{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T12:51:29Z","timestamp":1778590289285,"version":"3.51.4"},"reference-count":27,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2016,4,4]],"date-time":"2016-04-04T00:00:00Z","timestamp":1459728000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Axillary reverse mapping (ARM) is a technique used to identify the lymphatics draining the arm. The aim of this study was to examine the prevalence and predictors of ARM node metastases in breast cancer patients undergoing an axillary lymph node dissection (ALND).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 87 patients were enrolled in this study. Patent V Blue dye was injected in the upper arm for ARM node localization. All patients had an ALND with the identified ARM node removed and sent separately for histologic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 67 (77%) patients in whom an ARM node was identified, 49 (73%) were negative and 18 (27%) were positive for metastases on final histopathology. Positive ARM node status was significantly associated with advanced axillary disease, and larger primary cancers. Patients requiring a completion ALND due to a positive sentinel lymph node biopsy (SLNB) with non\u2010suspicious ARM nodes during surgery did not have ARM node metastases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There is a high risk of ARM node involvement, approximately a quarter, in patients with preoperatively known lymph node metastases from breast cancer. However, it may be safe to preserve a clinically non\u2010suspicious ARM node in patients with a positive SLNB who require a completion ALND. <jats:italic>J. Surg. Oncol. 2016;113:726\u2013731<\/jats:italic>. \u00a9 2016 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.24231","type":"journal-article","created":{"date-parts":[[2016,4,4]],"date-time":"2016-04-04T05:15:39Z","timestamp":1459746939000},"page":"726-731","source":"Crossref","is-referenced-by-count":23,"title":["Axillary reverse mapping in patients with breast cancer: Is it oncologically safe?"],"prefix":"10.1002","volume":"113","author":[{"given":"Nicholas K.","family":"Ngui","sequence":"first","affiliation":[{"name":"Westmead Breast Cancer Institute Westmead Hospital Sydney New South Wales Australia"},{"name":"Department of Surgery Mount Druitt Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"French","sequence":"additional","affiliation":[{"name":"Westmead Breast Cancer Institute Westmead Hospital Sydney New South Wales Australia"},{"name":"Department of Surgery Mount Druitt Hospital Sydney New 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