The surgical importance of an axillary arch in sentinel node biopsy.
Affiliation
Department of Surgery, Trinity College Dublin at the Adelaide and Meath Hospital, Tallaght, Dublin 24, Ireland. ridgwayp@tcd.ieIssue Date
2011-03MeSH
AdultAxilla
Breast Neoplasms
Female
Humans
Lymphatic Metastasis
Male
Melanoma
Middle Aged
Prospective Studies
Radiopharmaceuticals
Sentinel Lymph Node Biopsy
Technetium Tc 99m Sulfur Colloid
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The surgical importance of an axillary arch in sentinel node biopsy. 2011, 33 (2):147-9 Surg Radiol AnatJournal
Surgical and radiologic anatomy : SRADOI
10.1007/s00276-010-0724-3PubMed ID
20811892Additional Links
http://www.ncbi.nlm.nih.gov/pubmed/20811892Abstract
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.
Item Type
ArticleLanguage
enISSN
1279-8517ae974a485f413a2113503eed53cd6c53
10.1007/s00276-010-0724-3
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