[Axillary lymphocele after axillary dissection or sampling of sentinel lymph node in breast cancer].
The goal of this study was to evaluate the rate of seromas after axillary dissection or sentinel lymph node biopsy. This is a prospective study based upon a series of 229 patients. Among those 229 patients, 179 had an axillary dissection and 50 had a sentinel lymph node biopsy. In the axillary dissection group, 40% of patients developed a seroma. The maximum number of aspirations needed was 8. In the sentinel lymph node group, 18% of patients developed a seroma that never recurred after a single aspiration. Seromas are still a very frequent complication after axillary dissection. The sentinel lymph node biopsy has helped to reduce the rate of axillary seroma, and the number of aspirations needed to evacuate them.
Bijek
Jean-Hilaire
JH
Service de chirurgie générale à orientation sénologique, Institut Curie, 26, rue d'Ulm, 75248 Paris Cedex 05.
Aucouturier
Jean-Sébastien
JS
Doridot
Virginie
V
Ghemari
Toufik
T
Nos
Claude
C
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001365:Axilla; D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008197:Lymph Node Excision / Q000009:adverse effects*; D008210:Lymphocele / Q000209:etiology; D008875:Middle Aged; D011446:Prospective Studies; D021701:Sentinel Lymph Node Biopsy / Q000009:adverse effects; D049291:Seroma / Q000209:etiology* / Q000628:therapy; D013396:Suction