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      Lymphatic Drainage of the Breast: from Theory to Surgical Practice Translated title: Drenaje Linfático de la Mama: desde la Teoría a la Práctica Quirúrgica

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          Abstract

          Until recently, complete removal of axillary lymph nodes was performed as part of the treatment of breast cancer. Sentinel lymph node biopsy (SLNB) in selected cases has reduced the number of cases of wide axillary dissection and the related morbidity. Knowledge of breast lymphatic drainage is essential for understanding the principles behind SLNB and also for performing safe and correct axillary lymphonodectomy. This paper describes in detail the anatomical issues relating to breast lymphatic drainage and the correlated axillary and extra-axillary lymph nodes. In addition, it shows the application of this theoretical knowledge to surgical practice, especially with regard to SLNB and lymphonodectomy. The surgical nomenclature is compared with the current International Anatomical Terminology.

          Translated abstract

          Hasta hace poco, la eliminación completa de los linfondos axilares se realizaba como parte del tratamiento del cáncer de mama. En casos seleccionados la biopsia del linfonofo centinela ha reducido el número de casos de disección axilar y la morbilidad. El conocimiento del drenaje linfático de la mama es esencial para comprender los principios detrás del SNLB y también para la realización segura y correcta de la linfonodectomía axilar. Este trabajo describe en detalles los aspectos anatómicos en relación a la lactancia y correlaciona el drenaje linfático axilar y linfonofos extra-axilares. Además, se muestra la aplicación de estos conocimientos teóricos en la práctica quirúrgica, sobre todo con respecto al linfonofo centinela y la linfonodectomía. La nomenclatura quirúrgica es comparada con la actual Terminología Anatómica Internacional.

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          Most cited references17

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          Development of axillary surgery in breast cancer.

          Axillary surgery is a critical part of the treatment of breast carcinoma: its importance is related to the staging of disease, prescription of adjuvant therapy and prognosis. For years, complete axillary dissection has remained the standard approach to breast cancer lymphatic staging; its value is still high, but the development of sentinel-node biopsy has significantly changed the indication of the procedure. We discuss the evolution of axillary surgery in breast cancer.
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            Anatomia Orientada para a Clinica

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              Techniques of sentinel lymph node biopsy.

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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                ijmorphol
                International Journal of Morphology
                Int. J. Morphol.
                Sociedad Chilena de Anatomía (Temuco )
                0717-9502
                September 2009
                : 27
                : 3
                : 873-878
                Affiliations
                [1 ] Irmandade da Santa Casa de Misericórdia de São Paulo Brazil
                Article
                S0717-95022009000300038
                10.4067/S0717-95022009000300038
                46e1cea7-6605-4525-8564-76e11aa05ab2

                http://creativecommons.org/licenses/by/4.0/

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                SciELO Chile

                Self URI (journal page): http://www.scielo.cl/scielo.php?script=sci_serial&pid=0717-9502&lng=en
                Categories
                ANATOMY & MORPHOLOGY

                Anatomy & Physiology
                Lymphatic drainage,Sentinel lymph node biopsy,Breast cancer,drenaje linfático,la biopsia del ganglio centinela,cáncer de mama

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