Keep intercostal nerve during modified radical mastectomy in breast cancer clinical significance.docVIP

 PAGE \* MERGEFORMAT 13 Keep intercostal nerve during modified radical mastectomy in breast cancer clinical significance Of: Zhang ovary, Yinjiang Tao, Tang Wei, Wu Yun before [Abstract] Objective: To investigate the retention of modified radical mastectomy ICBN (intercostobrachial nerve, ICBN) the clinical significance. METHODS: In 60 patients with stage , breast cancer patients with modified radical mastectomy when intact ICBN 32 cases, resection in 28 cases. after two groups of patients affected side of the medial upper arm and armpit area to check the skin sensory function. Results: Keep ICBN the 32 patients, postoperative ipsilateral upper arm and armpit area inside the skin feels normal 30 patients (93.8%), paresthesia in 2 cases (6.2%); and removal of the 28 cases ICBN feel normal after 10 cases (35.7%), paresthesia in 18 cases (64.3%). two medial upper arm and armpit area abnormal skin sensation, the difference was statistically significant (P lt;0.005). The follow-up 1 patient without local tumor recurrence. Conclusion: The retention of modified radical mastectomy for the prevention of postoperative intercostal nerve sensory dysfunction of the upper arm and armpit occur, do not increase the risk of local recurrence, and should become a standard modified radical mastectomy surgery part. [Keywords:] breast cancer; modified radical mastectomy; intercostal nerve [Abstract] Objective: To study the value of preserving intercostobrachial nerve (ICBN) in modified radical mastectomy.Methods: Sixty breast cancer cases with stage or were underwent improved radical resection. The ICBN was preserved completely in 32 cases, and was resected in 28 . Sensory function of the medial upper arm and axillary fossa were examined after operation. Results: In the 60 of ICBN preserving patients, there were 30 (93.8%) of skin euesthesia and 2 (6.2%) of paraesthesia in the medial upper arm and axilla. But in the 28 cases of ICBN cutting, there were 10 (35.7%) of e