axillary clearance

axillary clearance

A procedure in which the lymph nodes and surrounding fat in the axilla are entirely removed as part of a mastectomy for breast cancer. Current evidence suggests that axillary clearance is no more effective than axillary radiation in preventing recurrences or mortality at 10 years.
Cons Lymphoedema, seroma formation, arm swelling, damage to the intercostobrachial nerve, shoulder stiffness, poorer quality of life, and risk of development of angiosarcoma in the region.
References in periodicals archive ?
Women eligible to take part will be those with newly diagnosed breast cancer and due to have an axillary clearance, a process where all or most of the lymph nodes in the armpit are removed.
Relevant investigations to rule out other sites of malignancy and mastectomy with axillary clearance are recommended.
One-year outcomes of sentinel node biopsy versus axillary clearance (SNAC): a randomized controlled surgical trial.
Recent publication of the survival analysis from the NSABP B-32 trial provides level- one evidence confirming findings from numerous retrospective cohort studies demonstrating the oncological equivalence of sentinel node biopsy (SNB) to axillary clearance in clinically node-negative breast cancer [1], This and other studies including the ALMANAC Trial [2], have previously confirmed reduced morbidity and improved patient-reported outcomes with SNB.
The 17 patients with cancerous lymph cells on axillary ultrasound and fine-needle aspiration cytology (AUS-FNAC) underwent axillary clearance at the same time as lumpectomy, Dr.
Baruah said, but his unit offers patients with micrometastases axillary clearance, to be safe.
To avoid the complications seen after an axillary clearance, some surgeons advocated a 'wait and see' approach if no nodes were palpable.
Following chemotherapy, a toilet mastectomy and axillary clearance were performed.
Her past medical history included a left-sided grade III intraductal carcinoma of the breast for which she had a wide local excision and axillary clearance followed by 5-fluorouracil, epirubicin, cyclophosphamide (FEC) chemotherapy and radiotherapy.
In cases in which axillary lymph nodes were examined, the lymph nodes were removed surgically by a process of axillary clearance, whereby an average of 24 lymph nodes were obtained and microscopically examined.