Clinical Evaluation of Axillary Disease

  • A thorough history and careful examination:
    • Help determine the extent of clinical disease in a patient with breast cancer
  • The examination is best done:
    • With the patient seated:
      • Arms removed from the gown and relaxed at the side
    • The examiner then palpates the axillary soft tissue beneath the relaxed arm:
      • Pressing it against the chest wall, where lymph nodes can be felt as they roll across the firm surface
    • Feeling beneath the lateral border of the pectoralis major muscle and high up along the thoracic outlet:
      • Can reveal important clinical findings
    • The axillary contents should also be assessed with the patient supine:
      • And the arm above the head
    • The presence or absence of palpable axillary metastasis determines further management

#Arrangoiz #BreastSurgeon #CancerSurgeon #SurgicalOncologist #Surgeon #Teacher #BreastCancer #BreastDiseases #AxillaryDissection #BreastSurgery #MountSinaiMedicalCenter #MSMC #Miami #Mexico

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