Axillary Web Syndrome After Breast Cancer Surgery: Incidence, Risk Factors, and Functional Outcomes
NCT07780240 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 250
Last updated 2026-08-21
Summary
Axillary web syndrome (AWS), sometimes called "cording," is a condition that can develop after breast cancer surgery in which the lymph nodes under the arm are removed or sampled. It appears as one or more tight, painful cord-like structures running from the armpit down the inner arm. It can limit shoulder movement, cause pain, and interfere with daily activities.
It is not yet clear how often AWS occurs, when it typically appears after surgery, which patients are most likely to develop it, or whether it is related to the arm swelling (lymphedema) that some patients experience after breast cancer treatment. Most previous studies looked back at patient records rather than following patients forward in time, so the answers remain uncertain.
In this study, women who are having breast cancer surgery with either sentinel lymph node biopsy or axillary lymph node dissection will be examined before their operation and then at set times afterward: 2, 4, and 8 weeks, and 3 and 6 months. At each visit, the study doctor will examine the armpit and arm for cords, measure how far the shoulder can move, ask the patient to rate any pain, and measure the circumference of both arms to check for swelling.
The study does not change the surgery or treatment a patient receives. It adds only these examinations and measurements, which are not painful and do not require blood tests or imaging. The researchers hope the results will help identify which patients are at higher risk, so that rehabilitation can be started earlier.
Conditions
- Axillary Web Syndrome
- Breast Cancer
- Breast Cancer Lymphedema
- Postoperative Complications
Interventions
- PROCEDURE
-
Axillary surgery (sentinel lymph node biopsy or axillary lymph node dissection)
Axillary staging performed as part of routine breast cancer surgical management, either as sentinel lymph node biopsy or axillary lymph node dissection. The choice of procedure is made according to standard clinical indications and is not determined by the study protocol.
Sponsors & Collaborators
-
İstanbul Bağcılar Training and Research Hospital
collaborator UNKNOWN -
Antalya City Hospital
lead OTHER
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-05-01
- Primary Completion
- 2027-10-31
- Completion
- 2027-10-31
Countries
- Turkey (Türkiye)
Study Locations
More Related Trials
-
Can Chronic Post-surgical Pain be Reduced by Preserving Intercostobrachial Nerve During Axillary Lymph Node Dissection? : A Randomized Controlled Trial
NCT05198622 ·Status: UNKNOWN ·Phase: NA
-
Does Immediate Lymphatic Reconstruction Decrease the Risk of Lymphedema After Axillary Lymph Node Dissection
NCT04241341 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
The Effectiveness of Lymphatic Bypass Supermicrosurgery
NCT05682885 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Hemopatch Versus Axillary Drainage After Axillary Lymphadenectomy
NCT04487561 ·Status: COMPLETED ·Phase: NA
-
Preventing Seroma Formation After Axillary Lymph Node Dissection for Breast Cancer by Early Vacuum Assisted Closure
NCT01731769 ·Status: UNKNOWN ·Phase: NA
-
Pedicled Lateral Chest Wall Lymph-Adipofascial Flap to Prevent Arm Lymphedema After Breast Cancer Surgery
NCT07415200 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Impact of a Surgical Sealing Patch on Lymphatic Drainage After ALND for Breast Cancer
NCT02311543 ·Status: COMPLETED ·Phase: PHASE3
-
Surgical Breast Resection With or Without Axillary Lymph Node Excision in Treating Women With Breast Cancer
NCT00210236 ·Status: TERMINATED ·Phase: PHASE3
-
Effect of ALND With Vein Branches Reservation on Postoperative Upper Limb Edema and Dysfunction in Breast Cancer
NCT05120180 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Study of Axillary Lymphadenectomy Without Drainage for Breast Cancer
NCT01267552 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Prospective Pilot Study ANDPrecise
NCT02292407 ·Status: UNKNOWN ·Phase: PHASE3
-
Axillary Drainage Following Lymph Node Dissection in Women With Stage I or Stage II Breast Cancer
NCT00005600 ·Status: UNKNOWN ·Phase: NA
-
Effect of Quilting Sutures on Post-operative Drainage After Mastectomy and/or Axillary Lymph Node Dissection
NCT03902977 ·Status: TERMINATED ·Phase: NA
-
Deep Learning for Musculoskeletal Complications in Breast Cancer
NCT07236658 ·Status: RECRUITING
-
Can ILR Reduce the Risk of Arm Lymphedema?
NCT05742945 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Contrast The Role of Avitene And OK-432 in Reducing Seroma Formation After Axillary Lymphadenectomy for Breast Cancer
NCT02158299 ·Status: UNKNOWN ·Phase: PHASE4
-
Axillary Lymph Node Preservation Surgery in Reducing Lymphedema in Patients With Breast Cancer
NCT00932035 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
The Aim of This Study is to Demonstrat That Vacuum-assisted Closure Versus Conventional Wound Closure Enables to Diminish Local Complications After Lymph Node Dissection in Patients With Metastatic Skin Tumors
NCT04583605 ·Status: UNKNOWN
-
Prospective Evaluation of Targeted Axillary Dissection (TAD)
NCT04998682 ·Status: COMPLETED ·Phase: NA
-
Immediate Axillary Plasty With a Pedicled Muscle Flap for Breast Cancer Related Lymphedema Prevention
NCT02318615 ·Status: UNKNOWN ·Phase: NA
-
Pilates Exercise Versus Manual Lymphatic Drainage On Axillary Web Syndrome Post Mastectomy
NCT05932147 ·Status: COMPLETED ·Phase: NA
-
Use of Compression Bandages in the Prevention of Post-mastectomy Lymphoceles
NCT04819542 ·Status: RECRUITING ·Phase: NA
-
Lymphovenous Bypass Procedure for Secondary Prevention of Lymphedema in Breast Cancer
NCT07233863 ·Status: RECRUITING ·Phase: NA
-
Conservative Surgery With or Without Axillary Lymphnode Removal in Treating Women With T1N0 Breast Cancer
NCT01508546 ·Status: COMPLETED ·Phase: PHASE3
-
Evaluation of a Hemostatic and Sealing Agent to Prevent Surgical Complications After Axillary Lymphadenectomy
NCT00852826 ·Status: COMPLETED ·Phase: PHASE4