About: Relationship Between the Lymphatic Drainage of the Breast and the Upper Extremity: A Postmortem Study     Goto   Sponge   NotDistinct   Permalink

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Description
  • This anatomic study details the lymphatic drainage of the upper extremity (UE) and breast, as well as its course in the axilla and its relation to axillary reverse mapping. Two aspects important for breast cancer surgery were followed: connection between the lymphatics of the UE and breast, and the possible cause of lymphedema of the UE after sentinel node (SN) biopsy. Patent blue dye was injected bilaterally in 23 cadavers with no history of breast carcinoma to simultaneously visualize the lymphatics of the UE and breast. After visualization and dissection of the lymphatic vessels and nodes, a record of their routes was made. A scheme of superficial UE and breast lymphatics was constructed. After application of color contrast to the UE, 2-4 main afferent collectors were shown. As opposed to cranial and medial collectors, caudal collectors diverged from the axillary vein and entered the caudal axilla. In five (10.8 %) cases, the caudal collector entered a node, which was considered to be the SN of the breast. In six (13 %) cases, the SN of the breast and SNs of the UE were found in close proximity (up to 1.5 cm). Lymphatic drainage of the UE and breast are closely related in the caudal part of the axilla. SN groups for the UE and breast share connections in 24 % of cases, which could explain lymphedema after surgery if damaged. Additional studies are needed to further improve our understanding of the lymphatic drainage of the UE and breast.
  • This anatomic study details the lymphatic drainage of the upper extremity (UE) and breast, as well as its course in the axilla and its relation to axillary reverse mapping. Two aspects important for breast cancer surgery were followed: connection between the lymphatics of the UE and breast, and the possible cause of lymphedema of the UE after sentinel node (SN) biopsy. Patent blue dye was injected bilaterally in 23 cadavers with no history of breast carcinoma to simultaneously visualize the lymphatics of the UE and breast. After visualization and dissection of the lymphatic vessels and nodes, a record of their routes was made. A scheme of superficial UE and breast lymphatics was constructed. After application of color contrast to the UE, 2-4 main afferent collectors were shown. As opposed to cranial and medial collectors, caudal collectors diverged from the axillary vein and entered the caudal axilla. In five (10.8 %) cases, the caudal collector entered a node, which was considered to be the SN of the breast. In six (13 %) cases, the SN of the breast and SNs of the UE were found in close proximity (up to 1.5 cm). Lymphatic drainage of the UE and breast are closely related in the caudal part of the axilla. SN groups for the UE and breast share connections in 24 % of cases, which could explain lymphedema after surgery if damaged. Additional studies are needed to further improve our understanding of the lymphatic drainage of the UE and breast. (en)
Title
  • Relationship Between the Lymphatic Drainage of the Breast and the Upper Extremity: A Postmortem Study
  • Relationship Between the Lymphatic Drainage of the Breast and the Upper Extremity: A Postmortem Study (en)
skos:prefLabel
  • Relationship Between the Lymphatic Drainage of the Breast and the Upper Extremity: A Postmortem Study
  • Relationship Between the Lymphatic Drainage of the Breast and the Upper Extremity: A Postmortem Study (en)
skos:notation
  • RIV/00064165:_____/12:13169!RIV13-MZ0-00064165
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I, P(NS9773)
http://linked.open...iv/cisloPeriodika
  • 11
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 164847
http://linked.open...ai/riv/idVysledku
  • RIV/00064165:_____/12:13169
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • sentinel node biopsy; reverse mapping arm; axillary dissection; human cadaver; upper-limb; cancer; lymphadenectomy; lymphedema; identify; anatomy (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [D119DA90E374]
http://linked.open...i/riv/nazevZdroje
  • Annals of Surgical Oncology
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...vavai/riv/projekt
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 19
http://linked.open...iv/tvurceVysledku
  • Pavlišta, David
  • Eliška, Oldřich
http://linked.open...ain/vavai/riv/wos
  • 000308737100018
issn
  • 1068-9265
number of pages
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