Axillary web syndrome: Incidence,pathogenesis, and management |
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| Institution: | 1. Second Department of Obstetrics and Gynecology, Medical School, Aristotle University Thessaloniki, Thessaloniki, Greece;2. Department of Gynecology, Gynecological Endocrinology and Oncology, Philipps Universitaet Marburg, Marburg, Hesse, Germany;3. Third Department of Obstetrics and Gynecology, Medical School, Aristotle University Thessaloniki, Thessaloniki, Greece;1. Maxillofacial Surgeon. Hospital Universitario Virgen de las Nieves, Granada, Spain;2. General Surgeon. Hospital (Granada, Spain) Universitario PTS, Granada, Spain;3. Maxillo-Facial Surgery, Head and Neck Department, University of Parma, Italy;1. Division of Hematology and Medical Oncology, Department of Medicine, University of Louisville, Louisville, KY;2. Division of Infectious Disease, Department of Medicine, University of Louisville, Louisville, KY;1. Physiotherapy Department, Santa Catarina State University, Florianópolis, Santa Catarina, Brazil;2. Physiotherapy Department, La Trobe University, Latrobe, Australia |
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| Abstract: | Axillary web syndrome (AWS) refers to the development of fibrotic bands or “cords” in the axilla of patients who have undergone axillary lymph node dissection for breast cancer. We review the incidence, pathogenesis, risk factors, and management of AWS. AWS is a common complication in patients who undergo axillary lymph node dissection. Even though AWS is self-limited in most cases, it causes significant morbidity. The optimal management of AWS is unclear but physiotherapy appears to be beneficial. The widespread use of less invasive procedures to evaluate the presence of metastasis in the axillary lymph nodes (ie, sentinel lymph node biopsy) is expected to reduce the incidence of AWS. The close collaboration of surgeons, oncologists, and physiotherapists is necessary for the prevention and management of this frequent condition. |
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