%0 Journal Article
%T Preservation of the Intercostobrachial Nerve during Axillary Dissection for Breast Cancer at the Surgical Oncology Unit of Cancer Department of Dakar University
%A Sidy Ka
%A Michel Auguste Mouelle
%A Mohammed Ezzet Charfi
%A Jaafar Thiam
%A Souleymane Dieng
%A Salif Balde
%A Moustapha Dieng
%A Ahmadou Dem
%J Advances in Breast Cancer Research
%P 63-68
%@ 2168-1597
%D 2022
%I Scientific Research Publishing
%R 10.4236/abcr.2022.111004
%X The intercostobrachial nerve
(ICBN) is responsible for the sensory</span></span></span></span></span><span><span><span><span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\"> innervation of a part of the inner side of the arm.
Injury of the intercostobrachial nerve is </span><span style=\"font-family:Verdana;\">a
complication of axillary dissection during lymph node dissection.</span> <b><span style=\"font-family:Verdana;\">Objective</span></b><span style=\"font-family:Verdana;\">: </span><span style=\"font-family:Verdana;\">This study aimed to determine the effect of
preservation of the</span><span style=\"font-family:Verdana;\"> intercostobra</span><span><span style=\"font-family:Verdana;\">chial
nerve on postoperative sensory disturbances. </span><b><span style=\"font-family:Verdana;\">Methods:</span></b><span style=\"font-family:Verdana;\"> This is a</span></span><span style=\"font-family:Verdana;\"> prospective, single-center study which was carried out in 90 patients followed
in the oncology department of the Aristide Le Dantec hospital in Dakar,
suffering </span><span style=\"font-family:Verdana;\">from breast cancer and having
undergone breast surgery associated with</span><span style=\"font-family:Verdana;\"> axillary </span><span style=\"font-family:Verdana;\">dissection, for a period of 6 months. The patients
were divided into two</span><span style=\"font-family:Verdana;\"> groups depending on whether the intercostobrachial
nerve (ICBN) was preserved or </span><span style=\"font-family:Verdana;\">not. The two
groups were compared in terms of the incidence of sensory</span><span style=\"font-family:Verdana;\"> disturbances. </span><b><span style=\"font-family:Verdana;\">Results:</span></b><span style=\"font-family:Verdana;\"> Sixty patients without nerve preservation and 30 patients with nerve
preservation were included in the study, </span><i><span style=\"font-family:Verdana;\">i.e.</span></i><span style=\"font-family:Verdana;\">,
90 patients in total. </span><span style=\"font-family:Verdana;\">ICBN was injured in 60
patients of which 41 patients (83.7%) developed</span><span style=\"font-family:Verdana;\"> numbness in the inner
arm. While in the preserved group, only 8 patients suffered from numbness
(16.3%) with a significant P value of 0.002; however, for </span><span style=\"font-family:Verdana;\">other </span><span style=\"font-family:Verdana;\">variables
such as the incidence of neuropathic pain and hypoesthesia-like</span><span style=\"font-family:Verdana;\"> sensory </span><span><span
%K Axillary Dissection
%K Intercostobrachial Nerve
%K Pain
%K Hypoesthesia
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=114995