Breast cancer. Current use of the extra-pleural exploration of the internal mammary chain

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The interest to know the lnternal Marnmary Chain (IMC) Involvement is that it is a  lyrnphatic filter as primary as the axilla. Anatomic-surgical fundamcnts, were presented for   thcir exploration .Fifty (50) pectus-sternal, analizing the number of nodes (average 9,7 per &...

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Autores principales: Del Castillo, René A, Garello, Néstor C, Kuschnir, Emilio, Castro, Ricardo
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021
Materias:
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Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/27897
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Revistas de la UNC de Universidad Nacional de Córdoba
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language Español
format Artículo revista
topic .
spellingShingle .
Del Castillo, René A
Garello, Néstor C
Kuschnir, Emilio
Castro, Ricardo
Breast cancer. Current use of the extra-pleural exploration of the internal mammary chain
topic_facet .
author Del Castillo, René A
Garello, Néstor C
Kuschnir, Emilio
Castro, Ricardo
author_facet Del Castillo, René A
Garello, Néstor C
Kuschnir, Emilio
Castro, Ricardo
author_sort Del Castillo, René A
title Breast cancer. Current use of the extra-pleural exploration of the internal mammary chain
title_short Breast cancer. Current use of the extra-pleural exploration of the internal mammary chain
title_full Breast cancer. Current use of the extra-pleural exploration of the internal mammary chain
title_fullStr Breast cancer. Current use of the extra-pleural exploration of the internal mammary chain
title_full_unstemmed Breast cancer. Current use of the extra-pleural exploration of the internal mammary chain
title_sort breast cancer. current use of the extra-pleural exploration of the internal mammary chain
description The interest to know the lnternal Marnmary Chain (IMC) Involvement is that it is a  lyrnphatic filter as primary as the axilla. Anatomic-surgical fundamcnts, were presented for   thcir exploration .Fifty (50) pectus-sternal, analizing the number of nodes (average 9,7 per  pecirnen), located preferably in the three first intercostals spaces, were studied. In the  second phase IMC with a staging criterion and extrapleural way, resecting 1 or 2 costal  cartilages, were explored. In 78 patients, pathological-anatomy correlation between IMC  and the axilla, we observed 6% positive IMC with negative axilla. More recently in the era  of the sentinel node, we have explored IMC in 44 patients through intercostal spaces and  without cartilages resection. lo 28 patients we performed through radioisotopic way and gamma probe and in the remaining 16, through anatomic search !f the tumor was either  upper mid or lower. The most frequent spaces explored were in the 2- and 3: 2.27 nodes  average per patient. The pathological-anatomy between IMC and the axilla revealed the  foliowing results: axilla (-) IM (-): 59%; axilla (+) MI (-): 25%; axilla (+) IM (+): 11% and  axilla (-)IM (+): 5%. Wc concluded that this is a non - aggressivc method, with an  exccllent tolerance that aliows the evaluation of another filter as primary as the axilla aoci that together they represent the hest systemic disease prognostics. We believe that its  exploration is justified in those cases in which the histological result , correlated with the axilla, aliows a therapeutic approach change.
publisher Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2021
url https://revistas.unc.edu.ar/index.php/med/article/view/27897
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AT garellonestorc breastcancercurrentuseoftheextrapleuralexplorationoftheinternalmammarychain
AT kuschniremilio breastcancercurrentuseoftheextrapleuralexplorationoftheinternalmammarychain
AT castroricardo breastcancercurrentuseoftheextrapleuralexplorationoftheinternalmammarychain
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first_indexed 2022-08-20T01:27:19Z
last_indexed 2022-08-20T01:27:19Z
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spelling I10-R10-article-278972021-03-25T14:36:19Z Breast cancer. Current use of the extra-pleural exploration of the internal mammary chain Cáncer de Mama: alcances actuales y vigencia de la exploración estadificatoria extrapleural de la cadena mamaria interna Del Castillo, René A Garello, Néstor C Kuschnir, Emilio Castro, Ricardo . The interest to know the lnternal Marnmary Chain (IMC) Involvement is that it is a  lyrnphatic filter as primary as the axilla. Anatomic-surgical fundamcnts, were presented for   thcir exploration .Fifty (50) pectus-sternal, analizing the number of nodes (average 9,7 per  pecirnen), located preferably in the three first intercostals spaces, were studied. In the  second phase IMC with a staging criterion and extrapleural way, resecting 1 or 2 costal  cartilages, were explored. In 78 patients, pathological-anatomy correlation between IMC  and the axilla, we observed 6% positive IMC with negative axilla. More recently in the era  of the sentinel node, we have explored IMC in 44 patients through intercostal spaces and  without cartilages resection. lo 28 patients we performed through radioisotopic way and gamma probe and in the remaining 16, through anatomic search !f the tumor was either  upper mid or lower. The most frequent spaces explored were in the 2- and 3: 2.27 nodes  average per patient. The pathological-anatomy between IMC and the axilla revealed the  foliowing results: axilla (-) IM (-): 59%; axilla (+) MI (-): 25%; axilla (+) IM (+): 11% and  axilla (-)IM (+): 5%. Wc concluded that this is a non - aggressivc method, with an  exccllent tolerance that aliows the evaluation of another filter as primary as the axilla aoci that together they represent the hest systemic disease prognostics. We believe that its  exploration is justified in those cases in which the histological result , correlated with the axilla, aliows a therapeutic approach change. El interés por conocer el compromiso de la Cadena Mamaria Interna (CMI), radica en el  hecho de tratarse de un filtro linfático tan primario como la axila. Se presentan los  fundamentos anátomo-quirúrgicos para su exploración. Fueron estudiados 50  pectocsternales, analizando el número de ganglios (promedio 9.7 por espécimen) .ubicados de preferencia en los 3 primeros espacios intercostales. En una segunda etapa se exploró la  CMI con criterio estadificatorio y por vía extrapleural . resecando 1 o 2 cartílagos costales. En la correlación anatomopatológica entre CMI y axila en 78 pacientes, observarnos un 6%  de CMI positiva con axila negativa. Más recientemente, en al era del ganglio centinela,  hemos explorado la CMI en 44 pacientes, a través de los espacios intercostales y sin resecar cartílagos. En 28 pacientes lo realizarnos con guía radioisotópica y gamma probe y en las  16 restantes mediante búsqueda anatómica, según el tumor fuese medial superior o inferior. Los espacios más frecuentemente explorados fueron el 21 y 31, con un promedio de 2,27  ganglios por paciente. La correlación anatomopatológica entre CMI y axila reveló los  siguientes resultados: axila (-) MI (-): 59%: axila (+) MI(-):25%; axila (+)MI(+):  1l%yaxila(- Ml (+): 5 %. Concluimos que es un método no agresivo, de excelente  tolerancia, que permite la evaluación de otro filtro tan primario como el axilar y que junto  con éste constituyen los mejores pronosticadores de la enfermedad sistémica. Creemos que  su exploración está justificada en aquellos casos en que su resultado histológico, al ser correlacionados con la axila permita un cambio de actitud terapéutica. Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-03-25 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/27897 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 62 No. 2 (2005); 14 - 23 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 62 Núm. 2 (2005); 14 - 23 Revista da Faculdade de Ciências Médicas de Córdoba; v. 62 n. 2 (2005); 14 - 23 1853-0605 0014-6722 spa https://revistas.unc.edu.ar/index.php/med/article/view/27897/29182 Derechos de autor 2020 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0

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