The involvement of axillary reverse mapping nodes in patients with clinically node-negative breast cancer View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2021-09-30

AUTHORS

M. Noguchi, M. Inokuchi, M. Yokoi-Noguchi, E. Morioka

ABSTRACT

BackgroundAxillary reverse mapping (ARM) was developed to preserve the lymphatic drainage from the upper arm during sentinel lymph-node (SLN) biopsy or axillary lymph-node dissection (ALND). However, the oncological safety of ARM has been controversial because of not infrequent involvement of ARM nodes.MethodsPatients with clinically negative nodes (cN0) underwent SLN biopsy and ARM. SLNs were identified using blue dye and radioisotope, and ARM nodes were traced using the fluorescent method. Patients with positive SLN underwent the standard ALND. After surgery, they were followed up for more than 3 years.ResultsA total of 507 patients with cN0 breast cancer were enrolled between May 2009 and November 2017. SLNs were identified in 499 (98%) of 507 patients, and ARM nodes were identified in 159 (31%) patients in the SLN field. The crossover rate of SLN–ARM nodes was 28%. Among 95 patients with positive SLNs, 70 patients underwent conventional ALND. ARM nodes were identified in 65 (93%) of those patients in the ALND field. The mean number of removed ARM nodes was 7.2 (range 0–25) in patients who underwent the standard ALND. Although ARM nodes were involved in 18 of 65 patients, the involved ARM nodes were the same SLNs identified in 14 (78%) patients. Since SLN–ARM nodes should be removed, ARM nodes were involved only in 4 (5.7%) patients after SLN biopsy.ConclusionsExcept for positive SLN–ARM nodes, the involvement of ARM nodes is infrequent in patients with positive SLN. More... »

PAGES

209-215

References to SciGraph publications

  • 2007-06-05. Blue Dye Injection in the Arm in Order to Conserve the Lymphatic Drainage of the Arm in Breast Cancer Patients Requiring an Axillary Dissection in ANNALS OF SURGICAL ONCOLOGY
  • 2002. AJCC Cancer Staging Manual in NONE
  • 2019-06-25. Identification and Preservation of Arm Lymphatic System in Axillary Dissection for Breast Cancer to Reduce Arm Lymphedema Events: A Randomized Clinical Trial in ANNALS OF SURGICAL ONCOLOGY
  • 2020-06-02. Selecting Node-Positive Patients for Axillary Downstaging with Neoadjuvant Chemotherapy in ANNALS OF SURGICAL ONCOLOGY
  • 2018-07-02. The Changing Paradigms for Breast Cancer Surgery: Performing Fewer and Less-Invasive Operations in ANNALS OF SURGICAL ONCOLOGY
  • 2012-04-24. Relationship Between the Lymphatic Drainage of the Breast and the Upper Extremity: A Postmortem Study in ANNALS OF SURGICAL ONCOLOGY
  • 2006-03-02. Surgical Complications Associated With Sentinel Lymph Node Biopsy: Results From a Prospective International Cooperative Group Trial in ANNALS OF SURGICAL ONCOLOGY
  • 2020-06-01. Using the axillary reverse mapping technique to screen breast cancer patients with a high risk of lymphedema in WORLD JOURNAL OF SURGICAL ONCOLOGY
  • 2013-08-22. Axillary Reverse Mapping: A Prospective Study in Women with Clinically Node Negative and Node Positive Breast Cancer in ANNALS OF SURGICAL ONCOLOGY
  • 2007-05-04. Axillary Reverse Mapping (ARM): A New Concept to Identify and Enhance Lymphatic Preservation in ANNALS OF SURGICAL ONCOLOGY
  • 2011-09-21. Safety study of axillary reverse mapping in the surgical treatment for breast cancer patients in JOURNAL OF CANCER RESEARCH AND CLINICAL ONCOLOGY
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    http://scigraph.springernature.com/pub.10.1007/s12282-021-01300-6

    DOI

    http://dx.doi.org/10.1007/s12282-021-01300-6

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1141518075

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/34591289


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