Breast Cancer : The Disadvantages Of Flushing

mong the consequences of flushing axillary, there is a violation of the lymphatic drainage of the breast and arm, increased susceptibility to infections in the arm.

In addition, the flushing can cause pain and a certain impotence arm in the weeks following the operation. The help of a physiotherapist will gradually recover its full mobility.

After three to eight days of operation, a redundant (small tube used to evacuate the lymph) is retained below the arm. Despite this, the lymph drainage is less effective, and one third of women needs a puncture after the operation.

Finally, 5% of women face after several years with a problem of "big arm" or lymphedema arm. The swelling of the hand and arm very painful poisons the lives of patients. Currently, there is no effective treatment really address this problem.

Identifying the sentinel

Developed since the early 1990, the technique of sentinel node is much less traumatic. It is to identify the first lymph node in the chain axillary, those who will be the first to be invaded by malignant cells and remove them to consider them. A true flushing will only be made if met.

In practice, a slightly radioactive substance and a dye is injected around the tumor, shortly before his removal. These substances will walk in the lymphatic system and focus on the first lymph nodes that drain the tumor, the sentinel nodes.

This "tagging" allows the surgeon to locate and remove them through a tiny incision.

On average, two nodes are removed and examined immediately to the laboratory, even during the intervention. If they are cancerous, the entire process node is removed. Otherwise, the operation ends there.

But a deeper analysis will be carried out within days. Some women may again be made for a real flushing, if the lymph nodes are finally invaded. An indication of chemotherapy will be decided according to several criteria, including the presence or absence of nodal occupies an important place.


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