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A New Hybrid Quantitative Evaluation Model for Axillary Junctional Hemorrhage in Swine
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Axillary reverse mapping (ARM): where to go.

Xuan Shao1, Bo Sun2, Yanwen Shen2

  • 1Department of Surgical Oncology, Second Affiliated Hospital of Zhejiang University, Hangzhou, 310009, Zhejiang, China. surg2000@sina.com.

Breast Cancer (Tokyo, Japan)
|July 2, 2018
PubMed
Summary
This summary is machine-generated.

Axillary reverse mapping (ARM) may help prevent lymphedema after breast cancer surgery. Further research is needed to confirm its effectiveness and oncologic safety in minimizing arm swelling after sentinel lymph node biopsy and axillary lymph node dissection.

Keywords:
Axillary lymph node dissectionAxillary reverse mappingBreast cancerLymphedemaSentinel lymph node biopsy

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Area of Science:

  • Oncology
  • Surgical Oncology
  • Lymphedema Research

Background:

  • Breast cancer surgery has evolved, with sentinel lymph node biopsy (SLNB) often replacing axillary lymph node dissection (ALND).
  • Axillary lymph node dissection (ALND) can be avoided in select SLNB-positive patients (Z-0011 criteria).
  • Postoperative upper extremity lymphedema remains a common complication of both SLNB and ALND.

Purpose of the Study:

  • To evaluate the effectiveness of the axillary reverse mapping (ARM) technique in preventing lymphedema.
  • To determine the oncologic safety of the ARM technique during breast cancer surgery.

Main Methods:

  • The axillary reverse mapping (ARM) technique aims to identify and preserve lymphatic drainage to the arm during ALND and/or SLNB.
  • Studies are investigating the success rate of ARM in reducing lymphedema incidence and severity.

Main Results:

  • The precise success of ARM in reducing lymphedema requires further determination.
  • Oncologic safety data regarding ARM is still under investigation.

Conclusions:

  • If proven effective and oncologically safe, the axillary reverse mapping (ARM) technique could become a recommended procedure.
  • ARM has the potential to minimize arm lymphedema in breast cancer patients undergoing lymph node evaluation.