[Axillary lymph node @entity3 in XXXX . Anatomo-clinical correlation and surgical approach].

@entity1 @entity5 @entity0 @entity3
AIM: To establish the incidence of the axillary lymph node @entity3 in @entity0 and some anatomo-clinical correlations useful for surgical act orientation. MATERIAL AND METHOD: The data from 450 @entity1 , who underwent surgery for @entity0 between 2000 and 2007, were analyzed statistically according to some parameters: the age of the @entity1 , the size and the location of the @entity5 , the hystopathological type, the elapsed time from the discovery of the @entity5 until surgery. RESULTS: The tumoral stage was: stage 0--1.1%, I--7.11%, II--50.67%, III--33.78%, IV--7.33%. From the total amount of @entity1 who underwent surgery, only 56.44% had axillary lymph node @entity3 . The @entity1 in the forth decade of life had more frequently axillary lymph node involvement, and also those from rural habitat (65.88%). The correlation between @entity5 dimension and lymph node involvement was: <2 cm--1.36%, 2-5 cm--48.71%, >5 cm--86.67%. The palpation of the armpit was associated in almost a quarter of cases with false negative or false positive diagnosis. There are a lot of locally advanced cases without axillary lymph node @entity3 . CONCLUSIONS: Axillary lymph node status is strongly correlated with the @entity5 dimension and the elapsed time between diagnosis and treatment. The numerous cases of axillary lymphadenectomy without lymph node @entity3 (43.55%), even in locally advanced cases, advocate for a wider application of lymphatic mapping and sentinel lymph node biopsy, to avoid the pathology associated with those axillary dissections.
