Langer's arch: a rare anomaly affects axillary lymphadenectomy.

Autor:	Al Maksoud AM; Department of Surgery, Sligo Regional Hospital, Sligo, Co Sligo, Ireland ahmedaziz293@gmail.com., Barsoum AK; Department of Oncosurgery, Mataria Teaching Hospital, Cairo, Egypt., Moneer MM; Department of Oncosurgery, Mataria Teaching Hospital, Cairo, Egypt.
Jazyk:	angličtina
Zdroj:	Journal of surgical case reports [J Surg Case Rep] 2015 Dec 27; Vol. 2015 (12). Date of Electronic Publication: 2015 Dec 27.
DOI:	10.1093/jscr/rjv159
Abstrakt:	Langer's arch is the best-known anatomic variant of definite surgical implication in the region of the axilla. This rare anomaly is a muscular slip extending from the latissimus dorsi (LD) muscle to the tendons, muscles or fasciae around the superior part of the humerus. In this report, we present a rare case of left axillary arch. During modified radical mastectomy for breast cancer, we encountered an abnormal muscle slip crossing the axilla from the LD muscle to the posterior surface of the pectoralis major muscle anterior to the neurovascular structures. Preoperative knowledge is essential to identify such unusual anomaly and avoid potential complications both intra- and postoperatively. (Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2015.)
Databáze:	MEDLINE
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