{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T16:50:15Z","timestamp":1786985415403,"version":"build-2736575974"},"reference-count":35,"publisher":"Elsevier BV","issue":"11","license":[{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jprasurg.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Plastic, Reconstructive &amp; Aesthetic Surgery"],"published-print":{"date-parts":[[2021,11]]},"DOI":"10.1016\/j.bjps.2021.03.112","type":"journal-article","created":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T04:16:12Z","timestamp":1618805772000},"page":"2856-2862","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["Where does subcutaneous lymph from the chest wall flow into after mastectomy?"],"prefix":"10.1016","volume":"74","author":[{"given":"Shinsuke","family":"Akita","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihisa","family":"Yamaji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideki","family":"Tokumoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takafumi","family":"Tezuka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideyuki","family":"Ogata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kentaro","family":"Kosaka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahiko","family":"Kanai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motone","family":"Kuriyama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuyuki","family":"Mitsukawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.bjps.2021.03.112_bib0001","doi-asserted-by":"crossref","first-page":"863","DOI":"10.1245\/s10434-007-9709-9","article-title":"The lymphatic anatomy of the breast and its implications for sentinel lymph node biopsy: a human cadaver study","volume":"15","author":"Suami","year":"2008","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.bjps.2021.03.112_bib0002","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1002\/jso.24332","article-title":"Lymphosome concept: anatomical study of the lymphatic system","volume":"115","author":"Suami","year":"2017","journal-title":"J Surg Oncol"},{"key":"10.1016\/j.bjps.2021.03.112_bib0003","first-page":"92","article-title":"Cutaneous and subcutaneous lymphatic drainage of the breast","volume":"38","author":"Pavlista","year":"2005","journal-title":"Lymphology"},{"key":"10.1016\/j.bjps.2021.03.112_bib0004","doi-asserted-by":"crossref","first-page":"1864","DOI":"10.1016\/S0140-6736(97)01004-0","article-title":"Sentinel-node biopsy to avoid acillary dissection in breast cancer with clinically negative lymph-nodes","volume":"349","author":"Veronesi","year":"1997","journal-title":"Lancet"},{"key":"10.1016\/j.bjps.2021.03.112_bib0005","doi-asserted-by":"crossref","first-page":"1668","DOI":"10.1016\/S0140-6736(05)62634-7","article-title":"Intradermal blue dye to identify sentinel lymph nodes in breast cancer","volume":"349","author":"Borgstein","year":"1997","journal-title":"Lancet"},{"key":"10.1016\/j.bjps.2021.03.112_bib0006","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1007\/s10434-999-0450-4","article-title":"Intradermal radiocolloid and intraparenchymal blue dye injection optimize sentinel node identification in breast cancer patients","volume":"6","author":"Linehan","year":"1999","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.bjps.2021.03.112_bib0007","doi-asserted-by":"crossref","first-page":"1835","DOI":"10.1016\/j.ejso.2019.05.016","article-title":"Sentinel lymph node biopsy following previous axillary surgery in recurrent breast cancer","volume":"45","author":"S\u00e1volt","year":"2019","journal-title":"Eur J Surg Oncol"},{"key":"10.1016\/j.bjps.2021.03.112_bib0008","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1186\/s13014-019-1367-0","article-title":"Altered lymphatic drainage patterns in re-operative sentinel lymph node biopsy for ipsilateral breast tumor recurrence","volume":"14","author":"Sato","year":"2019","journal-title":"Radiat Oncol"},{"key":"10.1016\/j.bjps.2021.03.112_bib0009","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.ijsu.2015.07.709","article-title":"Technical feasibility of sentinel lymph node biopsy in patients with ipsilateral breast tumor recurrence and previous axillary surgery","volume":"22","author":"Matsumoto","year":"2015","journal-title":"Int J Surg"},{"key":"10.1016\/j.bjps.2021.03.112_bib0010","doi-asserted-by":"crossref","first-page":"2372","DOI":"10.1245\/s10434-014-4282-5","article-title":"Second axillary sentinel lymph node biopsy for breast tumor recurrence: experience of the european institute of oncology","volume":"22","author":"Intra","year":"2015","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.bjps.2021.03.112_bib0011","first-page":"311","article-title":"Typical and atypical lymphatic flows in breast carcinoma","volume":"86","author":"Pasta","year":"2015","journal-title":"Ann Ital Chir"},{"key":"10.1016\/j.bjps.2021.03.112_bib0012","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1186\/1477-7819-12-205","article-title":"Management of sentinel node re-mapping in patients who have second or recurrent breast cancer and had previous axillary procedures","volume":"12","author":"Tokmak","year":"2014","journal-title":"World J Surg Oncol"},{"key":"10.1016\/j.bjps.2021.03.112_bib0013","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1245\/s10434-012-2625-7","article-title":"Sentinel node and recurrent breast cancer (SNARB): results of a nationwide registration study","volume":"20","author":"Maaskant-Braat","year":"2013","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.bjps.2021.03.112_bib0014","doi-asserted-by":"crossref","first-page":"738","DOI":"10.1097\/PRS.0000000000005993","article-title":"Surgical treatment of lymphedema","volume":"144","author":"Schaverien","year":"2019","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2021.03.112_bib0015","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1200\/JCO.2015.63.3412","article-title":"Complete surgical excision is essential for the management of patients with breast implant-associated anaplastic large-cell lymphoma","volume":"34","author":"Clemens","year":"2016","journal-title":"Journal of Clinical Oncology;"},{"key":"10.1016\/j.bjps.2021.03.112_bib0016","article-title":"Prospective study of shoulder strength, shoulder range of motion, and lymphedema in breast cancer patients from pre-surgery to 5 years after ALND or SLNB","author":"Belmonte","year":"2018","journal-title":"Support Care Cancer"},{"key":"10.1016\/j.bjps.2021.03.112_bib0017","doi-asserted-by":"crossref","first-page":"1521","DOI":"10.1245\/s10434-018-6410-0","article-title":"Associations between sentinel lymph node biopsy and complications for patients with ductal carcinoma in situ","volume":"25","author":"Killelea","year":"2018","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.bjps.2021.03.112_bib0018","doi-asserted-by":"crossref","DOI":"10.1007\/s11845-017-1658-0","article-title":"Upper limb lymphedema in breast cancer patients in the era of Z0011, sentinel lymph node biopsy and breast conservation","volume":"187","author":"Bhatt","year":"2018","journal-title":"Ir J Med Sci"},{"key":"10.1016\/j.bjps.2021.03.112_bib0019","doi-asserted-by":"crossref","first-page":"1455","DOI":"10.1001\/jama.2013.278932","article-title":"Sentinel lymph node surgery after neoadjuvant chemotherapy in patients with node-positive breast cancer: the ACOSOGZ1071 (Alliance) clinical trial","volume":"310","author":"Boughey","year":"2013","journal-title":"JAMA"},{"key":"10.1016\/j.bjps.2021.03.112_bib0020","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1097\/SLA.0b013e3182426757","article-title":"Microvascular breast reconstruction and lymph node transfer for postmastectomy lymphedema patients","volume":"255","author":"Saaristo","year":"2012","journal-title":"Ann Surg"},{"key":"10.1016\/j.bjps.2021.03.112_bib0021","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1016\/j.breast.2007.12.007","article-title":"Postmastectomy neuropathic pain: results of microsurgical lymph nodes transplantation","volume":"17","author":"Becker","year":"2008","journal-title":"Breast"},{"key":"10.1016\/j.bjps.2021.03.112_bib0022","first-page":"571","article-title":"Contribution of simultaneous breast reconstruction by deep inferior epigastric artery perforator flap to the efficacy of vascularized lymph node transfer in patients with breast cancer-related lymphedema","volume":"3","author":"Akita","year":"2017","journal-title":"J Reconstr Microsurg"},{"key":"10.1016\/j.bjps.2021.03.112_bib0023","doi-asserted-by":"crossref","DOI":"10.1097\/01.prs.0000437257.78327.5b","article-title":"The mechanism of vascularized lymph node transfer for lymphedema: natural lymphaticovenous drainage","volume":"133","author":"Cheng","year":"2014","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2021.03.112_bib0024","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1016\/j.ygyno.2016.01.007","article-title":"Proposed pathway and mechanism of vascularized lymph node flaps","volume":"141","author":"Ito","year":"2016","journal-title":"Gynecol Oncol"},{"key":"10.1016\/j.bjps.2021.03.112_bib0025","doi-asserted-by":"crossref","first-page":"1227","DOI":"10.1016\/j.bjps.2016.06.028","article-title":"Complete lymph flow reconstruction: a free vascularized lymph node true perforator flap transfer with efferent lymphaticolymphatic anastomosis","volume":"69","author":"Yamamoto","year":"2016","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"10.1016\/j.bjps.2021.03.112_bib0026","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1002\/micr.30234","volume":"38","author":"Akita","year":"2018","journal-title":"Microsurgery"},{"key":"10.1016\/j.bjps.2021.03.112_bib0027","doi-asserted-by":"crossref","first-page":"e2721","DOI":"10.1097\/GOX.0000000000002721","article-title":"Lymphatic system transfer for lymphedema treatment: transferring the lymph nodes with their lymphatic vessels","volume":"8","author":"Yoshimatsu","year":"2020","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"10.1016\/j.bjps.2021.03.112_bib0028","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1364\/BOE.1.000114","article-title":"Direct evidence of lymphatic function improvement after advanced pneumatic compression device treatment of lymphedema","volume":"1","author":"Adams","year":"2010","journal-title":"Biomed Opt Express"},{"key":"10.1016\/j.bjps.2021.03.112_bib0029","doi-asserted-by":"crossref","DOI":"10.1097\/PRS.0000000000002337","article-title":"Early detection of lymphatic disorder and treatment for lymphedema following breast cancer","volume":"138","author":"Akita","year":"2016","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2021.03.112_bib0030","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1097\/PRS.0000000000001407","article-title":"Scarpa fascia preservation in abdominoplasty: does it preserve the lymphatics?","volume":"136","author":"Tourani","year":"2015","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2021.03.112_bib0031","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1200\/JCO.2015.63.3412","article-title":"Complete surgical excision is essential for the management of patients with breast implant-associated anaplastic large-cell lymphoma","volume":"34","author":"Clemens","year":"2016","journal-title":"Journal of Clinical Oncology"},{"key":"10.1016\/j.bjps.2021.03.112_bib0032","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1097\/PRS.0000000000000822","article-title":"Reverse lymphatic mapping: a new technique for maximizing safety in vascularized lymph node transfer","volume":"135","author":"Dayan","year":"2015","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2021.03.112_bib0033","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1002\/micr.22261","article-title":"The distribution of lymph nodes and their nutrient vessels in the groin region: an anatomic study for design of the lymph node flap","volume":"34","author":"Zhang","year":"2014","journal-title":"Microsurgery"},{"key":"10.1016\/j.bjps.2021.03.112_bib0034","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1097\/PRS.0000000000004694","article-title":"Lymph flow restoration after tissue replantation and transfer: importance of lymph axiality and possibility of lymph flow reconstruction without lymph node transfer or lymphatic anastomosis","volume":"142","author":"Yamamoto","year":"2018","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2021.03.112_bib0035","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1016\/j.ijrobp.2012.08.025","article-title":"The addition of SPECT\/CT lymphoscintigraphy to breast cancer radiation planning spares lymph nodes critical for arm drainage","volume":"85","author":"Cheville","year":"2013","journal-title":"Int J Radiat Oncol Biol Phys"}],"container-title":["Journal of Plastic, Reconstructive &amp; Aesthetic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681521002163?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681521002163?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T20:45:59Z","timestamp":1761684359000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1748681521002163"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11]]},"references-count":35,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["S1748681521002163"],"URL":"https:\/\/doi.org\/10.1016\/j.bjps.2021.03.112","relation":{},"ISSN":["1748-6815"],"issn-type":[{"value":"1748-6815","type":"print"}],"subject":[],"published":{"date-parts":[[2021,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Where does subcutaneous lymph from the chest wall flow into after mastectomy?","name":"articletitle","label":"Article Title"},{"value":"Journal of Plastic, Reconstructive & Aesthetic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bjps.2021.03.112","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}