The surgical importance of an axillary arch in sentinel node biopsy
| Autor: | Anne M. Collins, D. R. McCready, Paul F. Ridgway |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Sentinel lymph node Breast Neoplasms Pathology and Forensic Medicine Biopsy medicine Humans Radiology Nuclear Medicine and imaging Prospective Studies Radionuclide Imaging Melanoma Lymph node medicine.diagnostic_test Sentinel Lymph Node Biopsy business.industry Middle Aged Sentinel node medicine.disease Surgery Axilla Venous thrombosis medicine.anatomical_structure Lymphatic Metastasis Technetium Tc 99m Sulfur Colloid Orthopedic surgery Female Radiopharmaceuticals Anatomy business Axillary vein |
| Zdroj: | Surgical and Radiologic Anatomy. 33:147-149 |
| ISSN: | 1279-8517 0930-1038 |
| DOI: | 10.1007/s00276-010-0724-3 |
| Popis: | When Carl Langer described the aberrant axillary arch in 1846 its relevance in sentinel node biopsy (SNB) surgery could not have been contemplated. The authors define an incidence and elucidate relevance of the arch in SNB of the axilla. A review of a database for breast and melanoma axillary SNB was carried out. The sample was 1 year at Princess Margaret Hospital, Toronto. Of 319 axillary SNB, 3 (0.9%) had axillary arches noted. Two were in the melanoma group (n = 59) and one in the breast (n = 260). Interestingly one arch case had an ipsilateral ‘idiopathic’ axillary vein thrombosis as a child. The authors see no reason to deviate from the practice of division of the arch at the highest level when recognised at SNB. This would abrogate the risk of concealed nodes and possible future neurovascular compression. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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