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Axillary Reverse Mapping: ARM

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Breast Cancer Management for Surgeons

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Abstract

Any surgical intervention in the axilla may potentially result in lymphoedema of the upper extremity. The concordance of the sentinel nodes draining the upper extremity and sentinel nodes draining the breast is the probable cause of lymphoedema after SLN biopsy in breast cancer. Axillary reverse mapping (ARM) is a feasible technique that may reduce lymphoedema rates in breast cancer patients while preserving the oncological safety of the procedure. Preservation of axillary reverse mapping nodes results in a low incidence of lymphoedema during sentinel node biopsy and axillary node dissection. The potential benefit of the ARM technique needs to be evaluated in a controlled randomized trial to confirm the findings of the reported institutional protocols.

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Author information

Authors and Affiliations

  1. Breast Surgical Oncology, Breast Cancer Center, Hospital Universitario Vall d’Hebron, Paseo Vall d’Hebron 119, 08035, Barcelona, Spain

    Isabel T. Rubio MD

  2. Universitat Autònoma de Barcelona, Barcelona, Spain

    Isabel T. Rubio MD

  3. Amphia Breast Center, Amphia Hospital Breda, Breda, The Netherlands

    Ernest J. T. Luiten MD

  4. Division of Breast and Surgical Oncology, Department of Surgery and Pathology, University of Arkansas for Medical Sciences (UAMS), Winthrop P. Rockefeller Cancer Institute, Little Rock, AR, USA

    V. Suzanne Klimberg MD

Authors
  1. Isabel T. Rubio MD
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  2. Ernest J. T. Luiten MD
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  3. V. Suzanne Klimberg MD
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Corresponding author

Correspondence to Isabel T. Rubio MD .

Editor information

Editors and Affiliations

  1. The Medical School Department of Oncology, University of Sheffield, Sheffield, United Kingdom

    Lynda Wyld

  2. Athens University Medical School, Athens, Greece

    Christos Markopoulos

  3. Helsinki University Hospital, Helsinki, Finland

    Marjut Leidenius

  4. Department of Oncology & Radiotherapy, Gdańsk Medical University Department of Oncology & Radiotherapy, Gdańsk, Poland

    Elżbieta Senkus-Konefka

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Rubio, I.T., Luiten, E.J.T., Suzanne Klimberg, V. (2018). Axillary Reverse Mapping: ARM. In: Wyld, L., Markopoulos, C., Leidenius, M., Senkus-Konefka, E. (eds) Breast Cancer Management for Surgeons. Springer, Cham. https://doi.org/10.1007/978-3-319-56673-3_26

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  • DOI: https://doi.org/10.1007/978-3-319-56673-3_26

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-56671-9

  • Online ISBN: 978-3-319-56673-3

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