Chemotherapy port related lymphedema after axillary lymph node dissection

Breast. 2016 Aug;28:145-7. doi: 10.1016/j.breast.2016.05.008. Epub 2016 Jun 16.


The Mascagni lymphatic pathway comprises superficial channels along the clavicle that drain upper extremity lymph. A 65 year-old woman with recurrent left breast cancer presented with a non-functioning chemotherapy port in the right deltopectoral groove. She had undergone right mastectomy with axillary lymph node dissection (ALND). After port removal and wound closure she developed right upper extremity lymphedema. Patients who have undergone ALND may depend solely on this pathway for upper extremity lymphatic drainage.

Level of evidence: level V.

Keywords: Breast cancer; Chemotherapy port; Lymphedema; Mascagni pathway.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Axilla
  • Breast Neoplasms / drug therapy*
  • Breast Neoplasms / surgery
  • Equipment Failure
  • Female
  • Humans
  • Lymph Node Excision / adverse effects*
  • Lymphatic System / anatomy & histology
  • Lymphatic System / surgery
  • Lymphedema / etiology*
  • Neoplasm Recurrence, Local / drug therapy*
  • Upper Extremity
  • Vascular Access Devices / adverse effects*