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The Feasibility and Oncological Safety of Axillary Reverse Mapping in Patients with Breast Cancer: A Systematic Review and Meta-Analysis of Prospective Studies.

Identifieur interne : 000980 ( PubMed/Curation ); précédent : 000979; suivant : 000981

The Feasibility and Oncological Safety of Axillary Reverse Mapping in Patients with Breast Cancer: A Systematic Review and Meta-Analysis of Prospective Studies.

Auteurs : Chao Han [République populaire de Chine] ; Ben Yang [République populaire de Chine] ; Wen-Shu Zuo [République populaire de Chine] ; Gang Zheng [République populaire de Chine] ; Li Yang [République populaire de Chine] ; Mei-Zhu Zheng [République populaire de Chine]

Source :

RBID : pubmed:26919589

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English descriptors

Abstract

The axillary reverse mapping (ARM) technique has recently been developed to prevent lymphedema by preserving the arm lymphatic drainage during sentinel lymph node biopsy (SLNB) or axillary lymph node dissection (ALND) procedures. The objective of this systematic review and meta-analysis was to evaluate the feasibility and oncological safety of ARM.

DOI: 10.1371/journal.pone.0150285
PubMed: 26919589

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pubmed:26919589

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<term>Arm (anatomy & histology)</term>
<term>Axilla</term>
<term>Breast Neoplasms (pathology)</term>
<term>Coloring Agents (administration & dosage)</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Injections, Intradermal</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymph Node Excision (methods)</term>
<term>Lymph Nodes (pathology)</term>
<term>Lymphatic Metastasis</term>
<term>Lymphatic System (anatomy & histology)</term>
<term>Lymphatic Vessels (anatomy & histology)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (prevention & control)</term>
<term>Preoperative Care</term>
<term>Prospective Studies</term>
<term>Sentinel Lymph Node Biopsy (adverse effects)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Agents colorants (administration et posologie)</term>
<term>Aisselle</term>
<term>Biopsie de noeud lymphatique sentinelle (effets indésirables)</term>
<term>Bras (anatomie et histologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Injections intradermiques</term>
<term>Lymphadénectomie ()</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (étiologie)</term>
<term>Métastase lymphatique</term>
<term>Noeuds lymphatiques (anatomopathologie)</term>
<term>Soins préopératoires</term>
<term>Système lymphatique (anatomie et histologie)</term>
<term>Tumeurs du sein (anatomopathologie)</term>
<term>Vaisseaux lymphatiques (anatomie et histologie)</term>
<term>Études de faisabilité</term>
<term>Études prospectives</term>
</keywords>
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<term>Coloring Agents</term>
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<term>Agents colorants</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Lymph Node Excision</term>
<term>Sentinel Lymph Node Biopsy</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomie et histologie" xml:lang="fr">
<term>Bras</term>
<term>Système lymphatique</term>
<term>Vaisseaux lymphatiques</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Noeuds lymphatiques</term>
<term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en">
<term>Arm</term>
<term>Lymphatic System</term>
<term>Lymphatic Vessels</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Biopsie de noeud lymphatique sentinelle</term>
<term>Lymphadénectomie</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="pathology" xml:lang="en">
<term>Breast Neoplasms</term>
<term>Lymph Nodes</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Axilla</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Injections, Intradermal</term>
<term>Lymphatic Metastasis</term>
<term>Preoperative Care</term>
<term>Prospective Studies</term>
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<term>Aisselle</term>
<term>Femelle</term>
<term>Humains</term>
<term>Injections intradermiques</term>
<term>Lymphadénectomie</term>
<term>Lymphoedème</term>
<term>Métastase lymphatique</term>
<term>Soins préopératoires</term>
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<front>
<div type="abstract" xml:lang="en">The axillary reverse mapping (ARM) technique has recently been developed to prevent lymphedema by preserving the arm lymphatic drainage during sentinel lymph node biopsy (SLNB) or axillary lymph node dissection (ALND) procedures. The objective of this systematic review and meta-analysis was to evaluate the feasibility and oncological safety of ARM.</div>
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<DateCreated>
<Year>2016</Year>
<Month>02</Month>
<Day>27</Day>
</DateCreated>
<DateCompleted>
<Year>2016</Year>
<Month>07</Month>
<Day>25</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>02</Month>
<Day>20</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1932-6203</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>11</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2016</Year>
</PubDate>
</JournalIssue>
<Title>PloS one</Title>
<ISOAbbreviation>PLoS ONE</ISOAbbreviation>
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<ArticleTitle>The Feasibility and Oncological Safety of Axillary Reverse Mapping in Patients with Breast Cancer: A Systematic Review and Meta-Analysis of Prospective Studies.</ArticleTitle>
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<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The axillary reverse mapping (ARM) technique has recently been developed to prevent lymphedema by preserving the arm lymphatic drainage during sentinel lymph node biopsy (SLNB) or axillary lymph node dissection (ALND) procedures. The objective of this systematic review and meta-analysis was to evaluate the feasibility and oncological safety of ARM.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We searched Medline, Embase, Web of science, Scopus, and the Cochrane Library for relevant prospective studies. The identification rate of ARM nodes, the crossover rate of SLN-ARM nodes, the proportion of metastatic ARM nodes, and the incidence of complications were pooled into meta-analyses by the random-effects model.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 24 prospective studies were included into meta-analyses, of which 11 studies reported ARM during SLNB, and 18 studies reported ARM during SLNB. The overall identification rate of ARM nodes was 38.2% (95% CI 32.9%-43.8%) during SLNB and 82.8% (78.0%-86.6%) during ALND, respectively. The crossover rate of SLN-ARM nodes was 19.6% (95% CI 14.4%-26.1%). The metastatic rate of ARM nodes was 16.9% (95% CI 14.2%-20.1%). The pooled incidence of lymphedema was 4.1% (95% CI 2.9-5.9%) for patients undergoing ARM procedure.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The ARM procedure was feasible during ALND. Nevertheless, it was restricted by low identification rate of ARM nodes during SLNB. ARM was beneficial for preventing lymphedema. However, this technique should be performed with caution given the possibility of crossover SLN-ARM nodes and metastatic ARM nodes. ARM appeared to be unsuitable for patients with clinically positive breast cancer due to oncological safety concern.</AbstractText>
</Abstract>
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<Affiliation>Department of Surgery II, Breast Cancer Center, Shandong Cancer Hospital and Institute, Jinan, Shandong, China.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>School of Medicine and life Sciences, University of Jinan-Shandong Academy of Medical Sciences, Jinan, Shandong, China.</Affiliation>
</AffiliationInfo>
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<LastName>Yang</LastName>
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<Affiliation>Department of Surgery II, Breast Cancer Center, Shandong Cancer Hospital and Institute, Jinan, Shandong, China.</Affiliation>
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<ForeName>Wen-Shu</ForeName>
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<Affiliation>Department of Surgery II, Breast Cancer Center, Shandong Cancer Hospital and Institute, Jinan, Shandong, China.</Affiliation>
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<ForeName>Gang</ForeName>
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<Affiliation>Department of Surgery II, Breast Cancer Center, Shandong Cancer Hospital and Institute, Jinan, Shandong, China.</Affiliation>
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<Affiliation>Department of Surgery II, Breast Cancer Center, Shandong Cancer Hospital and Institute, Jinan, Shandong, China.</Affiliation>
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<ForeName>Mei-Zhu</ForeName>
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<Affiliation>Department of Surgery II, Breast Cancer Center, Shandong Cancer Hospital and Institute, Jinan, Shandong, China.</Affiliation>
</AffiliationInfo>
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