Title |
Axillary reverse mapping in axillary surgery for breast cancer: an update of the current status
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Published in |
Breast Cancer Research and Treatment, July 2016
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DOI | 10.1007/s10549-016-3920-y |
Pubmed ID | |
Authors |
Martinus A. Beek, Paul D. Gobardhan, Ernst J. P. Schoenmaeckers, Elisabeth G. Klompenhouwer, Harm J. T. Rutten, Adri C. Voogd, Ernest J. T. Luiten |
Abstract |
Axillary reverse mapping (ARM) is a technique by which the lymphatic drainage of the upper extremity that traverses the axillary region can be differentiated from the lymphatic drainage of the breast during axillary lymph node dissection (ALND). Adding this procedure to ALND may reduce upper extremity lymphedema by preserving upper extremity drainage. This review of the current literature on the ARM procedure discusses the feasibility, safety and relevance of this technique. A PubMed literature search was performed until 12 August 2015. A total of 31 studies were included in this review. The studies indicated that the ARM procedure adequately identifies the upper extremity lymph nodes and lymphatics in the axillary basin using blue dye or fluorescence. Preservation of ARM lymph nodes and corresponding lymphatics was proven to be oncologically safe in clinically node-negative breast cancer patients with metastatic lymph node involvement in the sentinel lymph node (SLN) who are advised to undergo a completion ALND. The ARM procedure is technically feasible with a high visualisation rate using blue dye or fluorescence. ALND combined with ARM can be regarded as a promising surgical refinement in order to reduce the incidence of upper extremity lymphedema in selected groups of patients. |
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Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 42 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Postgraduate | 7 | 17% |
Student > Ph. D. Student | 5 | 12% |
Researcher | 5 | 12% |
Student > Bachelor | 4 | 10% |
Student > Master | 4 | 10% |
Other | 10 | 24% |
Unknown | 7 | 17% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 27 | 64% |
Nursing and Health Professions | 2 | 5% |
Sports and Recreations | 1 | 2% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 2% |
Social Sciences | 1 | 2% |
Other | 1 | 2% |
Unknown | 9 | 21% |