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Axillary reverse mapping (ARM): where to go

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Abstract

In the past decades, breast surgeons have changed the clinical practice in the surgical treatment of breast cancer, by performing sentinel lymph node biopsy (SLNB) instead of performing axillary lymph node dissection (ALND) in axillary lymph node clinically negative breast cancer patients. ALND can also be avoided in SLN-positive patients who meet the Z-0011 criteria. However, the postoperative complications of SLNB and ALND, such as the secondary upper extremity lymphedema, are common and need effective solutions to prevent as soon as possible. The axillary reverse mapping (ARM) technique has been developed to map and preserve arm lymphatic drainage during ALND and/or SLNB, thereby minimizing arm lymphedema. However, the success of ARM in reducing lymphedema has not been exactly determined. If ARM can be confirmed to be both effective and oncologically safe in preventing lymphedema, this technique should be recommended in the management of breast cancer treatment.

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Author information

Author notes

  1. Xuan Shao, Bo Sun and Yanwen Shen contributed equally to this work.

Authors and Affiliations

  1. Department of Surgical Oncology, Second Affiliated Hospital of Zhejiang University, Hangzhou, 310009, Zhejiang, China

    Xuan Shao

  2. Institute of Translational Medicine, Zhejiang University School of Medicine, Hangzhou, 310029, Zhejiang, China

    Bo Sun & Yanwen Shen

Authors
  1. Xuan Shao
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  2. Bo Sun
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  3. Yanwen Shen
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Correspondence to Xuan Shao.

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The author reports no conflicts of interest in this work.

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Shao, X., Sun, B. & Shen, Y. Axillary reverse mapping (ARM): where to go. Breast Cancer 26, 1–10 (2019). https://doi.org/10.1007/s12282-018-0886-0

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  • DOI: https://doi.org/10.1007/s12282-018-0886-0

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