Articles

AXILLARY LYMPH NODES AND ARM LYMPHATIC DRAINAGE PATHWAYS ARE SPARED DURING ROUTINE COMPLETE AXILLARY CLEARANCE IN MAJORITY OF WOMEN UNDERGOING BREAST CANCER SURGERY

Authors
  • A Szuba
  • A Chachaj
  • M Koba- Wszedybylb
  • R Hawro
  • R Jasinski
  • R Tarkowski
  • K Szewczyk
  • M Bebenek
  • J Forgacz
  • A Jodkowska
  • D Jedrzejuk
  • D Janczak
  • M Mrozinska
  • U Pilch
  • M Wozniewski

Abstract

Alterations in axillary lymph nodes(ALNs) after complete axillary lymph node dissection (ALND) in comparison to the preoperative status were evaluated using lymphoscintigraphy performed preoperatively and 1-6 weeks after surgery in 30 women with a new diagnosis of unilateral, invasive breast carcinoma. Analysis of lymphoscintigrams revealed that ALNs after surgery were present in 26 of 30 examined women. In comparison to preoperative status, they were visualized in the same location (12 women), in the same and additionally in different locations (9 women), or only in different locations (4 women). No lymph nodes were visualized in one woman and lymphocoele were in 4 women. Thus, after ALND, a variable number of axillary lymph nodes remain and were visualized on lymphoscintigraphy in the majority of women. The classical ALND, therefore, does not allow complete dissection and removal of axillary nodes with total disruption of axillary lymphatic pathways, accounting in part for the variable incidence and severity of lymphedema after the procedure.

Keywords: breast cancer, axillary lymph node dissection, lymphoscintigraphy, lymphedema, lymphatic transport, photoplethysmography

How to Cite:

Szuba, A. & Chachaj, A. & Koba- Wszedybylb, M. & Hawro, R. & Jasinski, R. & Tarkowski, R. & Szewczyk, K. & Bebenek, M. & Forgacz, J. & Jodkowska, A. & Jedrzejuk, D. & Janczak, D. & Mrozinska, M. & Pilch, U. & Wozniewski, M., (2011) “AXILLARY LYMPH NODES AND ARM LYMPHATIC DRAINAGE PATHWAYS ARE SPARED DURING ROUTINE COMPLETE AXILLARY CLEARANCE IN MAJORITY OF WOMEN UNDERGOING BREAST CANCER SURGERY”, Lymphology 44(3), p.103-112.

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Published on
20 Aug 2011
Peer Reviewed