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Related Concept Videos

Assessing Body Temperature - Axilla01:14

Assessing Body Temperature - Axilla

674
Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
674

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Updated: Sep 21, 2025

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The forgotten node: Axillary surgery mandates expertise.

Orit Kaidar-Person1, Walter Paul Weber2, Thorsten Kühn3

  • 1Breast Radiation Therapy Unit, Sheba Tel Hashomer, Ramat Gan, Israel; Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.

European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
|June 2, 2022
PubMed
Summary
This summary is machine-generated.

Axillary dissection for breast cancer is declining but still needed in some cases. Surgeons must be skilled to avoid leaving gross nodal disease behind, as seen on radiation planning CT scans.

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Area of Science:

  • Oncology
  • Surgical Oncology
  • Radiology

Background:

  • The role of axillary dissection in breast cancer management is evolving, with a trend towards less invasive approaches.
  • However, axillary dissection remains indicated for specific patient groups, requiring specialized surgical expertise.

Purpose of the Study:

  • To highlight the critical need for surgical precision in axillary dissection when gross nodal disease is present.
  • To report instances where residual nodal disease was identified post-operatively on radiation planning CT scans.

Main Methods:

  • Review of cases undergoing axillary dissection where gross nodal disease was suspected or confirmed.
  • Analysis of post-operative radiation planning CT scans to identify any missed nodal disease.

Main Results:

  • Identified cases where gross nodal disease was inadvertently left behind during axillary dissection.
  • Demonstrated the utility of radiation planning CT in detecting residual axillary disease.

Conclusions:

  • Despite the declining use of axillary dissection, meticulous surgical technique and pre-operative planning are paramount when indicated.
  • Radiation planning CT is a valuable tool for assessing the completeness of axillary dissection in cases with significant nodal burden.