Lymph nodes behind the axillary neurovascular bundle: case report and cadaveric study of frequency and distribution
| Autor: | Natasa Colakovic, Miodrag Stojiljkovic, Darko Zdravkovic, Miroslav Granic, Nebojsa Ivanovic, Biljana Sredic |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Pathology and Forensic Medicine medicine Cadaver Humans Radiology Nuclear Medicine and imaging Lymph node Melanoma Aged Aged 80 and over business.industry Axillary Lymph Node Involvement Middle Aged Neurovascular bundle medicine.disease Surgery Axilla medicine.anatomical_structure Lymphatic Metastasis Unknown primary Lymph Node Excision Female Lymph Lymph Nodes Anatomy Cadaveric spasm business |
| Zdroj: | Surgical and radiologic anatomy : SRA. 37(10) |
| ISSN: | 1279-8517 |
| Popis: | Axillary clearance was undertaken in a 58-year-old male with massive lymph node enlargement caused by melanoma from an unknown primary site. We discovered a group of metastatic lymph nodes behind the axillary neurovascular bundle. This group of nodes (retro-axillary lymph nodes) could represent an extension of the subscapular group, or the seventh group of axillary lymphoid nodes. They were successfully removed using an ad hoc surgical technique, and the subsequent findings are presented herein. To check the frequency of these lymph nodes in this area, we conducted a study on 15 cadavers (30 armpits). The technique of cadaveric sampling is described. Retro-axillary tissue was histologically processed to determine the number of lymph nodes present. It was found that lymph nodes were present in the defined area in 18 of the 30 (60 %) armpits explored. We recommend assessment of the retro-axillary space during surgery entailing massive axillary lymph node involvement. |
| Databáze: | OpenAIRE |
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