ArticleBreast care (Basel, Switzerland)2013
Axillary arch may affect axillary lymphadenectomy.
Article in Breast care (Basel, Switzerland), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 17 citations in OpenAlex.
- Langer's Axillary Arch: A Systematic Review and Meta-Analysis of Its Prevalence and Clinical Relevance.Life (Basel, Switzerland) · 2026Review
- Axillary arch (of Langer): A large-scale dissection and simulation study based on unembalmed cadavers of body donors.Journal of anatomy · 2024Article
- Langer's arch: a rare anomaly affects axillary lymphadenectomy.Journal of surgical case reports · 2015Article
- Clinical significance of the axillary arch in sentinel lymph node biopsy.Journal of breast cancer · 2014Article
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this study was to identify the axillopectoral muscle anomaly commonly known as Langer's axillary arch, and to understand its importance in surgical procedures of the axilla. PATIENTS AND
methodsBetween 2009 and 2011, 758 patients underwent sentinel lymph node biopsy, axillary dissection, or both. Patients with Langer's axillary arch were identified and assessed retrospectively. The decision to cut or preserve the axillary arch was made based on clinical judgment, and patients were followed-up accordingly to monitor for adverse outcomes.
resultsOf the 758 patients who underwent axillary procedures, 9 (1.2%) were found to have a Langer's axillary arch. In 2 patients the arch was cut, and in 7 patients it was preserved. No adverse outcomes were identified in any of the patients upon follow-up.
conclusionLanger's axillary arch is a unique anatomic anomaly of the axillary region that may be problematic due to the potential risks of lymphedema and vascular or nerve compression. It is important for surgeons and radiologists alike to be aware of this anatomic variation in order to properly identify it and respond appropriately based on clinical judgment, and to complete close follow-up of the patient due to the potentially increased risk of adverse outcomes.
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