Axillary reverse mapping – chance to prevent lymphedema in breast cancer patients

Česká verzia

Authors: D. Pavlišta ; P. Koliba ml.; O. Eliška
Authors place of work: Gynekologicko-porodnická klinika 1. LF UK a VFN, Onkogynekologické centrum, Praha, přednosta prof. MUDr. A. Martan, DrSc.
Published in the journal: Ceska Gynekol 2011; 76(5): 355-359

Summary

Objective:
The axillary reverse mapping (ARM) technique has been developed to map and preserve arm lymphatic drainage during axillary lymph node dissection (ALND) and/or sentinel lymph node (SLN) biopsy, thereby minimizing arm lymphedema. However, several problems remain to be resolved in the practical application of this technique. This article presents a review of current knowledge regarding ARM and discusses the practical applicability and relevance of this technique.

Type of study:
Review.

Setting:
Oncogynecologic center, Gynecology-Obstetrics Clinic, 1st Medical Faculty and General Teaching Hospital, Prague.

Conclusions:
The axillary reverse mapping (ARM) procedure is based on the hypothesis that the lymphatic drainage from the upper arm is different from that of the breast and offers the opportunity to prevent lymphedema in breast cancer patients. However, the oncologic safety of the procedure has not yet been determined.

Key words:
breast cancer, axillary reverse mapping, lymphedema, sentinel node biopsy.

Zdroje

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