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Single-port Non-liposuction Endoscopic Axillary Lymph Node Dissection in Breast Cancer Surgery
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Axillary arch may affect axillary lymphadenectomy.

Hasan Karanlik1, Alisan Fathalizadeh2, Burak Ilhan1

  • 1Surgical Oncology Unit, Institute of Oncology, Istanbul University, Capa, Turkey.

Breast Care (Basel, Switzerland)
|February 20, 2014
PubMed
Summary

Langer's axillary arch, an axilla anomaly, was identified in 1.2% of patients undergoing axillary procedures. Awareness of this variation is crucial for surgical planning and preventing adverse outcomes.

Keywords:
Anatomic anomaly of the axillaAxillary lymphadenectomyLanger's axillary arch

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Area of Science:

  • Anatomy
  • Surgical Anatomy
  • Medical Imaging

Background:

  • Langer's axillary arch is an uncommon axillary muscle anomaly.
  • This anatomical variation can pose risks during axillary surgical procedures.

Purpose of the Study:

  • To identify Langer's axillary arch.
  • To assess its clinical significance in axillary surgeries.

Main Methods:

  • Retrospective analysis of 758 patients undergoing axillary procedures (2009-2011).
  • Identification and assessment of patients with Langer's axillary arch.
  • Clinical judgment used to decide whether to cut or preserve the arch.
  • Follow-up to monitor for adverse outcomes.

Main Results:

  • Langer's axillary arch was found in 9 patients (1.2%).
  • The arch was cut in 2 patients and preserved in 7.
  • No adverse outcomes were observed post-procedure.

Conclusions:

  • Langer's axillary arch is a significant anatomical variation in the axilla.
  • Awareness is vital for surgeons and radiologists to prevent complications like lymphedema or nerve/vascular compression.
  • Appropriate clinical management and close patient follow-up are recommended.