İsa CÜCE, Sinem Kübra KONCA, Rıdvan YILDIZHAN, İbrahim Halil KAFADAR, Hüseyin DEMİR

Idiopathic axillary web syndrome: a case-based review of an unusual disorder

Anahtar Kelimeler:

Axillary web syndrome, idiopathic, physical therapy

Idiopathic axillary web syndrome: a case-based review of an unusual disorder

Axillary web syndrome (AWS), which frequently develops following axillary lymph node dissection, can also be caused by several other conditions, such as infection or strenuous exercise. In recent years, idiopathic cases have also been reported. We report the case of a 27-year-old female who presented with pain, tension and a taut rope-like structure in the left armpit area. She also had a limited shoulder range of motion in abduction and forward flexion. We diagnosed the patient with idiopathic AWS based on a detailed clinical history and manifestations. The patient completely recovered without any sequelae by therapeutic interventions, including nonsteroidal anti-inflammatory drugs and physical therapy. Through a systematic review of the literature, four additional cases of idiopathic AWS were identified. This study aimed to investigate the similarities and differences between idiopathic and typical AWS cases.

Keywords:

Axillary web syndrome, idiopathic, physical therapy,

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Yeung WM, McPhail SM, Kuys SS. A systematic review of axillary web syndrome (AWS). J Cancer Surviv 2015; 9: 576-98.
Koehler LA, Haddad TC, Hunter DW, et al. Axillary web syndrome following breast cancer surgery: symptoms, complications, and management strategies. Breast Cancer (Dove Med Press) 2019; 11: 13-9.
Zhang Q, Tan C. Axillary web syndrome following granulomatous inflammation after folliculitis. Eur J Dermatol 2016; 26: 314-5.
Lee KC, Chang YW, Chen CP. Axillary web syndrome following epidermal inclusion cyst: a case report and literature review. Clin Exp Dermatol 2019; 44: 64-6.
Demir Y, Güzelküçük Ü, Kesikburun S, et al. A rare cause of shoulder pain: axillary web syndrome. Turk J Phys Med Rehabil 2017; 63: 178-80.
Tetik B, Songür K, Aşkın A. Aksiller web sendromu: omuz ağrısının gözden kaçan nedeni. Cukurova Medical Journal 2019; 44: 255-9.
Puentes Gutiérrez AB, García Bascones M, Puentes Gutiérrez R, et al. [Idiopathic axillary web syndrome]. Rehabilitacion (Madr) 2020; 54: 68-72.
Dündar Ahi E, Ozen S, Saraçgil Coşar SN. Idiopathic Axillary Web Syndrome: A Case Report on a Rare Entity. J PMR Sci 2022; 25: 119-22.
Dinas K, Kalder M, Zepiridis L, et al. Axillary web syndrome: Incidence, pathogenesis, and management. Curr Probl Cancer 2019; 43: 100470.
Koehler LA, Hunter DW. Lymphspiration: The Axillary Web and Its Lymphatic Origin. Lymphology 2016; 49: 185-91.
Moskovitz AH, Anderson BO, Yeung RS, et al. Axillary web syndrome after axillary dissection. Am J Surg 2001; 181: 434-9.
Mullen LA, Harvey SC. Review of axillary web syndrome: What the radiologist should know. Eur J Radiol 2019; 113: 66-73.
Torres Lacomba M, Mayoral Del Moral O, Coperias Zazo JL, et al. Axillary web syndrome after axillary dissection in breast cancer: a prospective study. Breast Cancer Res Treat 2009; 117: 625-30.