Unis] ; Daniela Ochoa ; Soheila Korourian ; Richard Betzold ; Laura Adkins ; Maureen Mccarthy ; Stephanie Hung ; Kyle Kalkwarf ; Kristalyn Gallagher ; Jeannette Y. Lee ; V Suzanne Klimberg

Source :

Annals of surgery [ 1528-1140 ] ; 2017.

RBID : pubmed:27163955

Descripteurs français

English descriptors

KwdEn :
- Aged, Axilla, Biopsy, Needle, Breast Neoplasms (pathology), Breast Neoplasms (surgery), Female, Humans, Immunohistochemistry, Lymph Node Excision (methods), Lymph Nodes (pathology), Lymphedema (prevention & control), Mastectomy (methods), Middle Aged, Prognosis, Prospective Studies, Risk Assessment, Sentinel Lymph Node (pathology), Sentinel Lymph Node (surgery), Sentinel Lymph Node Biopsy (methods), Treatment Outcome.
MESH :
- methods : Lymph Node Excision, Mastectomy, Sentinel Lymph Node Biopsy.
- pathology : Breast Neoplasms, Lymph Nodes, Sentinel Lymph Node.
- prevention & control : Lymphedema.
- surgery : Breast Neoplasms, Sentinel Lymph Node.
- Aged, Axilla, Biopsy, Needle, Female, Humans, Immunohistochemistry, Middle Aged, Prognosis, Prospective Studies, Risk Assessment, Treatment Outcome.

Abstract

We hypothesized that disconcerting lymphedema rates in both sentinel lymph node biopsy (SLNB) and axillary lymph node dissection (ALND) may be because of unrecognized vunerable variations in arm lymphatic drainage within the axilla. Axillary reverse mapping (ARM) facilitates identification and avoidance of arm lymphatics within the axilla and its use may reduce lymphedema.

DOI: 10.1097/SLA.0000000000001778
PubMed: 27163955

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<author><name sortKey="Mccarthy, Maureen" sort="Mccarthy, Maureen" uniqKey="Mccarthy M" first="Maureen" last="Mccarthy">Maureen Mccarthy</name>
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<author><name sortKey="Hung, Stephanie" sort="Hung, Stephanie" uniqKey="Hung S" first="Stephanie" last="Hung">Stephanie Hung</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term>
<term>Axilla</term>
<term>Biopsy, Needle</term>
<term>Breast Neoplasms (pathology)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Immunohistochemistry</term>
<term>Lymph Node Excision (methods)</term>
<term>Lymph Nodes (pathology)</term>
<term>Lymphedema (prevention & control)</term>
<term>Mastectomy (methods)</term>
<term>Middle Aged</term>
<term>Prognosis</term>
<term>Prospective Studies</term>
<term>Risk Assessment</term>
<term>Sentinel Lymph Node (pathology)</term>
<term>Sentinel Lymph Node (surgery)</term>
<term>Sentinel Lymph Node Biopsy (methods)</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Biopsie de noeud lymphatique sentinelle ()</term>
<term>Femelle</term>
<term>Humains</term>
<term>Immunohistochimie</term>
<term>Lymphadénectomie ()</term>
<term>Lymphoedème ()</term>
<term>Mastectomie ()</term>
<term>Noeud lymphatique sentinelle ()</term>
<term>Noeud lymphatique sentinelle (anatomopathologie)</term>
<term>Noeuds lymphatiques (anatomopathologie)</term>
<term>Ponction-biopsie à l'aiguille</term>
<term>Pronostic</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (anatomopathologie)</term>
<term>Études prospectives</term>
<term>Évaluation des risques</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Noeud lymphatique sentinelle</term>
<term>Noeuds lymphatiques</term>
<term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymph Node Excision</term>
<term>Mastectomy</term>
<term>Sentinel Lymph Node Biopsy</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term>
<term>Lymph Nodes</term>
<term>Sentinel Lymph Node</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term>
<term>Sentinel Lymph Node</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Axilla</term>
<term>Biopsy, Needle</term>
<term>Female</term>
<term>Humans</term>
<term>Immunohistochemistry</term>
<term>Middle Aged</term>
<term>Prognosis</term>
<term>Prospective Studies</term>
<term>Risk Assessment</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Biopsie de noeud lymphatique sentinelle</term>
<term>Femelle</term>
<term>Humains</term>
<term>Immunohistochimie</term>
<term>Lymphadénectomie</term>
<term>Lymphoedème</term>
<term>Mastectomie</term>
<term>Noeud lymphatique sentinelle</term>
<term>Ponction-biopsie à l'aiguille</term>
<term>Pronostic</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Tumeurs du sein</term>
<term>Études prospectives</term>
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<front><div type="abstract" xml:lang="en">We hypothesized that disconcerting lymphedema rates in both sentinel lymph node biopsy (SLNB) and axillary lymph node dissection (ALND) may be because of unrecognized vunerable variations in arm lymphatic drainage within the axilla. Axillary reverse mapping (ARM) facilitates identification and avoidance of arm lymphatics within the axilla and its use may reduce lymphedema.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27163955</PMID>
<DateCreated><Year>2016</Year>
<Month>05</Month>
<Day>10</Day>
</DateCreated>
<DateCompleted><Year>2017</Year>
<Month>06</Month>
<Day>09</Day>
</DateCompleted>
<DateRevised><Year>2017</Year>
<Month>06</Month>
<Day>09</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1528-1140</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>265</Volume>
<Issue>5</Issue>
<PubDate><Year>2017</Year>
<Month>May</Month>
</PubDate>
</JournalIssue>
<Title>Annals of surgery</Title>
<ISOAbbreviation>Ann. Surg.</ISOAbbreviation>
</Journal>
<ArticleTitle>Does Axillary Reverse Mapping Prevent Lymphedema After Lymphadenectomy?</ArticleTitle>
<Pagination><MedlinePgn>987-992</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1097/SLA.0000000000001778</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">We hypothesized that disconcerting lymphedema rates in both sentinel lymph node biopsy (SLNB) and axillary lymph node dissection (ALND) may be because of unrecognized vunerable variations in arm lymphatic drainage within the axilla. Axillary reverse mapping (ARM) facilitates identification and avoidance of arm lymphatics within the axilla and its use may reduce lymphedema.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">This institutional review board-approved study from June 2007 to December 2013 involved patients undergoing SLNB with or without ALND, or ALND alone. Technetium is injected subareolarly for localization of the breast SLN and isosulfan blue dye (5 mL) is injected in the ipsilateral upper arm for localization of nonbreast lymphatics. Data were collected on identification and preservation of arm lymphatics, crossover rates, blue node metastases, axillary recurrence, and lymphedema as measured by volume displacement.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 654 patients prospectively underwent 685 ARM procedures with a SLNB and/or ALND. Objective lymphedema rates for SLNB and ALND were 0.8% and 6.5% respectively, with 26-month median follow up. Blue lymphatics were identified in 29.2% (138/472) of SLNB and 71.8% (153/213) of ALND. Crossover was seen in 3.8% (18/472) of SLNB and 5.6% (12/213) of ALND. Blue node metastases rate was 4.5% (2/44). Axillary recurrence rate was 0.2% and 1.4% for SLNB and ALND, respectively.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">ARM allows frequent identification of arm lymphatics in the axilla, which would have been transected during routine surgery. Rates of metastases in noncrossover nodes and axillary recurrences are low. Lymphedema rates are dramatically reduced using ARM when compared with accepted standards.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tummel</LastName>
<ForeName>Evan</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>*Departments of Surgery, University of Arkansas for Medical Sciences, Winthrop P. Rockefeller Institute, Little Rock, AR †Departments of Pathology, University of Arkansas for Medical Sciences, Winthrop P. Rockefeller Institute, Little Rock, AR ‡Department of Biostatistics, University of Arkansas for Medical Sciences, Little Rock, AR.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ochoa</LastName>
<ForeName>Daniela</ForeName>
<Initials>D</Initials>
</Author>
<Author ValidYN="Y"><LastName>Korourian</LastName>
<ForeName>Soheila</ForeName>
<Initials>S</Initials>
</Author>
<Author ValidYN="Y"><LastName>Betzold</LastName>
<ForeName>Richard</ForeName>
<Initials>R</Initials>
</Author>
<Author ValidYN="Y"><LastName>Adkins</LastName>
<ForeName>Laura</ForeName>
<Initials>L</Initials>
</Author>
<Author ValidYN="Y"><LastName>McCarthy</LastName>
<ForeName>Maureen</ForeName>
<Initials>M</Initials>
</Author>
<Author ValidYN="Y"><LastName>Hung</LastName>
<ForeName>Stephanie</ForeName>
<Initials>S</Initials>
</Author>
<Author ValidYN="Y"><LastName>Kalkwarf</LastName>
<ForeName>Kyle</ForeName>
<Initials>K</Initials>
</Author>
<Author ValidYN="Y"><LastName>Gallagher</LastName>
<ForeName>Kristalyn</ForeName>
<Initials>K</Initials>
</Author>
<Author ValidYN="Y"><LastName>Lee</LastName>
<ForeName>Jeannette Y</ForeName>
<Initials>JY</Initials>
</Author>
<Author ValidYN="Y"><LastName>Klimberg</LastName>
<ForeName>V Suzanne</ForeName>
<Initials>VS</Initials>
</Author>
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<Language>eng</Language>
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<MeshHeading><DescriptorName UI="D000071036" MajorTopicYN="N">Sentinel Lymph Node</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<MeshHeading><DescriptorName UI="D021701" MajorTopicYN="N">Sentinel Lymph Node Biopsy</DescriptorName>
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Does Axillary Reverse Mapping Prevent Lymphedema After Lymphadenectomy?

Does Axillary Reverse Mapping Prevent Lymphedema After Lymphadenectomy?

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