A Prospective Study to Assess the Feasibility of Axillary Reverse Mapping and Evaluate Its Effect on Preventing Lymphedema in Breast Cancer Patients

Clinical Breast Cancer
Tao YueQingqing He

Abstract

The axillary reverse mapping (ARM) procedure can distinguish lymphatics draining the arm from those draining the breast. It has been proposed to preserve lymphatic drainage of the upper limbs and reduce the incidence of upper limb lymphedema during breast cancer surgery. The aim of our study was to assess the feasibility of ARM in modified radical mastectomy and to evaluate its effect on prevention of lymphedema. From January 2012 to March 2014, a prospective study was performed in 265 breast cancer patients who underwent modified radical mastectomy. Patients were divided into 2 groups, 127 patients (47.93%, control group) received a traditional axillary lymph node dissection (ALND), and 138 patients (52.07%, experimental group) received ARM preservation of the nodes and lymphatics during ALND. Radioactive tracer and methylene blue were used for ARM of the nodes and lymphatics. All of the identified ARM nodes were diagnosed using fine needle aspiration cytology for assessment of metastatic status. All resected axillary lymph nodes were conducted in a pathology examination to evaluate tumor metastasis. Data were collected on variations in identification of the ARM nodes and lymphatics, the metastasis of ARM nodes, and the occurr...Continue Reading

References

Jan 5, 1999·Cancer·J A Petrek, M C Heelan
Mar 3, 2007·Patient Education and Counseling·Hiba A BaniMayada R Bani
May 5, 2007·Annals of Surgical Oncology·Margaret ThompsonV Suzanne Klimberg
May 9, 2007·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Anthony LucciUNKNOWN American College of Surgeons Oncology Group
Nov 9, 2007·Annals of Surgical Oncology·Riccardo PonzonePiero Sismondi
May 13, 2008·Journal of the American College of Surgeons·Cristiano BonetiV Suzanne Klimberg
Oct 8, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Sarah A McLaughlinKimberly J Van Zee
Mar 26, 2009·Nuclear Medicine Communications·Tom Bennett BrittonAnand D Purushotham
Jun 10, 2009·Annals of Surgical Oncology·Federico CasabonaSimone Ferrero
Oct 15, 2009·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Riccardo PonzonePiero Sismondi
Oct 21, 2009·Breast Cancer Research and Treatment·Masakuni Noguchi
Jan 12, 2010·Journal of Surgical Oncology·Masakuni NoguchiYasuharu Nakano
Oct 26, 2010·Journal of Cancer Survivorship : Research and Practice·Inger-Lise NesvoldAlv A Dahl
Dec 3, 2010·Plastic and Reconstructive Surgery·Hiroo Suami, David W Chang
Feb 19, 2011·Breast Cancer : the Journal of the Japanese Breast Cancer Society·Michael StamatakosKontzoglou Konstantinos
Sep 22, 2011·Journal of Cancer Research and Clinical Oncology·Heran DengFengxi Su
May 23, 2012·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·P D GobardhanE J T Luiten
Jun 6, 2013·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·C TauschC Rageth
Oct 12, 2013·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·M GennaroE Bombardieri
Mar 7, 2014·Annals of Surgical Oncology·Eduardo SchunemannVinicius Milani Budel
Jun 18, 2014·Breast Disease·Rohan KhandelwalPais Anthony

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Citations

Feb 24, 2016·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·M A BeekE G Klompenhouwer
Feb 24, 2016·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·E J T LuitenI T Rubio
Dec 15, 2015·The British Journal of Surgery·M AhmedM Douek
Mar 29, 2016·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Nick Gebruers, Wiebren A A Tjalma
Jul 23, 2016·Breast Cancer Research and Treatment·Martinus A BeekErnest J T Luiten
Jan 31, 2018·Breast Cancer Research and Treatment·Guilherme de Arruda CuadradoAlfredo Luiz Jacomo
Jul 29, 2020·Current Oncology Reports·Kristalyn K GallagherMeredith Kugar
Jul 2, 2018·Breast Cancer : the Journal of the Japanese Breast Cancer Society·Xuan ShaoYanwen Shen
Jul 29, 2020·Annals of Surgical Oncology·Kristina ShafferStephanie A Valente
Aug 3, 2017·Annals of Surgical Oncology·Jane Mendez, Judy C Boughey
Jan 14, 2020·International Journal of Radiation Oncology, Biology, Physics·Julie A Bradley, Jennifer R Bellon
Mar 28, 2021·Clinical Breast Cancer·Maureen P McEvoySheldon Feldman
Jun 11, 2021·Circulation Research·Stanley G Rockson

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