Serveur d'exploration sur le lymphœdème

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Scientific Impact Award: Axillary reverse mapping (ARM) to identify and protect lymphatics draining the arm during axillary lymphadenectomy.

Identifieur interne : 002D26 ( PubMed/Curation ); précédent : 002D25; suivant : 002D27

Scientific Impact Award: Axillary reverse mapping (ARM) to identify and protect lymphatics draining the arm during axillary lymphadenectomy.

Auteurs : Cristiano Boneti [États-Unis] ; Soheila Korourian ; Zuleika Diaz ; Carlos Santiago ; Sheila Mumford ; Laura Adkins ; V Suzanne Klimberg

Source :

RBID : pubmed:19800452

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English descriptors

Abstract

The axillary reverse mapping (ARM) procedure distinguishes lymphatics draining the arm from those draining the breast. The aim of this study was to assess the ability of ARM to identify and preserve lymphatics draining the arm and the impact on lymphedema.

DOI: 10.1016/j.amjsurg.2009.06.008
PubMed: 19800452

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pubmed:19800452

Le document en format XML

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<title xml:lang="en">Scientific Impact Award: Axillary reverse mapping (ARM) to identify and protect lymphatics draining the arm during axillary lymphadenectomy.</title>
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<name sortKey="Boneti, Cristiano" sort="Boneti, Cristiano" uniqKey="Boneti C" first="Cristiano" last="Boneti">Cristiano Boneti</name>
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<nlm:affiliation>Division of Breast Surgical Oncology, Department of Surgery, University of Arkansas for Medical Sciences, Winthrop P. Rockefeller Cancer Institute, Little Rock, AR, USA.</nlm:affiliation>
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<name sortKey="Korourian, Soheila" sort="Korourian, Soheila" uniqKey="Korourian S" first="Soheila" last="Korourian">Soheila Korourian</name>
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<name sortKey="Diaz, Zuleika" sort="Diaz, Zuleika" uniqKey="Diaz Z" first="Zuleika" last="Diaz">Zuleika Diaz</name>
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<name sortKey="Santiago, Carlos" sort="Santiago, Carlos" uniqKey="Santiago C" first="Carlos" last="Santiago">Carlos Santiago</name>
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<name sortKey="Mumford, Sheila" sort="Mumford, Sheila" uniqKey="Mumford S" first="Sheila" last="Mumford">Sheila Mumford</name>
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<name sortKey="Adkins, Laura" sort="Adkins, Laura" uniqKey="Adkins L" first="Laura" last="Adkins">Laura Adkins</name>
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<term>Aged</term>
<term>Arm</term>
<term>Axilla</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymph Node Excision (methods)</term>
<term>Lymphatic Metastasis</term>
<term>Lymphatic Vessels (anatomy & histology)</term>
<term>Lymphatic Vessels (diagnostic imaging)</term>
<term>Lymphatic Vessels (pathology)</term>
<term>Lymphatic Vessels (physiology)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (prevention & control)</term>
<term>Middle Aged</term>
<term>Radionuclide Imaging</term>
<term>Sentinel Lymph Node Biopsy (adverse effects)</term>
<term>Sentinel Lymph Node Biopsy (methods)</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>Biopsie de noeud lymphatique sentinelle (effets indésirables)</term>
<term>Bras</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphadénectomie ()</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (étiologie)</term>
<term>Métastase lymphatique</term>
<term>Scintigraphie</term>
<term>Sujet âgé</term>
<term>Vaisseaux lymphatiques (anatomie et histologie)</term>
<term>Vaisseaux lymphatiques (anatomopathologie)</term>
<term>Vaisseaux lymphatiques (imagerie diagnostique)</term>
<term>Vaisseaux lymphatiques (physiologie)</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Lymph Node Excision</term>
<term>Sentinel Lymph Node Biopsy</term>
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<keywords scheme="MESH" qualifier="anatomie et histologie" xml:lang="fr">
<term>Vaisseaux lymphatiques</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Vaisseaux lymphatiques</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en">
<term>Lymphatic Vessels</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Lymphatic Vessels</term>
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<term>Biopsie de noeud lymphatique sentinelle</term>
<term>Lymphadénectomie</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Vaisseaux lymphatiques</term>
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<term>Lymph Node Excision</term>
<term>Sentinel Lymph Node Biopsy</term>
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<term>Lymphatic Vessels</term>
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<term>Vaisseaux lymphatiques</term>
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<term>Lymphedema</term>
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<term>Lymphoedème</term>
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<term>Aged</term>
<term>Arm</term>
<term>Axilla</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphatic Metastasis</term>
<term>Middle Aged</term>
<term>Radionuclide Imaging</term>
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<term>Bras</term>
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<front>
<div type="abstract" xml:lang="en">The axillary reverse mapping (ARM) procedure distinguishes lymphatics draining the arm from those draining the breast. The aim of this study was to assess the ability of ARM to identify and preserve lymphatics draining the arm and the impact on lymphedema.</div>
</front>
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<DateCreated>
<Year>2009</Year>
<Month>10</Month>
<Day>05</Day>
</DateCreated>
<DateCompleted>
<Year>2009</Year>
<Month>10</Month>
<Day>19</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>11</Month>
<Day>25</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1879-1883</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>198</Volume>
<Issue>4</Issue>
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<Year>2009</Year>
<Month>Oct</Month>
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<Title>American journal of surgery</Title>
<ISOAbbreviation>Am. J. Surg.</ISOAbbreviation>
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<ArticleTitle>Scientific Impact Award: Axillary reverse mapping (ARM) to identify and protect lymphatics draining the arm during axillary lymphadenectomy.</ArticleTitle>
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<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The axillary reverse mapping (ARM) procedure distinguishes lymphatics draining the arm from those draining the breast. The aim of this study was to assess the ability of ARM to identify and preserve lymphatics draining the arm and the impact on lymphedema.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">This study included 220 patients undergoing sentinel lymph node (SLN) biopsy (SLNB) with or without axillary lymph node dissection (ALND) from May 2006 to September 2008. After SLN localization with a radioactive tracer, blue dye was used to map ARM lymphatics. Data were collected on identification and variations in lymphatic drainage, crossover rate, the incidence of metastases, and nodal status.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Crossover (ARM = SLN) occurred in 6 patients (2.8%). ARM lymphatics were near or in the SLN field in 40.6% of patients, placing it at risk for disruption during lymphadenectomy. ARM lymphatics juxtaposed to the hot SLNB (n = 12 [5.6%]) were preserved. Fifteen ARM nodes were excised and were negative even in positive axillae. There were no cases of lymphedema at 6-month follow-up where ARM nodes were preserved.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Confluence of the arm and breast drainage is rarely the SLN, and none of these nodes contained metastases. Preserving the ARM nodes may translate into a lower incidence of postoperative lymphedema.</AbstractText>
</Abstract>
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<LastName>Boneti</LastName>
<ForeName>Cristiano</ForeName>
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<Affiliation>Division of Breast Surgical Oncology, Department of Surgery, University of Arkansas for Medical Sciences, Winthrop P. Rockefeller Cancer Institute, Little Rock, AR, USA.</Affiliation>
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<Year>2009</Year>
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