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Date Published: 23/09/2022
Abstract Views: 154
Views PDF: 121
DOI: https://doi.org/10.51298/vmj.v518i1.3357
Issue
Vol. 518 No. 1 (2022)
Section
Các bài báo
How to Cite
Hồng Quang, L., Hồng Phương, N. ., & Hương Lam, T. . (2022). AXILLARY ARCH AND CORRELATION WITH ARMPIT AREA LYMPH NODE DISTRIBUTION IN BREAST CANCER PATIENTS AT K HOSPITAL. Vietnam Medical Journal, 518(1). https://doi.org/10.51298/vmj.v518i1.3357

AXILLARY ARCH AND CORRELATION WITH ARMPIT AREA LYMPH NODE DISTRIBUTION IN BREAST CANCER PATIENTS AT K HOSPITAL

Lê Hồng Quang1, Nguyễn Hồng Phương2, Trần Hương Lam3
1 K Hospital
2 Bệnh viện Ung Bướu Thanh Hóa
3 Vinh Medical University

Main Article Content

Abstract

Objectives: To describe the frequency and morphology of axillary arch and its correlation with the distribution of axillary lymph nodes in breast cancer patients at K hospital. Method: Cross-sectional description in five months from November 2021 to April 2022. Study on the axillary cavity of 260 patients undertaking surgery for breast cancer. Research information is obtained directly from conducting clinical examination, surgery, patient evaluation and information collected by form. Results: The frequency of encountering axillary arch in the study was 11.9%. The detection rate of lymph nodes covered by the axillary arch was 96.8%, of which 28 cases were detected with 1 lymph node (93.3%), 2 cases were detected with 2 nodes (6.7%) and 1 case was not detected with lymph nodes covering (3.2%). There were 13 cases of axillary arcectomy for lymph node dissection (41.9%) and 18 cases without axillary arcectomy for lymph node dissection (58.1%). In terms of axillary arch morphology, 100% of axillary arches were found to be in the muscular form of which 29 cases were muscle type including one muscle band without Lpa (93.5%) and 2 cases were muscle type with Lpa (6.5%). We did not record any axillary arch in the form of tendons during the study. Conclusion: Axillary arch is an important anatomical variation of the axillary region with a capture frequency of 11.9% in the study. Regarding the lymph nodes being covered by the axillary arch, the rate is 96.8%. There are no specific recommendations for resection or preservation of the axillary arch. Axillary arch morphology encountered clinically is in the form of muscle bundles.

Article Details

Keywords

Axillary arch, axillary lymph nodes, axillary lymph node dissection in breast cancer

References

1. Sung H, Ferlay J, Siegel RL, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021;71(3):209-249. doi:10.3322/caac.21660
2. Ramsay A. Account of Unusual Conformations of Some Muscles and Vessels. Edinb Med Surg J. 1812;8(31):281-283.
3. Loukas M, Noordeh N, Tubbs RS, Jordan R. Variation of the axillary arch muscle with multiple insertions. Singapore Med J. 2009;50(2):e88-90.
4. Kalaycioglu A, Gümüsalan Y, Ozan H. Anomalous insertional slip of latissimus dorsi muscle: arcus axillaris. Surg Radiol Anat SRA. 1998;20(1):73-75. doi:10.1007/BF01628121
5. Wagenseil F. Muskelbefunde bei Chinesen. 4 Sonderheft (Verhandlungen der Gesellschaft für physische Anthropologie, Band 2). Anthropol Anz. 1927: 42 - 51.
6. Testut L (1849 1925) A du texte. Les Anomalies musculaires chez l’homme expliquées par l’anatomie comparée, leur importance en anthropologie, par le Dr L. Testut,... Précédé d’une préface par M. le professeur Mathias Duval.; 1884. Accessed July 27, 2022. https://gallica.bnf.fr/ ark:/12148/bpt6k6230258d
7. Bonilla Sepúlveda ÓA. Arco axilar de Langer: serie de casos y revisión de la literatura. Rev Colomb Cir. 2021;36(2):268-274. doi:10.30944/ 20117582.646
8. Takafuji T, Igarashi J, Kanbayashi T, et al. [The muscular arch of the axilla and its nerve supply in Japanese adults]. Kaibogaku Zasshi. 1991;66(6):511-523.