full axillary dissection

full axillary dissection

Surgical oncology A procedure for treating breast CA, consisting of en bloc resection of the axillary content–ie, level I, II, and III lymph nodes, from the latissimus dorsi laterally, to the subclavius–Halsted's ligament medially, with clearing of axillary vein superiorly with either preservation or conservation of the pectoralis minor. Cf Low axillary dissection.
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This finding, combined with the fact that hemorrhage made up much more of the gross tumor volume than actual solid tumor, contributed to the decision not to perform a full axillary dissection.
1) The procedure is highly selective as a method for detecting the lymph node or nodes most likely to harbor metastatic carcinoma, Consequently, the staging of the axilla can be accomplished by this method without the morbidity of a full axillary dissection.
7,16-26] For this reason, the use of the SLN as representative of the rest of the axillary nodes is very appealing; this limited material is amenable to detailed histologic evaluation without the prohibitive labor cost requirements associated with such detailed evaluation of full axillary dissections.