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Mejhadi etal. (1) reported that axillary lymphadenectomy is the major reason of pain after surgery for breast cancer. Axillary lymph nodes deissection should be replaced in the majority of cases by sentinel lymph node dissection. Indeed ultrasonography of axillary nodes and lyphoscintigraphy enable to detect metatstatic axillary lymph nodes. In many cases, there is no carcinological evidence to continue to perform axillary lymph node dissection. In addition it damages sensory nerves of the axilla causing pain.
1. Mejdahl MK, Kenneth Geving Andersen KG,
Gärtner R, Kroman N, Kehlet H. BMJ 2013;346:f1865