Implications of Transaxillary Breast Augmentation: Lifetime Probability for the Development of Breast Cancer and Sentinel Node Mapping Interference

Graf, Ruth; Canan, Lady; Romano, Giovana G.; Tolazzi, André Ricardo Dall’Oglio; Cruz, Gilvani Azor de Oliveira e

doi:10.1007/s00266-006-0204-7

Cited by 15 publications

(4 citation statements)

References 13 publications

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“…We noticed during the experiments that the vessels belonging to the upper external quadrant run in the direction of the axillary fossa, without actually ever reaching it. This phenomenon con rms various studies [38][39][40][41] reporting an anatomical zone located behind the lateral edge of the pectoralis major, near the lower pole of the axillary fossa, where the lymph nodes responsible for breast drainage are concentrated: the "Soft Tissue Triangle" (Fig. 6 and Fig.…”

Section: Discussionsupporting

confidence: 86%

Mapping of the superficial lymphatic network of the breast using indocyanine green injection: an anatomical study

Claudic

Perruisseau-Carrier

DEMARTELEIRE

et al. 2022

Preprint

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Purpose Indocyanine green (ICG) is a fluorophore that allows exploration of the arterial and lymphatic network. The superficial lymphatic network of the breast is particularly vulnerable in breast augmentation surgery. The intraoperative use of ICG could help the plastic surgeon during breast augmentation surgery. The aim of this work is to demonstrate the feasibility of mapping the superficial breast lymphatic network using ICG. Methods This is an anatomical study. A peri-areolar injection of indocyanine green was performed on cadaveric subjects. At the end, a mapping of their spatial distribution was carried out according to four quadrants, delimited by two perpendicular lines passing by the areola. Results We performed 60 breast injections. The lymphatic network could be identified in 53 of them. A total of 80 vessels were found in the superior-external quadrant, 17 in the superior-internal quadrant, 28 in the inferior-external quadrant and 0 in the inferior-internal quadrant. Conclusion This work shows that indocyanine green allows the identification of the superficial lymphatic network of the breast. Its use could represent an intraoperative assistance in breast augmentation surgery. This work also confirms the existing anatomical notions with a predominance of the axillary drainage route.

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Section: Discussionsupporting

confidence: 86%

Mapping of the superficial lymphatic network of the breast using indocyanine green injection: an anatomical study

Claudic

Perruisseau-Carrier

DEMARTELEIRE

et al. 2022

Preprint

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“…O resultado da pesquisa no PubMed evidenciou 8 estudos entre os anos de 2003 e 2008 (Figura 2). Os oito artigos distribuíram-se da seguinte maneira: 3 relatos de casos 9-11 , 2 estudos de coorte 12,13 , 2 discussões a artigos prévios 14,15 e 1 estudo anatômico 16 . Destacaremos aqui os seis estudos originais.…”

Section: Resultsunclassified

Implicações da mamoplastia de aumento via transaxilar na pesquisa de linfonodo sentinela: revisão da literatura

Steffen¹,

Valiati²,

Filho³

et al. 2011

Rev. Bras. Cir. Plást. (Impr.)

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Steffen N et al. Implicações da mamoplastia de aumento via transaxilar na pesquisa de linfonodo sentinela: revisão da literatura Implications of transaxillary breast augmentation in the sentinel lymph node detection: literature review RESUMO Introdução: A pesquisa do linfonodo sentinela é o tratamento padrão para o estadiamento da axila em pacientes com câncer de mama precoce, e sua identificação pode evitar um esvaziamento axilar desnecessário. A incidência de câncer de mama vem aumentando a cada ano, concomitantemente, a mamoplastia de aumento transaxilar vem ganhando cada vez mais adeptos. Objetivo: Revisão bibliográfica com vistas a avaliar se a mamoplastia de aumento transaxilar poderia modificar a drenagem linfática e prejudicar a identificação do linfonodo sentinela. Método: Revisão da literatura. Conclusão: A maioria dos estudos tende a excluir a hipótese de que a mamoplastia de aumento transaxilar possa afetar a identificação do linfonodo sentinela no futuro. Descritores: Linfonodos. Mamoplastia. Neoplasias de mama.

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“…[36][37][38][39] The major retrospective studies of sentinel node detection in patients after axillary breast augmentation show positive detection in all of these patients. 34,40,41 On the basis of these observations, Graf et al 42 conducted an anatomical study of 10 female anatomical subjects on whom they performed axillary breast augmentations (20 breast augmentations) and then immediately searched for the sentinel node by colorimetric method (blue dye). Once again, the results seem to be in favor of preservation of the lymphatic tissue by homogeneous migration of the dye in 17 of 20 cases (85%).…”

Section: Discussionmentioning

confidence: 99%

Anatomic Study of the Integrity of the Breast Lymphatic Network With Indocyanine Green in Breast Implant Surgery Through the Axillary Approach

Claudic

Perruisseau-Carrier

et al. 2023

Ann Plast Surg

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Introduction:The performance of a prosthetic breast augmentation through the axilla always makes the surgeon fear the possibility of damage to the breast lymphatic network. Indocyanine green is a fluorescent marker allowing the analysis of the lymphatic system. This anatomical work aims at demonstrating, thanks to the use of indocyanine green, whether the realization of a prosthetic breast augmentation by axillary way leads to lesions of the breast lymphatic network and also seeks to show the feasibility of detecting the axillary sentinel node after axillary breast augmentation. Material and Method: This is an anatomical study. After injection of indocyanine green in the periareolar area, a prosthetic breast augmentation was performed through the axilla. At the end of the procedure, a change in the distribution of indocyanine green in the skin or its abnormal presence was sought: at the level of the skin incision, the prosthetic space, or in contact with the prosthesis itself. The presence of green in these situations was synonymous with a lesion of the lymphatic network. In the opposite case, we considered that the lymphatic system was respected. After sampling, an axillary lymph node we also looked for the presence of indocyanine green at its contact. Results: We performed 22 breast injections. The lymphatic network could be demonstrated in 15 of them. Among these 15 injections, 12 (80%) were in favor of a preservation of the lymphatic network, whereas 3 (20%) evoked a lesion of the lymphatic network. In all subjects (100%), an axillary lymph node was found with the presence of indocyanine green within it. Conclusion: Our study is in favor of a preservation of the lymphatic network during a prosthetic breast augmentation by axillary way. Furthermore, with the collection of an axillary lymph node containing the dye from each subject, this work demonstrates the feasibility of axillary sentinel node detection with indocyanine green after axillary breast augmentation. Further work on live subjects and on a larger number of subjects would be necessary to confirm these results.

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Implications of Transaxillary Breast Augmentation: Lifetime Probability for the Development of Breast Cancer and Sentinel Node Mapping Interference

Cited by 15 publications

References 13 publications

Mapping of the superficial lymphatic network of the breast using indocyanine green injection: an anatomical study

Mapping of the superficial lymphatic network of the breast using indocyanine green injection: an anatomical study

Implicações da mamoplastia de aumento via transaxilar na pesquisa de linfonodo sentinela: revisão da literatura

Anatomic Study of the Integrity of the Breast Lymphatic Network With Indocyanine Green in Breast Implant Surgery Through the Axillary Approach

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