Feasibility of Axillary Reverse Mapping (ARM) in cancer breast with positive axilla using sodium diethyl ammonium hydroxide (patent blue) dye

Background: Sentinel lymph node biopsy is now a standard therapeutic approach for early-stage breast cancer. Arm lymphatic mapping, according to some researchers, useful identifying and preserving the arm lymphatics, this novel process referred as "axillary reverse mapping" (ARM), since lymphatics are being identified preservation rather than eradication. Objective: To study feasibility of using sodium diethyl ammonium hydroxide (patent blue) dye perform an axillary mapping (ARM) procedure in cancer women with positive nodes. Patients methods: This included (40) patients. All patients were underwent surgery general surgical oncology departments Al-Azhar university hospitals. Inclusion criteria study, who histopathologically proved have cancer, clinical radiological Results: Our findings; 20.0% diabetic 15.5% hypertensive. 72.5% studied group managed by MRM 27.5% CBS. Majority below vein 62.5% lateral thoraco-dorsal nerve 57.5% we had 5 cases not detected regard stain. No case anaphylaxis, 4 infection, 2 ulceration overall complicated 6 (15.0%). Complicated significantly elder higher weight BMI also associated diabetes mellitus (DM). Conclusion: ARM can be done Sodium blue )dye With high rate success very low complications