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Safety study of axillary reverse mapping in the surgical treatment for breast cancer patients.

Identifieur interne : 002458 ( PubMed/Curation ); précédent : 002457; suivant : 002459

Safety study of axillary reverse mapping in the surgical treatment for breast cancer patients.

Auteurs : Heran Deng [République populaire de Chine] ; Lun Chen ; Weijuan Jia ; Kai Chen ; Yunjie Zeng ; Nanyan Rao ; Shunrong Li ; Liang Jin ; Fengxi Su

Source :

RBID : pubmed:21935615

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English descriptors

Abstract

With the purpose of minimizing arm lymphedema after axillary staging surgeries in breast cancer patients, the axillary reverse mapping (ARM) technique has been developed to identify and preserve arm drainage system during axillary surgery. This study aimed to clarify risk factors for metastasis in arm lymphatic drainage system in breast cancer patients with clinically negative axillary nodes.

DOI: 10.1007/s00432-011-1064-3
PubMed: 21935615

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pubmed:21935615

Le document en format XML

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<title xml:lang="en">Safety study of axillary reverse mapping in the surgical treatment for breast cancer patients.</title>
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<nlm:affiliation>Department of Breast Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiangxi Road, Guangzhou, 510120, People's Republic of China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Breast Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiangxi Road, Guangzhou, 510120</wicri:regionArea>
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<name sortKey="Chen, Lun" sort="Chen, Lun" uniqKey="Chen L" first="Lun" last="Chen">Lun Chen</name>
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<name sortKey="Jia, Weijuan" sort="Jia, Weijuan" uniqKey="Jia W" first="Weijuan" last="Jia">Weijuan Jia</name>
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<name sortKey="Chen, Kai" sort="Chen, Kai" uniqKey="Chen K" first="Kai" last="Chen">Kai Chen</name>
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<name sortKey="Zeng, Yunjie" sort="Zeng, Yunjie" uniqKey="Zeng Y" first="Yunjie" last="Zeng">Yunjie Zeng</name>
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<name sortKey="Rao, Nanyan" sort="Rao, Nanyan" uniqKey="Rao N" first="Nanyan" last="Rao">Nanyan Rao</name>
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<name sortKey="Li, Shunrong" sort="Li, Shunrong" uniqKey="Li S" first="Shunrong" last="Li">Shunrong Li</name>
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<name sortKey="Jin, Liang" sort="Jin, Liang" uniqKey="Jin L" first="Liang" last="Jin">Liang Jin</name>
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<name sortKey="Su, Fengxi" sort="Su, Fengxi" uniqKey="Su F" first="Fengxi" last="Su">Fengxi Su</name>
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<country xml:lang="fr">République populaire de Chine</country>
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<name sortKey="Chen, Lun" sort="Chen, Lun" uniqKey="Chen L" first="Lun" last="Chen">Lun Chen</name>
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<name sortKey="Chen, Kai" sort="Chen, Kai" uniqKey="Chen K" first="Kai" last="Chen">Kai Chen</name>
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<name sortKey="Zeng, Yunjie" sort="Zeng, Yunjie" uniqKey="Zeng Y" first="Yunjie" last="Zeng">Yunjie Zeng</name>
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<name sortKey="Li, Shunrong" sort="Li, Shunrong" uniqKey="Li S" first="Shunrong" last="Li">Shunrong Li</name>
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<name sortKey="Jin, Liang" sort="Jin, Liang" uniqKey="Jin L" first="Liang" last="Jin">Liang Jin</name>
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<title level="j">Journal of cancer research and clinical oncology</title>
<idno type="eISSN">1432-1335</idno>
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<term>Axilla</term>
<term>Breast Neoplasms (pathology)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Drainage</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision (methods)</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Sentinel Lymph Node Biopsy</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>Drainage</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphadénectomie ()</term>
<term>Stade de la tumeur</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (anatomopathologie)</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Lymph Node Excision</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Axilla</term>
<term>Drainage</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Sentinel Lymph Node Biopsy</term>
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<term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Biopsie de noeud lymphatique sentinelle</term>
<term>Drainage</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphadénectomie</term>
<term>Stade de la tumeur</term>
<term>Tumeurs du sein</term>
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<div type="abstract" xml:lang="en">With the purpose of minimizing arm lymphedema after axillary staging surgeries in breast cancer patients, the axillary reverse mapping (ARM) technique has been developed to identify and preserve arm drainage system during axillary surgery. This study aimed to clarify risk factors for metastasis in arm lymphatic drainage system in breast cancer patients with clinically negative axillary nodes.</div>
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<Month>11</Month>
<Day>01</Day>
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<DateCompleted>
<Year>2011</Year>
<Month>12</Month>
<Day>15</Day>
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<DateRevised>
<Year>2011</Year>
<Month>11</Month>
<Day>01</Day>
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<ISSN IssnType="Electronic">1432-1335</ISSN>
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<Volume>137</Volume>
<Issue>12</Issue>
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<Year>2011</Year>
<Month>Dec</Month>
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<Title>Journal of cancer research and clinical oncology</Title>
<ISOAbbreviation>J. Cancer Res. Clin. Oncol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Safety study of axillary reverse mapping in the surgical treatment for breast cancer patients.</ArticleTitle>
<Pagination>
<MedlinePgn>1869-74</MedlinePgn>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">With the purpose of minimizing arm lymphedema after axillary staging surgeries in breast cancer patients, the axillary reverse mapping (ARM) technique has been developed to identify and preserve arm drainage system during axillary surgery. This study aimed to clarify risk factors for metastasis in arm lymphatic drainage system in breast cancer patients with clinically negative axillary nodes.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Sixty-nine patients who underwent successful both sentinel lymph node (SLN) biopsy (SLNB) and ARM from October 2009 to August 2010 were enrolled in this study. Radioactive tracer was used for SLN localization and blue dye was used for ARM. All of the identified SLNs and ARM nodes were sent for pathological assessment.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">ARM nodes metastasis occured in 6 of 69 patients. Age, pathological tumor size (pT) and pathological lymph node status (pN) were not associated with ARM nodes metastasis (P > 0.01). Interestingly, in these 6 patients, all metastatic ARM nodes coincided with SLN-ARM nodes (hot SLN and blue ARM node were the same lymph node). In 50 of 69 patients whose ARM nodes did not coincided with SLNs, all ARM nodes were negative, even in 12 patients with metastatic SLNs.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Crossover between breast and ipsilateral arm lymphatic drainage system contributes for ipsilateral arm lymph node metastasis. When ARM and SLNB are simultaneously performed in a patient, selectively preservation of the ARM nodes that do not coincided with SLNs would be safe, even if the SLNs are positive. Pathological lymph node status does not account for the occurrence of metastasis in ARM nodes. ARM nodes could be preserved safely, independent of the pathological lymph node status.</AbstractText>
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<LastName>Deng</LastName>
<ForeName>Heran</ForeName>
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<Affiliation>Department of Breast Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yanjiangxi Road, Guangzhou, 510120, People's Republic of China.</Affiliation>
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<Year>2011</Year>
<Month>09</Month>
<Day>21</Day>
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<Country>Germany</Country>
<MedlineTA>J Cancer Res Clin Oncol</MedlineTA>
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<DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName>
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<DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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<DescriptorName UI="D004322" MajorTopicYN="N">Drainage</DescriptorName>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D009367" MajorTopicYN="N">Neoplasm Staging</DescriptorName>
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