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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 ...
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]
In women, it is most prevalent in an upper limb after breast cancer surgery, especially axillary lymph node dissection, [15] and occurs on the same side of the body as the surgery. Breast and trunk lymphedema can also occur but go unrecognised as there is swelling in the area after surgery, and its symptoms ( peau d'orange and an inverted ...
A doctor will usually refer a patient to a surgeon to have an axillary lymph node dissection to see if the cancer cells have been trapped in the nodes. For clinical stages I and II breast cancer, axillary lymph node dissection should only be performed after first attempting sentinel node biopsy. [4]
Sentinel lymph node biopsy (SLNB) or axillary lymph node dissection (ALND) may be used to determine if the cancer has progressed away from the breast and into other parts of the body. [10] Sentinel lymph node biopsy is the analysis of a few removed sentinel nodes for the presence of cancerous cells.
A meta-analysis has found that in people with operable primary breast cancer, compared to being treated with axillary lymph node dissection, being treated with lesser axillary surgery (such as axillary sampling or sentinel lymph node biopsy) does not lessen the chance of survival.
The combined effects of radiation and breast cancer surgery can in particular lead to complications such as breast fibrosis, secondary lymphoedema (which may occur in the arm, the breast or the chest, in particular after axillary lymph node dissection [5] [6]), breast asymmetry, and chronic/recurrent breast cellulitis, each of these having long ...
This increasingly radical progression culminated in the ‘super-radical’ mastectomy which consisted of complete excision of all breast tissue, axillary content, removal of the latissimus dorsi, pectoralis major and minor muscles and dissection of the internal mammary lymph nodes. [24] After retrospective analysis, the extended radical ...