Axillary Dissection

Ashkaun Shaterian, E. Lin
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Abstract

Axillary dissection represents an evaluation of the axillary lymph node basin to provide prognostic and therapeutic value for cancer patients. Axillary lymph node dissection (ALND) is most commonly utilized in breast cancer but has applications in the treatment of other malignant neoplasms that may drain to the axillary lymphatics. ALND offers pathologic staging of cancer, therapeutic removal of clinically apparent axillary disease, and the removal of lymph nodes with possible subclinical disease following sentinel lymph node biopsy. The anatomy of the axillary space and technique of axillary dissection are discussed in detail in the chapter text.
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腋窝的解剖
腋窝清扫是对腋窝淋巴结盆的一种评估,为癌症患者提供预后和治疗价值。腋窝淋巴结清扫术(ALND)最常用于乳腺癌,但也可用于治疗其他可能流向腋窝淋巴的恶性肿瘤。ALND提供了癌症的病理分期,治疗性切除临床明显的腋窝疾病,以及在前哨淋巴结活检后切除可能有亚临床疾病的淋巴结。本章详细讨论了腋窝间隙的解剖和腋窝解剖技术。
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