Complete axillary dissection: A technique that still has relevance in contemporary management of breast cancer

Ung O., Tan M., Chua B. and Barraclough B. (2006) Complete axillary dissection: A technique that still has relevance in contemporary management of breast cancer. ANZ Journal of Surgery, 76 6: 518-521. doi:10.1111/j.1445-2197.2006.03765.x


Author Ung O.
Tan M.
Chua B.
Barraclough B.
Title Complete axillary dissection: A technique that still has relevance in contemporary management of breast cancer
Journal name ANZ Journal of Surgery   Check publisher's open access policy
ISSN 1445-1433
Publication date 2006-01-01
Year available 2006
Sub-type Article (original research)
DOI 10.1111/j.1445-2197.2006.03765.x
Volume 76
Issue 6
Start page 518
End page 521
Total pages 4
Publisher BLACKWELL PUBLISHING
Language eng
Subject 2746 Surgery
Abstract Axillary lymph node status is an important prognostic indicator for women with breast cancer and axillary dissection provides accurate information regarding nodal status. In addition, local control of axillary disease and allocation of adjuvant systemic therapy are dependent on appropriate axillary surgery. The survival benefit of an axillary dissection remains controversial. We describe a technique of complete axillary clearance that includes levels I, II and III. In our experience this technique is associated with no additional morbidity to patients and incurs minimal prolongation of operative time compared with a level II dissection. Other operative descriptions of axillary surgery generally do not adequately describe a method that clearly and consistently identifies the boundaries, anatomical landmarks and neurovascular structures that traverse the axilla. This technique, with relative ease, allows the identification and preservation of these structures in their original anatomical planes and avoids the division of the pectoralis minor muscle. The assumption that routine level III axillary clearance, as opposed to level I or level II dissection, is associated with greater morbidity warrants further evaluation. No well-conducted randomized trials have addressed this issue.
Keyword Axillary clearance
Axillary lymph node dissection
Breast cancer management
Breast surgery
Level I-III dissection
Sentinel lymph node biopsy
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
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Citation counts: TR Web of Science Citation Count  Cited 11 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 13 times in Scopus Article | Citations
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