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The tail of Spence (Spence's tail, axillary process, axillary tail) has historically been described as an extension of the tissue of the upper outer quadrant of the breast traveling into the axilla. [1] The "axillary tail" has been reported to pass into the axilla through an opening in the deep fascia called foramen of Langer.
The axillary lymph nodes or armpit lymph nodes are lymph nodes in the human armpit.Between 20 and 49 in number, they drain lymph vessels from the lateral quadrants of the breast, the superficial lymph vessels from thin walls of the chest and the abdomen above the level of the navel, and the vessels from the upper limb.
Breast ultrasound is typically performed using a frequency of 7 to 14 Megahertz, and may also include ultrasound of the axillary tail of the breast and axillae to detect abnormal nodes in the axilla, as lymphatic drainage of parts of the breast occurs through axillary lymph nodes.
However, it receives the efferents of all the other axillary glands. The efferent vessels of the subclavicular group unite to form the subclavian trunk, which opens either directly into the junction of the internal jugular and subclavian veins or into the jugular lymphatic trunk; on the left side it may end in the thoracic duct.
An anterior or pectoral group consists of four or five glands along the lower border of the Pectoralis minor, in relation with the lateral thoracic artery.. Their afferents drain the skin and muscles of the anterior and lateral thoracic walls, and the central and lateral parts of the mamma; their efferents pass partly to the central and partly to the subclavicular groups of axillary glands.
Axillary lymphadenopathy is distinguished by an increase in volume or changes in the morphology of the axillary lymph nodes. It can be detected through palpation during a physical examination or through changes in imaging tests. On a mammogram (MMG), normal lymph nodes typically appear oval or reniform with a radiolucent center representing ...
The first such trial, led by Umberto Veronesi at the European Institute of Oncology, showed that women with breast tumours of 2 cm or less could safely forgo axillary dissection if their sentinel lymph nodes were found to be cancer-free on biopsy. [26] The benefits included less pain, greater arm mobility and less swelling in the arm. [27]
The circular pattern involves moving the fingers in concentric circles from the nipple outward. Some guidelines suggest mentally dividing the breast into four quadrants and checking each quadrant separately. The palpation process covers the entire breast, including the "axillary tail" of each breast that extends toward the axilla (armpit). This ...
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