Acta Med. 2017, 60: 51-54

Aberrant Cutaneous Nerve Loops in the Axilla

Vishwajit Ravindra Deshmukh, Harshita Bhardwaj, Feroz Khan, Tony George Jacob

Department of Anatomy, All India Institute of Medical Sciences, New Delhi, India

Received January 5, 2017
Accepted April 7, 2017


1. Rao R, Euhus D, Mayo HG, Balch C. Axillary node interventions in breast cancer: a systematic review. Journal of American Medical Association 2013; 310(13): 1385–94. <>
2. Wildsmith JAW, Armitage EN, McClure JH. Principles and Practice of Regional Anaesthesia. 3rd ed. New York, USA: Churchill Livingstone, 2003.
3. McMinn RM. Upper limb. In: McMinn RM, editor. Lastʼs Anatomy Regional and Applied. 9th ed. Edinburgh: Churchill Livingstone, 1994: 82.
4. Loukas M, Hullett J, Louis RG, Holdman S, Holdman D. The gross anatomy of the extrathoracic course of the intercostobrachial nerve. Clinical Anatomy 2006; 19(2): 106–11. <>
5. Baker RJ, Fischer JE. Segmental mastectomy and axillary dissection. In: Baker RJ, Fischer JE, eds. Master of Surgery. Philadelphia: Lippincott, William and Wilkins, 2001; 591–3.
6. Soares EW, Nagai HM, Bredt LC, da Cunha AD, Andrade RJ, Soares GV. Morbidity after conventional dissection of axillary lymph nodes in breast cancer patients. World Journal of Surgical Oncology 2014; 12(1): 1. <> <PubMed>
7. Verbelen H, Gebruers N, Eeckhout FM, Verlinden K, Tjalma W. Shoulder and arm morbidity in sentinel node-negative breast cancer patients: a systematic review. Breast Cancer Research and Treatment 2014; 144(1): 21–31. <>
8. Carpenter JS, Sloan P, Andrykowski MA, McGrath P, Sloan D, Rexford T, Kenady D. Risk factors for pain after mastectomy/lumpectomy. Cancer Practice 1999; 7(2): 66–70. <>
9. Cunnick GH, Upponi S, Wishart GC. Anatomical variants of the intercostobrachial nerve encountered during axillary dissection. The Breast 2001; 10(2): 160–2. <>
10. Kamath R, Mahajan KS, Ashok L, Sanal TS. A study on risk factors of breast cancer among patients attending the tertiary care hospital, in udupi district. Indian Journal of Community Medicine 2013; 38(2): 95.
11. Masuda N, Tamaki Y, Noguchi S. Management of axillary and internal mammary lymph nodes in primary breast cancer. Nihon Geka Gakkai Zasshi 2001; 102(6): 465–72.
12. Pain SJ, Vowler S, Purushotham AD. Axillary vein abnormalities contribute to development of lymphoedema after surgery for breast cancer. British Journal of Surgery 2005; 92(3): 311–5. <>
13. Li J, Zhang Y, Zhang W, Jia S, Gu X, Ma Y, Li D. Intercostobrachial nerves as a novel anatomic landmark for dividing the axillary space in lymph node dissection. ISRN Oncology 2013; 2013.
14. Torresan RZ, Cabello C, Conde DM, Brenelli HB. Impact of the preservation of the intercostobrachial nerve in axillary lymphadenectomy due to breast cancer. The Breast Journal 2003; 9(5): 389–92. <>
15. Seidel R, Gray AT, Wree A, Schulze M. Surgery of the axilla with combined brachial plexus and intercostobrachial nerve block in subpectoral intercostal plane. British Journal of Anaesthesia 2017; 118(3):472–4. <>
16. Freeman SR, Washington SJ, Pritchard T, Barr L, Baildam AD, Bundred NJ. Long term results of a randomised prospective study of preservation of the intercostobrachial nerve. European Journal of Surgical Oncology 2003; 29(3): 213–5. <>
17. Wisotzky EM, Saini V, Kao C. Ultrasound-guided intercostobrachial nerve block for intercostobrachial neuralgia in breast cancer patients: a case series. Physical Medicine and Rehabilitation 2016; 8(3):273–7.
18. Tatar I, Brohi R, Sen F, Tonak A, Celik H. Innervation of the coracobrachialis muscle by a branch from the lateral root of the median nerve. Folia Morphol (Warsz) 2004; 63(4): 503–6.
19. Budhiraja V, Rastogi R, Asthana AK, Sinha P, Krishna A, Trivedi V. Concurrent variations of median and musculocutaneous nerves and their clinical correlation-a cadaveric study. Italian Journal of Anatomy and Embryology 2011; 116(2): 67.
20. Schoenwolf GC, Bleyl SB, Brauer PR, Francis-west PH. Development of the peripheral nervous system. In: Schoenwolf GC, Editor. Larsen’s Human Embryology. Philadelphia.
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