Pitfalls Attributable to Mimicry of Sentinel Nodes in Wrong Positions

Normal lymph drainage can be blocked by scars. The drainage to the mammaria interna lymph nodes can be potentiated when scars in the lateral parts of the glandular body of the breast block the flow to the axillary nodes. The lymphatic drainage via the retromammillary lymph circle may then be strongly increased, and with it drainage of cancer cells to the nodes of the mammaria interna chain.

Sentinel Lymph Nodes
Fig. 48. The different basins or node groups into which centrally localized cancers can drain

Fig. 49. Centrally located cancer directly above the areola. A scar in the upper lateral quadrant is hampering or strongly reducing lymphatic flow to the axillary node group. Therefore, the main flow is draining to node(s) of the mammaria interna group. Exact timing is necessary to find out that when flow is reduced the axillary basin can also be involved

Lymph Node Basin

Fig. 49. Centrally located cancer directly above the areola. A scar in the upper lateral quadrant is hampering or strongly reducing lymphatic flow to the axillary node group. Therefore, the main flow is draining to node(s) of the mammaria interna group. Exact timing is necessary to find out that when flow is reduced the axillary basin can also be involved

This possibility of diversion is documented in Fig. 49.

How To Reduce Acne Scarring

How To Reduce Acne Scarring

Acne is a name that is famous in its own right, but for all of the wrong reasons. Most teenagers know, and dread, the very word, as it so prevalently wrecks havoc on their faces throughout their adolescent years.

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