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 ?
Sentinel-lymph-node-based management or routine axillary clearance? One-year outcomes of sentinel node biopsy versus axillary clearance (SNAC): a randomized controlled surgical trial.
The overall sensitivity of 90% in our study, was less than 93.3% as found out in the axillary lymphatic mapping against nodal axillary clearance (ALMANAC) validation study and 90.1% in national surgical adjuvant breast and bowel project (NSABP) B-32 trial4,5.
In Mastectomy and Axillary Clearance, GA with analgesic paravertebral block showed a 4-fold decrease in cancer recurrence for analgesia when compared against general anesthesia with opioids (11).
[3] It has been detected in 20% of patients with a sentinel node biopsy and in 72% of patients with an axillary clearance. [3] There are only two reported cases where AWS developed in patients without breast cancer: one was secondary to axillary folliculitis, and the other developed following a sentinel node biopsy for melanoma.
Ultrasound-Guided Continuous Interpectoral Block for Patient Undergoing Mastectomy and Axillary Clearance. Turk J Anaesthesiol Reanim 2017; 45: 112-5.
Is a mastectomy and axillary clearance for early breast cancer an outdated procedure or an acceptable solution for patients who have very limited access to radiotherapy, follow-up, mammography and systemic oncological treatment?
(96) A recent meta-analysis identified a pooled positive predictive value for detecting macrometastases of 0.79, suggesting that up to 21% of patients found to have macrometastases using one-step nucleic acid amplification would have an axillary clearance when histology would have classified the deposits as non-macrometastases.
SLN and mastectomy with axillary clearance specimen was sent for histopathology in two separate bottles and the report of the histopathology was compared.
A 61-year-old lady underwent a modified radical mastectomy and axillary clearance in 2008 for a carcinoma of the left breast.
The positive nodal biopsy resulted in the patient having an axillary clearance (5 out of 30 nodes positive).
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.