Cookies on this website

We use cookies to ensure that we give you the best experience on our website. If you click 'Accept all cookies' we'll assume that you are happy to receive all cookies and you won't see this message again. If you click 'Reject all non-essential cookies' only necessary cookies providing core functionality such as security, network management, and accessibility will be enabled. Click 'Find out more' for information on how to change your cookie settings.

© Springer Japan 2016. Our group has hypothesized that variations in the anatomical location of the arm lymphatic drainage system within the axilla put the arm lymphatics at risk for disruption during an SLNB and/or ALND. Therefore, mapping and protecting the drainage of the arm versus that of the breast within the axilla by split mapping using blue dye to identify and protect the lymphatics draining from the arm (axillary reverse mapping (ARM)) and radioactivity to map those draining from the breast would decrease the likelihood of inadvertent disruption during lymphadenectomy. Mapping and sparing the lymphatics draining the arm during SLNB or ALND decrease the subsequent development of lymphedema as compared to SLN mapping alone.

Original publication





Book title

Personalized Treatment of Breast Cancer

Publication Date



63 - 76