New classifications of axillary lymph nodes and their anatomical-clinical correlations in breast surgery

World Journal of Surgical Oncology

Renata Tabola¹  Roberto Cirocchi²  Daniele Pironi³  Vito D’Andrea³  Maria Ida Amabile³  Alessandro De Luca³  Patrizia Gentile³  Massimo Monti³  Federico Frusone³  Domenico Tripodi³  Salvatore Sorrenti³  Flavio Forte⁴ 

[1] Department of Gastrointestinal and General Surgery, Medical University, Wroclaw, Poland;Department of Surgical Science, University of Perugia, Perugia, Italy;Department of Surgical Sciences, Sapienza University of Rome, Viale Regine Elena 324, 00161, Rome, Italy;Urology Department, M.G. Vannini Hospital, Rome, Italy;

关键词: Axillary lymph node;    Clough’s classification;    Li’s classification;    Sentinel lymph node;    Breast cancer;    Breast surgery;   

DOI  :  10.1186/s12957-021-02209-2

来源: Springer

【 摘 要 】

BackgroundIn the last decade, two research groups, the French group by Clough et al. (Br J Surg. 97:1659–65, 2010) and the Chinese one by Li et al. (ISRN Oncol 2013:279013, 2013), proposed two types of classification of axillary lymph nodes in breast cancer, identifying novel anatomic landmarks for dividing the axillary space in lymph node dissection.Main bodyKnowledge of the exact location of the sentinel node helps to focus the surgical dissection and to reduce the morbidity of sentinel lymph node biopsy procedures, in particular the risk of arm lymphedema, without compromising sensitivity.ConclusionIn this article, we aimed at focusing on the clinical impact that the most recent classifications of axillary lymph nodes have obtained in literature, highlighting the importance of defining new demarcations to preserve the axillary lymph nodes as much as possible in breast surgery.

【 授权许可】

CC BY