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Updated: Jun 6, 2026

Single-port Non-liposuction Endoscopic Axillary Lymph Node Dissection in Breast Cancer Surgery
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Axillary Web Syndrome after Sentinel Node Biopsy.

Fatih Aydogan1, Ahmet Korkut Belli, Semih Baghaki

  • 1Department of General Surgery, Cerrahpasa Medical School, Istanbul University, Turkey.

Breast Care (Basel, Switzerland)
|November 16, 2010
PubMed
Summary

Axillary web syndrome (AWS) can occur after surgery, causing cords in the arm. This condition typically resolves on its own within 8-16 weeks, with improving shoulder mobility, requiring only reassurance.

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Area of Science:

  • Oncology
  • Surgical Oncology
  • Lymphedema Research

Background:

  • Axillary web syndrome (AWS) is a common postoperative complication following axillary surgery.
  • It presents as fibrous cords extending from the axilla to the upper arm, causing discomfort and restricted movement.
  • AWS can also occur after sentinel lymph node biopsy, a procedure often used in breast cancer staging.

Observation:

  • This case report details a patient who developed AWS several weeks post-sentinel lymph node biopsy.
  • The patient presented with characteristic subcutaneous cords and limited shoulder mobility.
  • The onset was delayed, occurring weeks after the initial surgical procedure.

Findings:

  • Axillary web syndrome is a self-limiting condition.

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  • Spontaneous resolution of AWS is typically observed within 8 to 16 weeks after surgery.
  • Improvement in shoulder range of motion generally accompanies the resolution of the fibrous cords.

    • Implications:

    • No specific treatment is currently established for axillary web syndrome.
    • Patient education and reassurance are key components of management.
    • Understanding the natural history of AWS is crucial for appropriate patient counseling and avoiding unnecessary interventions.