Isolated compression of the pectoral nerve resulting in atrophy of the major pectoral muscle

2003 ◽  
Vol 28 (6) ◽  
pp. 760-763 ◽  
Author(s):  
Alexander Gardetto ◽  
Claudia Thaler ◽  
Stefan Kiechl ◽  
Herbert Maurer ◽  
Hildegunde Piza-Katzer
Keyword(s):  
Pectoral Muscle ◽  
Pectoral Nerve ◽  
Major Pectoral Muscle

Irregular location of major pectoral muscle can be a causative factor of pectus excavatum

2014 ◽  
Vol 82 (5) ◽  
pp. 512-517 ◽  
Author(s):  
Tomohisa Nagasao ◽  
Yusuke Shimizu ◽  
Tadaaki Morotomi ◽  
Naoki Takano ◽  
Hua Jiang ◽  
...  
Keyword(s):  
Pectus Excavatum ◽  
Pectoral Muscle ◽  
Causative Factor ◽  
Major Pectoral Muscle

Aplasia of major pectoral muscle combined with renal aplasia and cystic malformation of common iliac vein

Urology ◽  
1987 ◽  
Vol 29 (4) ◽  
pp. 434-435 ◽  
Author(s):  
Niels Qvist ◽  
Karsten Nielsen ◽  
Peter V. Østergaard Christensen
Keyword(s):  
Pectoral Muscle ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
Major Pectoral Muscle ◽  
Renal Aplasia

scholarly journals Elaboration of a clinical-surgical model of sparing radiotherapy of pectoral muscles and anterior thoracic wall in patients submitted to skin and nipple preserving mastectomy with immediate breast reconstruction

Mastology ◽  
2020 ◽  
Vol 30 (Suppl 1) ◽  
Author(s):  
Maximiliano Cassilha Kneubil
Keyword(s):  
Breast Reconstruction ◽  
Recurrence Rate ◽  
Breast Implant ◽  
Pectoral Muscle ◽  
Target Volume ◽  
Immediate Breast Reconstruction ◽  
Clinical Staging ◽  
Thoracic Wall ◽  
Surgical Model ◽  
Major Pectoral Muscle

Introduction: The rates of adenomastectomy with immediate breast reconstruction (IBR) in patients with breast cancer (BC), in its early stage, are increasing. Lately, the number of patients who undergo radiotherapy (RT) in this scenario has also increased, since patients submitted to mastectomy who present a compromised axillary lymph node already can have clinical benefits from RT. The routine irradiation of muscles in the anterior thoracic wall generates many complications in patients submitted to mastectomy with IBR. In the literature, the local recurrence rate in the general muscle is of approximately 0.6%. The essential point that comes to light is that the 0.6% recurrence rate justifies the routine irradiation of the major pectoral muscle in patients who underwent mastectomy with IBR. The selection of initial BC tumors distant from the major pectoral muscle can eventually spare the pectoral muscle in the planning of the target volume in RT, thus considerably reducing the postoperative complication rates, such as capsular contracture. The ESTRO (European Society for Radiotherapy and Oncology) guidelines recommend sparing the major pectoral muscle, considering the anterior surface of the major pectoral muscle as the dorsal edge in the planning of the target volume of the thoracic wall. The recommendation is: unless the invasion has been demonstrated (tumor stage T4a and T4c), there is no reason to include the major pectoral muscle and the ribs in the thoracic wall in the routine, while planning the target volume. In this context, we elaborated a new radiosurgery model called CHRISTMAS (Chest muscle spaRIng post-MAStectomy radiotherapy). Objective: To elaborate a clinical-surgical model of Sparing Radiotherapy of Major Pectoral Muscle and Anterior Thoracic Wall in patients submitted to adenomastectomy with IBR. Methods: We selected a patient with BR, clinical staging T1N1, more than 2 cm away from the major pectoral muscle, in the Mastology service of Hospital Tacchini. This patient was submitted to adenomastectomy with IBR with expander. Intraoperative radiotherapy with electrons was performed in the nipple-areolar complex, with posterior adjuvant RT of lymph chains through intensity-modulated RT (IMRT), sparing the tissue adjacent to the breast implant (pectoral muscle to nipple level, minor pectoral muscle and anterior thoracic wall). Results: The patient evolved without complications.This new technique has drastically reduced the irradiation rate of the tissue adjacent to the breast implant, besides lungs, pleura and heart. Conclusion: The CHRISTMAS radiosurgery model is technically viable, regarding logistics and radiotherapy planning, and is part of a research project of our institution, in which patients with indication for adenomastectomy, IBR and adjuvant RT with initial BC, distant from the pectoral muscle, will be randomized for conventional RT versus the CHRISTMAS model, comparing the complication and locoregional recurrence rates.

scholarly journals A Case of Occult Breast Cancer with Swelling of the Major Pectoral Muscle

2017 ◽  
Vol 78 (8) ◽  
pp. 1710-1714
Author(s):  
Ryuichi YOSHIDA ◽  
Sawa KANABUCHI ◽  
Haruhiko SHINDO ◽  
Nobuhumi KATO ◽  
Humihiro KONNO ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Pectoral Muscle ◽  
Occult Breast Cancer ◽  
Major Pectoral Muscle

scholarly journals Combined transverse thoracis plane and pectoral nerve blocks for breast surgery under sedation

2021 ◽  
Vol 9 (1) ◽  
pp. 28-31
Author(s):  
E. J. Helmich ◽  
R. J. Van Den Broek ◽  
J. G. Bloemen
Keyword(s):  
Breast Surgery ◽  
Nerve Blocks ◽  
Pectoral Nerve

scholarly journals Cadaveric evaluation of the feasibility of glenohumeral joint denervation

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Amr M. Aly
Keyword(s):  
Muscle Weakness ◽  
Shoulder Joint ◽  
Glenohumeral Joint ◽  
Axillary Nerve ◽  
Low Risk ◽  
Dorsal Approach ◽  
Articular Branch ◽  
Pectoral Nerve ◽  
Teres Minor

Abstract Purpose To assess the feasibility of total shoulder denervation through two proposed incisions. Methods Total shoulder denervation was performed through an extended delta-pectoral approach and a transverse dorsal approach at the spine of the scapula. The study involved six cadavers. Course and number of articular branches from the lateral pectoral, axillary and supra-scapular nerve were documented. Results All shoulder joint articular branches were accessible through the proposed anterior and posterior approaches. The articular branch of the lateral pectoral nerve and supra scapular nerve were present in all the specimen. Axillary nerve articular branches were variable in number but when present anteriorly were proximal to the deltoid muscular branches and posteriorly proximal to the muscular branches to the teres minor. Conclusion Total glenohumeral denervation was feasible through our proposed anterior and posterior approaches. Enhanced knowledge of articular nerve branches could provide interventional targets for joint and ligament pain, with low risk of muscle weakness.

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