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Axillary dissection is a surgical procedure that incises the axilla, usually in order to identify, examine, or take out lymph nodes. [1] The term "axilla" refers to the armpit or underarm section of the body. [2] The axillary dissection procedure is commonly used in treating the underarm portion of women who are dealing with breast cancer. [3]
The axillary lymph nodes or armpit lymph nodes are lymph nodes in the human armpit. Between 20 and 49 in number, they drain lymph vessels from the lateral quadrants of the breast, the superficial lymph vessels from thin walls of the chest and the abdomen above the level of the navel, and the vessels from the upper limb.
If cancer is not present in the sentinel lymph nodes, then the axillary lymph node dissection should not be performed. [ 5 ] If one or two sentinel nodes have cancer that is not extensive, then no axillary dissection should be performed, but the person with cancer should have breast-conserving surgery and chemotherapy appropriate for their ...
The superficial nodes are supplied by lymphatics that are present throughout the arm, but are particularly rich on the palm and flexor aspects of the digits. Superficial lymph nodes of the arm: Supratrochlear nodes: Situated above the medial epicondyle of the humerus , medial to the basilic vein , they drain the C7 and C8 dermatomes .
The radical mastectomy was subsequently extended by a number of surgeons such as Sugarbaker and Urban to include removal of internal mammary lymph nodes. [20] [21] Eventually, this "extended" radical mastectomy was extended even further to include removal of the supraclavicular lymph nodes at the time of mastectomy by Dahl-Iversen and Tobiassen ...
Axillary lymphadenopathy is distinguished by an increase in volume or changes in the morphology of the axillary lymph nodes. It can be detected through palpation during a physical examination or through changes in imaging tests. On a mammogram (MMG), normal lymph nodes typically appear oval or reniform with a radiolucent center representing ...
Axillary lymphatic plexus; Cubital lymph nodes (not part of the lymph node drainage of the breast) Superficial axillary (low axillary) Deep axillary lymph nodes; Brachial axillary lymph nodes; Interpectoral axillary lymph nodes (Rotter nodes) Paramammary or intramammary lymph nodes; Parasternal lymph nodes (internal mammary nodes)
The axillary lymph nodes drain 75% of the lymph from the breasts((uncited)) and so may be the first lymph nodes affected in breast cancer. The sentinel lymph node is the hypothetical first lymph node or group of nodes draining a cancer.