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Axillary lymph nodes are included within the standard tangential fields in radiotherapy for breast cancer. In the case of comprehensive nodal irradiation, which includes axillary levels I, II, and III, as well as a supraclavicular lymph node field, there is a risk of damage to brachial plexus.
The term "axilla" refers to the armpit or underarm section of the body. [2] The axillary dissection procedure is commonly used in treating the underarm portion of women who are dealing with breast cancer. [3] The lymph nodes located in the axilla area that are affected by breast cancer are called the guardian or sentinel lymph nodes.
The axillary lymph nodes drain 75% of the lymph from the breasts((uncited)) and so may be the first lymph nodes affected in breast cancer. The sentinel lymph node is the hypothetical first lymph node or group of nodes draining a cancer.
For clinical stages I and II breast cancer, axillary lymph node dissection should only be performed after first attempting a sentinel node biopsy. [5] A sentinel node biopsy can establish cancer staging of the axilla if there are positive lymph nodes present. [5]
In breast cancer patients, if micrometastases are present in the SLN, removal of these nodes is often the next step in treatment. Axillary lymph node dissection involves the excision of the nodes from the armpit, or axilla, region. Depending on the progression of the cells, the surgeon will determine the level of dissection that is required.
Radical mastectomy is a surgical procedure that treats breast cancer by removing the breast and its underlying chest muscle (including pectoralis major and pectoralis minor), and lymph nodes of the axilla (armpit). Breast cancer is the most common cancer among women.
Axillary lymphatic plexus; Cubital lymph nodes (not part of the lymph node drainage of the breast) Superficial axillary (low axillary) Deep axillary lymph nodes; Brachial axillary lymph nodes; Interpectoral axillary lymph nodes (Rotter nodes) Paramammary or intramammary lymph nodes; Parasternal lymph nodes (internal mammary nodes)
In the management of primary breast cancer, having no axillary lymph nodes removed is linked to increased risk of regrowth of cancer. Treatment with axillary lymph node dissection has been found to give an increased risk of lymphoedema, pain, reduced arm movement and numbness when compared to those treated with sentinel lymph node dissection or ...