Internal mammary lymph nodes identification from isolated sternum of human cadaver
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2006 |
| Outros Autores: | , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da UNIFESP |
| dARK ID: | ark:/48912/001300000bzj9 |
| Texto Completo: | http://dx.doi.org/10.1590/S0102-86502006000600014 http://repositorio.unifesp.br/handle/11600/3413 |
Resumo: | PURPOSE: To identify the lymph nodes positioned along the internal mammary vessels in isolated sternum of human cadaver and to standardize the surgical approach to those nodes, in order to establish anatomical landmarks to be used with the current techniques of mammary gland sentinel lymph node detection. METHODS: Ten sternum plates removed from unclaimed cadavers were used in this study. Sternal plates were removed using bilateral incisions of the ribs at the midclavicular lines. The characterization of the internal mammary vessels and the anatomical integrity of the parietal pleura were indispensable requirements during the procedure. RESULTS: A total of 29 lymph nodes were removed from the 2nd (13) and the 3rd (16) intercostals spaces. Almost 50% of all nodes collected were located medially to the vessels. CONCLUSION: The approach used is a reliable surgical technique for removing lymph node from sternal plates. The model is therefore valuable for breast surgeons training in sentinel node biopsy, an important procedure for breast cancer patients. |
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Internal mammary lymph nodes identification from isolated sternum of human cadaverIdentificação de linfonodos da cadeia mamária interna em esternos isolados de cadáver humanoBreast NeoplasmsMammary ArteriesLymph NodesSentinel Lymph Node BiopsyNeoplasias MamáriasArtérias Torácica InternaLinfonodosBiópsia de Linfonodo SentinelaPURPOSE: To identify the lymph nodes positioned along the internal mammary vessels in isolated sternum of human cadaver and to standardize the surgical approach to those nodes, in order to establish anatomical landmarks to be used with the current techniques of mammary gland sentinel lymph node detection. METHODS: Ten sternum plates removed from unclaimed cadavers were used in this study. Sternal plates were removed using bilateral incisions of the ribs at the midclavicular lines. The characterization of the internal mammary vessels and the anatomical integrity of the parietal pleura were indispensable requirements during the procedure. RESULTS: A total of 29 lymph nodes were removed from the 2nd (13) and the 3rd (16) intercostals spaces. Almost 50% of all nodes collected were located medially to the vessels. CONCLUSION: The approach used is a reliable surgical technique for removing lymph node from sternal plates. The model is therefore valuable for breast surgeons training in sentinel node biopsy, an important procedure for breast cancer patients.OBJETIVO: Identificar os linfonodos localizados ao longo dos vasos mamários internos em esternos isolados de cadáveres e padronizar a abordagem cirúrgica desses linfonodos, registrando os pontos de reparo a serem utilizados nas técnicas atuais de pesquisa do linfonodo sentinela da mama. MÉTODOS: Estudaram-se dez esternos isolados de cadáveres humanos. Os esternos foram obtidos através de secção bilateral do gradil costal ao nível das linhas hemiclaviculares. A individualização e a integridade anatômica da pleura parietal e dos vasos mamários internos foram requisitos imprescindíveis durante a dessecação das peças. RESULTADOS: Um total de 29 linfonodos foram removidos do 2º e 3º espaços intercostais (13 e 16 linfonodos respectivamente). Quase 50% dos linfonodos removidos se situavam em posição medial aos vasos mamários. CONCLUSÃO: A abordagem cirúrgica usada neste estudo demonstrou ser uma técnica adequada para a exérese de linfonodos esternais. Conclui-se assim que o modelo utilizado se presta ao treinamento para o procedimento de biópsia de linfonodo sentinela, de grande valor na abordagem das pacientes portadoras de câncer da mama.UFC Head of Breast DivisionUFCFederal University of São Paulo Post-Graduation Program Division and Plastic SurgeryUNIFESP, Post-Graduation Program Division and Plastic SurgerySciELOSociedade Brasileira para o Desenvolvimento da Pesquisa em CirurgiaUFC Head of Breast DivisionUFCUniversidade Federal de São Paulo (UNIFESP)Pinheiro, Luiz Gonzaga PortoValente, Paulla VasconcelosAguiar, Paulo Henrique WalterMartins, Fabrício de SousaSales, Leonardo Adolpho de SáBarroso, Thiago AlmeidaMesquita Neto, José Wilson Benevides deOliveira Filho, Renato Santos de [UNIFESP]2015-06-14T13:36:35Z2015-06-14T13:36:35Z2006-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion430-433application/pdfhttp://dx.doi.org/10.1590/S0102-86502006000600014Acta Cirurgica Brasileira. Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, v. 21, n. 6, p. 430-433, 2006.10.1590/S0102-86502006000600014S0102-86502006000600014.pdf0102-8650S0102-86502006000600014http://repositorio.unifesp.br/handle/11600/3413ark:/48912/001300000bzj9engActa Cirurgica Brasileirainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-28T18:14:43Zoai:repositorio.unifesp.br/:11600/3413Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-12-11T20:10:06.395969Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
| dc.title.none.fl_str_mv |
Internal mammary lymph nodes identification from isolated sternum of human cadaver Identificação de linfonodos da cadeia mamária interna em esternos isolados de cadáver humano |
| title |
Internal mammary lymph nodes identification from isolated sternum of human cadaver |
| spellingShingle |
Internal mammary lymph nodes identification from isolated sternum of human cadaver Pinheiro, Luiz Gonzaga Porto Breast Neoplasms Mammary Arteries Lymph Nodes Sentinel Lymph Node Biopsy Neoplasias Mamárias Artérias Torácica Interna Linfonodos Biópsia de Linfonodo Sentinela |
| title_short |
Internal mammary lymph nodes identification from isolated sternum of human cadaver |
| title_full |
Internal mammary lymph nodes identification from isolated sternum of human cadaver |
| title_fullStr |
Internal mammary lymph nodes identification from isolated sternum of human cadaver |
| title_full_unstemmed |
Internal mammary lymph nodes identification from isolated sternum of human cadaver |
| title_sort |
Internal mammary lymph nodes identification from isolated sternum of human cadaver |
| author |
Pinheiro, Luiz Gonzaga Porto |
| author_facet |
Pinheiro, Luiz Gonzaga Porto Valente, Paulla Vasconcelos Aguiar, Paulo Henrique Walter Martins, Fabrício de Sousa Sales, Leonardo Adolpho de Sá Barroso, Thiago Almeida Mesquita Neto, José Wilson Benevides de Oliveira Filho, Renato Santos de [UNIFESP] |
| author_role |
author |
| author2 |
Valente, Paulla Vasconcelos Aguiar, Paulo Henrique Walter Martins, Fabrício de Sousa Sales, Leonardo Adolpho de Sá Barroso, Thiago Almeida Mesquita Neto, José Wilson Benevides de Oliveira Filho, Renato Santos de [UNIFESP] |
| author2_role |
author author author author author author author |
| dc.contributor.none.fl_str_mv |
UFC Head of Breast Division UFC Universidade Federal de São Paulo (UNIFESP) |
| dc.contributor.author.fl_str_mv |
Pinheiro, Luiz Gonzaga Porto Valente, Paulla Vasconcelos Aguiar, Paulo Henrique Walter Martins, Fabrício de Sousa Sales, Leonardo Adolpho de Sá Barroso, Thiago Almeida Mesquita Neto, José Wilson Benevides de Oliveira Filho, Renato Santos de [UNIFESP] |
| dc.subject.por.fl_str_mv |
Breast Neoplasms Mammary Arteries Lymph Nodes Sentinel Lymph Node Biopsy Neoplasias Mamárias Artérias Torácica Interna Linfonodos Biópsia de Linfonodo Sentinela |
| topic |
Breast Neoplasms Mammary Arteries Lymph Nodes Sentinel Lymph Node Biopsy Neoplasias Mamárias Artérias Torácica Interna Linfonodos Biópsia de Linfonodo Sentinela |
| description |
PURPOSE: To identify the lymph nodes positioned along the internal mammary vessels in isolated sternum of human cadaver and to standardize the surgical approach to those nodes, in order to establish anatomical landmarks to be used with the current techniques of mammary gland sentinel lymph node detection. METHODS: Ten sternum plates removed from unclaimed cadavers were used in this study. Sternal plates were removed using bilateral incisions of the ribs at the midclavicular lines. The characterization of the internal mammary vessels and the anatomical integrity of the parietal pleura were indispensable requirements during the procedure. RESULTS: A total of 29 lymph nodes were removed from the 2nd (13) and the 3rd (16) intercostals spaces. Almost 50% of all nodes collected were located medially to the vessels. CONCLUSION: The approach used is a reliable surgical technique for removing lymph node from sternal plates. The model is therefore valuable for breast surgeons training in sentinel node biopsy, an important procedure for breast cancer patients. |
| publishDate |
2006 |
| dc.date.none.fl_str_mv |
2006-12-01 2015-06-14T13:36:35Z 2015-06-14T13:36:35Z |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S0102-86502006000600014 Acta Cirurgica Brasileira. Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, v. 21, n. 6, p. 430-433, 2006. 10.1590/S0102-86502006000600014 S0102-86502006000600014.pdf 0102-8650 S0102-86502006000600014 http://repositorio.unifesp.br/handle/11600/3413 |
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ark:/48912/001300000bzj9 |
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http://dx.doi.org/10.1590/S0102-86502006000600014 http://repositorio.unifesp.br/handle/11600/3413 |
| identifier_str_mv |
Acta Cirurgica Brasileira. Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, v. 21, n. 6, p. 430-433, 2006. 10.1590/S0102-86502006000600014 S0102-86502006000600014.pdf 0102-8650 S0102-86502006000600014 ark:/48912/001300000bzj9 |
| dc.language.iso.fl_str_mv |
eng |
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eng |
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Acta Cirurgica Brasileira |
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info:eu-repo/semantics/openAccess |
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openAccess |
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430-433 application/pdf |
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Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia |
| publisher.none.fl_str_mv |
Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia |
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reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
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Universidade Federal de São Paulo (UNIFESP) |
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UNIFESP |
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UNIFESP |
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Repositório Institucional da UNIFESP |
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Repositório Institucional da UNIFESP |
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Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
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biblioteca.csp@unifesp.br |
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1818602440818163712 |