Severe Lower Limbs Lymphedema Following Breast Carcinoma Treatment Revealing Radiation-Induced Constrictive Pericarditis
Identifieur interne : 000537 ( France/Analysis ); précédent : 000536; suivant : 000538Severe Lower Limbs Lymphedema Following Breast Carcinoma Treatment Revealing Radiation-Induced Constrictive Pericarditis
Auteurs : B. Granel [France] ; C. Gaudy [France] ; J. Serratrice [France] ; Nicoleta Ene [France] ; T. Mesana [France] ; J. L. Bonnet [France] ; H. Lepidi [France] ; P. Disdier [France] ; L. Piana [France] ; P. J. Weiller [France]Source :
- Angiology [ 0003-3197 ] ; 2005-01.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Association thérapeutique, Carcinome canalaire (), Carcinome canalaire (radiothérapie), Carcinome canalaire (traitement médicamenteux), Complications postopératoires (), Complications postopératoires (diagnostic), Complications postopératoires (étiologie), Femelle, Humains, Jambe, Lymphadénectomie, Lymphoedème (), Lymphoedème (diagnostic), Lymphoedème (étiologie), Lésions radio-induites (), Lésions radio-induites (diagnostic), Mastectomie partielle, Métastase lymphatique, Oedème cardiaque (diagnostic), Oedème cardiaque (étiologie), Protocoles de polychimiothérapie antinéoplasique (effets indésirables), Protocoles de polychimiothérapie antinéoplasique (usage thérapeutique), Péricarde (effets des radiations), Péricardectomie, Péricardite constrictive (), Péricardite constrictive (diagnostic), Réintervention, Tumeurs du sein (), Tumeurs du sein (radiothérapie), Tumeurs du sein (traitement médicamenteux).
- MESH :
- diagnostic : Complications postopératoires, Lymphoedème, Lésions radio-induites, Oedème cardiaque, Péricardite constrictive.
- effets des radiations : Péricarde.
- effets indésirables : Protocoles de polychimiothérapie antinéoplasique.
- radiothérapie : Carcinome canalaire, Tumeurs du sein.
- traitement médicamenteux : Carcinome canalaire, Tumeurs du sein.
- usage thérapeutique : Protocoles de polychimiothérapie antinéoplasique.
- étiologie : Complications postopératoires, Lymphoedème, Oedème cardiaque.
- Adulte d'âge moyen, Association thérapeutique, Carcinome canalaire, Complications postopératoires, Femelle, Humains, Jambe, Lymphadénectomie, Lymphoedème, Lésions radio-induites, Mastectomie partielle, Métastase lymphatique, Péricardectomie, Péricardite constrictive, Réintervention, Tumeurs du sein.
- Pascal (Inist)
English descriptors
- KwdEn :
- Antineoplastic Combined Chemotherapy Protocols (adverse effects), Antineoplastic Combined Chemotherapy Protocols (therapeutic use), Breast Neoplasms (drug therapy), Breast Neoplasms (radiotherapy), Breast Neoplasms (surgery), Breast carcinoma, Carcinoma, Ductal (drug therapy), Carcinoma, Ductal (radiotherapy), Carcinoma, Ductal (surgery), Cardiovascular disease, Case study, Combined Modality Therapy, Edema, Cardiac (diagnosis), Edema, Cardiac (etiology), Female, Humans, Leg, Lower limb, Lymph Node Excision, Lymphatic Metastasis, Lymphedema, Lymphedema (diagnosis), Lymphedema (etiology), Lymphedema (surgery), Mastectomy, Segmental, Middle Aged, Pericardiectomy, Pericarditis, Pericarditis, Constrictive (complications), Pericarditis, Constrictive (diagnosis), Pericarditis, Constrictive (surgery), Pericardium (radiation effects), Postoperative Complications (diagnosis), Postoperative Complications (etiology), Postoperative Complications (surgery), Radiation Injuries (complications), Radiation Injuries (diagnosis), Radiation Injuries (surgery), Reoperation, Treatment.
- MESH :
- adverse effects : Antineoplastic Combined Chemotherapy Protocols.
- complications : Pericarditis, Constrictive, Radiation Injuries.
- diagnosis : Edema, Cardiac, Lymphedema, Pericarditis, Constrictive, Postoperative Complications, Radiation Injuries.
- drug therapy : Breast Neoplasms, Carcinoma, Ductal.
- etiology : Edema, Cardiac, Lymphedema, Postoperative Complications.
- radiation effects : Pericardium.
- radiotherapy : Breast Neoplasms, Carcinoma, Ductal.
- surgery : Breast Neoplasms, Carcinoma, Ductal, Lymphedema, Pericarditis, Constrictive, Postoperative Complications, Radiation Injuries.
- therapeutic use : Antineoplastic Combined Chemotherapy Protocols.
- Combined Modality Therapy, Female, Humans, Leg, Lymph Node Excision, Lymphatic Metastasis, Mastectomy, Segmental, Middle Aged, Pericardiectomy, Reoperation.
Abstract
In patients treated for breast carcinoma, unilateral lymphedema of the upper limb is usual. However, to the authors’ knowledge, lower limb lymphedema has never been reported as a complication of breast carcinoma therapy. They report here the first case of a radiation-induced constrictive pericarditis revealed by severe lower limbs lymphedema. A 60-year-old woman was treated for left breast carcinoma with quadrantectomy, axillary lymphadenectomy, and combined radio chemotherapy (60 grays). Three and a half years later she suffered from a diffuse and increasing lower limbs lymphedema, which became huge and disabling. Radiation-induced constrictive pericarditis was evidenced by right cardiac cavities catheterization. A dramatic improvement was rapidly obtained after pericardectomy. Histopathologic analysis of the pericardium did not reveal neoplastic cells. Radiation-induced constrictive pericarditis is usually responsible for lower limbs edema, but lymphedema is exceptional. This case highlights the need to search for a constrictive pericarditis also in the case of lower limbs lymphedema, particularly in a patient treated with mediastinal radiotherapy or combined radio chemotherapy.
Url:
DOI: 10.1177/000331970505600118
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 003552
- to stream Istex, to step Curation: 003552
- to stream Istex, to step Checkpoint: 001932
- to stream PubMed, to step Corpus: 003D94
- to stream PubMed, to step Curation: 003D94
- to stream PubMed, to step Checkpoint: 003D94
- to stream Ncbi, to step Merge: 001C88
- to stream Ncbi, to step Curation: 001C88
- to stream Ncbi, to step Checkpoint: 001C88
- to stream Main, to step Merge: 008379
- to stream PascalFrancis, to step Corpus: 000604
- to stream PascalFrancis, to step Curation: 000356
- to stream PascalFrancis, to step Checkpoint: 000567
- to stream Main, to step Merge: 008843
- to stream Main, to step Curation: 008156
- to stream Main, to step Exploration: 008156
- to stream France, to step Extraction: 000537
Links to Exploration step
ISTEX:7273FDA95AB2DD620939765BE708F5041144DE77Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Severe Lower Limbs Lymphedema Following Breast Carcinoma Treatment Revealing Radiation-Induced Constrictive Pericarditis</title><author wicri:is="90%"><name sortKey="Granel, B" sort="Granel, B" uniqKey="Granel B" first="B." last="Granel">B. Granel</name></author><author wicri:is="90%"><name sortKey="Gaudy, C" sort="Gaudy, C" uniqKey="Gaudy C" first="C." last="Gaudy">C. Gaudy</name></author><author wicri:is="90%"><name sortKey="Serratrice, J" sort="Serratrice, J" uniqKey="Serratrice J" first="J." last="Serratrice">J. Serratrice</name></author><author wicri:is="90%"><name sortKey="Ene, Nicoleta" sort="Ene, Nicoleta" uniqKey="Ene N" first="Nicoleta" last="Ene">Nicoleta Ene</name></author><author wicri:is="90%"><name sortKey="Mesana, T" sort="Mesana, T" uniqKey="Mesana T" first="T." last="Mesana">T. Mesana</name></author><author wicri:is="90%"><name sortKey="Bonnet, J L" sort="Bonnet, J L" uniqKey="Bonnet J" first="J. L." last="Bonnet">J. L. Bonnet</name></author><author wicri:is="90%"><name sortKey="Lepidi, H" sort="Lepidi, H" uniqKey="Lepidi H" first="H." last="Lepidi">H. Lepidi</name></author><author wicri:is="90%"><name sortKey="Disdier, P" sort="Disdier, P" uniqKey="Disdier P" first="P." last="Disdier">P. Disdier</name></author><author wicri:is="90%"><name sortKey="Piana, L" sort="Piana, L" uniqKey="Piana L" first="L." last="Piana">L. Piana</name></author><author wicri:is="90%"><name sortKey="Weiller, P J" sort="Weiller, P J" uniqKey="Weiller P" first="P. J." last="Weiller">P. J. Weiller</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:7273FDA95AB2DD620939765BE708F5041144DE77</idno><date when="2005" year="2005">2005</date><idno type="doi">10.1177/000331970505600118</idno><idno type="url">https://api.istex.fr/document/7273FDA95AB2DD620939765BE708F5041144DE77/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">003552</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">003552</idno><idno type="wicri:Area/Istex/Curation">003552</idno><idno type="wicri:Area/Istex/Checkpoint">001932</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">001932</idno><idno type="wicri:doubleKey">0003-3197:2005:Granel B:severe:lower:limbs</idno><idno type="wicri:source">PubMed</idno><idno type="RBID">pubmed:15678267</idno><idno type="wicri:Area/PubMed/Corpus">003D94</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003D94</idno><idno type="wicri:Area/PubMed/Curation">003D94</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">003D94</idno><idno type="wicri:Area/PubMed/Checkpoint">003D94</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">003D94</idno><idno type="wicri:Area/Ncbi/Merge">001C88</idno><idno type="wicri:Area/Ncbi/Curation">001C88</idno><idno type="wicri:Area/Ncbi/Checkpoint">001C88</idno><idno type="wicri:doubleKey">0003-3197::Granel B:severe:lower:limbs</idno><idno type="wicri:Area/Main/Merge">008379</idno><idno type="wicri:source">INIST</idno><idno type="RBID">Pascal:05-0102490</idno><idno type="wicri:Area/PascalFrancis/Corpus">000604</idno><idno type="wicri:Area/PascalFrancis/Curation">000356</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000567</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000567</idno><idno type="wicri:doubleKey">0003-3197:2005:Granel B:severe:lower:limbs</idno><idno type="wicri:Area/Main/Merge">008843</idno><idno type="wicri:Area/Main/Curation">008156</idno><idno type="wicri:Area/Main/Exploration">008156</idno><idno type="wicri:Area/France/Extraction">000537</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Severe Lower Limbs Lymphedema Following Breast Carcinoma Treatment Revealing Radiation-Induced Constrictive Pericarditis</title><author wicri:is="90%"><name sortKey="Granel, B" sort="Granel, B" uniqKey="Granel B" first="B." last="Granel">B. Granel</name><affiliation wicri:level="3"><country>France</country><placeName><settlement type="city">Marseille</settlement><region type="région" nuts="2">Provence-Alpes-Côte d'Azur</region></placeName><wicri:orgArea>Service de Médecine Interne, CHU Timone</wicri:orgArea></affiliation></author><author wicri:is="90%"><name sortKey="Gaudy, C" sort="Gaudy, C" uniqKey="Gaudy C" first="C." last="Gaudy">C. Gaudy</name><affiliation wicri:level="3"><country>France</country><placeName><settlement type="city">Marseille</settlement><region type="région" nuts="2">Provence-Alpes-Côte d'Azur</region></placeName><wicri:orgArea>Service de Médecine Interne, CHU Timone</wicri:orgArea></affiliation></author><author wicri:is="90%"><name sortKey="Serratrice, J" sort="Serratrice, J" uniqKey="Serratrice J" first="J." last="Serratrice">J. Serratrice</name><affiliation wicri:level="3"><country>France</country><placeName><settlement type="city">Marseille</settlement><region type="région" nuts="2">Provence-Alpes-Côte d'Azur</region></placeName><wicri:orgArea>Service de Médecine Interne, CHU Timone</wicri:orgArea></affiliation></author><author wicri:is="90%"><name sortKey="Ene, Nicoleta" sort="Ene, Nicoleta" uniqKey="Ene N" first="Nicoleta" last="Ene">Nicoleta Ene</name><affiliation wicri:level="3"><country>France</country><placeName><settlement type="city">Marseille</settlement><region type="région" nuts="2">Provence-Alpes-Côte d'Azur</region></placeName><wicri:orgArea>Service de Médecine Interne, CHU Timone</wicri:orgArea></affiliation></author><author wicri:is="90%"><name sortKey="Mesana, T" sort="Mesana, T" uniqKey="Mesana T" first="T." last="Mesana">T. Mesana</name><affiliation wicri:level="3"><country>France</country><placeName><settlement type="city">Marseille</settlement><region type="région" nuts="2">Provence-Alpes-Côte d'Azur</region></placeName><wicri:orgArea>Service de Chirurgie Cardiaque, CHU Timone</wicri:orgArea></affiliation></author><author wicri:is="90%"><name sortKey="Bonnet, J L" sort="Bonnet, J L" uniqKey="Bonnet J" first="J. L." last="Bonnet">J. L. Bonnet</name><affiliation wicri:level="3"><country>France</country><placeName><settlement type="city">Marseille</settlement><region type="région" nuts="2">Provence-Alpes-Côte d'Azur</region></placeName><wicri:orgArea>Service de Cardiologie Interventionnelle, CHU Timone</wicri:orgArea></affiliation></author><author wicri:is="90%"><name sortKey="Lepidi, H" sort="Lepidi, H" uniqKey="Lepidi H" first="H." last="Lepidi">H. Lepidi</name><affiliation wicri:level="3"><country>France</country><placeName><settlement type="city">Marseille</settlement><region type="région" nuts="2">Provence-Alpes-Côte d'Azur</region></placeName><wicri:orgArea>Service d’Anatomie Pathologique, CHU Timone</wicri:orgArea></affiliation></author><author wicri:is="90%"><name sortKey="Disdier, P" sort="Disdier, P" uniqKey="Disdier P" first="P." last="Disdier">P. Disdier</name><affiliation></affiliation><affiliation wicri:level="1"><country wicri:rule="url">France</country></affiliation></author><author wicri:is="90%"><name sortKey="Piana, L" sort="Piana, L" uniqKey="Piana L" first="L." last="Piana">L. Piana</name><affiliation wicri:level="3"><country xml:lang="fr">France</country><wicri:regionArea>Service de Gynéco-Obstétrique, Hôpital de la Conception, Marseille</wicri:regionArea><placeName><region type="region">Provence-Alpes-Côte d'Azur</region><region type="old region">Provence-Alpes-Côte d'Azur</region><settlement type="city">Marseille</settlement></placeName></affiliation></author><author wicri:is="90%"><name sortKey="Weiller, P J" sort="Weiller, P J" uniqKey="Weiller P" first="P. J." last="Weiller">P. J. Weiller</name><affiliation wicri:level="3"><country>France</country><placeName><settlement type="city">Marseille</settlement><region type="région" nuts="2">Provence-Alpes-Côte d'Azur</region></placeName><wicri:orgArea>Service de Médecine Interne, CHU Timone</wicri:orgArea></affiliation></author></analytic><monogr></monogr><series><title level="j">Angiology</title><idno type="ISSN">0003-3197</idno><idno type="eISSN"></idno><imprint><publisher>Sage Publications</publisher><pubPlace>Sage CA: Thousand Oaks, CA</pubPlace><date type="published" when="2005-01">2005-01</date><biblScope unit="volume">56</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="119">119</biblScope><biblScope unit="page" to="121">121</biblScope></imprint><idno type="ISSN">0003-3197</idno></series><idno type="istex">7273FDA95AB2DD620939765BE708F5041144DE77</idno><idno type="DOI">10.1177/000331970505600118</idno><idno type="ArticleID">10.1177_000331970505600118</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0003-3197</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Antineoplastic Combined Chemotherapy Protocols (adverse effects)</term><term>Antineoplastic Combined Chemotherapy Protocols (therapeutic use)</term><term>Breast Neoplasms (drug therapy)</term><term>Breast Neoplasms (radiotherapy)</term><term>Breast Neoplasms (surgery)</term><term>Breast carcinoma</term><term>Carcinoma, Ductal (drug therapy)</term><term>Carcinoma, Ductal (radiotherapy)</term><term>Carcinoma, Ductal (surgery)</term><term>Cardiovascular disease</term><term>Case study</term><term>Combined Modality Therapy</term><term>Edema, Cardiac (diagnosis)</term><term>Edema, Cardiac (etiology)</term><term>Female</term><term>Humans</term><term>Leg</term><term>Lower limb</term><term>Lymph Node Excision</term><term>Lymphatic Metastasis</term><term>Lymphedema</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (etiology)</term><term>Lymphedema (surgery)</term><term>Mastectomy, Segmental</term><term>Middle Aged</term><term>Pericardiectomy</term><term>Pericarditis</term><term>Pericarditis, Constrictive (complications)</term><term>Pericarditis, Constrictive (diagnosis)</term><term>Pericarditis, Constrictive (surgery)</term><term>Pericardium (radiation effects)</term><term>Postoperative Complications (diagnosis)</term><term>Postoperative Complications (etiology)</term><term>Postoperative Complications (surgery)</term><term>Radiation Injuries (complications)</term><term>Radiation Injuries (diagnosis)</term><term>Radiation Injuries (surgery)</term><term>Reoperation</term><term>Treatment</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Association thérapeutique</term><term>Carcinome canalaire ()</term><term>Carcinome canalaire (radiothérapie)</term><term>Carcinome canalaire (traitement médicamenteux)</term><term>Complications postopératoires ()</term><term>Complications postopératoires (diagnostic)</term><term>Complications postopératoires (étiologie)</term><term>Femelle</term><term>Humains</term><term>Jambe</term><term>Lymphadénectomie</term><term>Lymphoedème ()</term><term>Lymphoedème (diagnostic)</term><term>Lymphoedème (étiologie)</term><term>Lésions radio-induites ()</term><term>Lésions radio-induites (diagnostic)</term><term>Mastectomie partielle</term><term>Métastase lymphatique</term><term>Oedème cardiaque (diagnostic)</term><term>Oedème cardiaque (étiologie)</term><term>Protocoles de polychimiothérapie antinéoplasique (effets indésirables)</term><term>Protocoles de polychimiothérapie antinéoplasique (usage thérapeutique)</term><term>Péricarde (effets des radiations)</term><term>Péricardectomie</term><term>Péricardite constrictive ()</term><term>Péricardite constrictive (diagnostic)</term><term>Réintervention</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (radiothérapie)</term><term>Tumeurs du sein (traitement médicamenteux)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Antineoplastic Combined Chemotherapy Protocols</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Pericarditis, Constrictive</term><term>Radiation Injuries</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Edema, Cardiac</term><term>Lymphedema</term><term>Pericarditis, Constrictive</term><term>Postoperative Complications</term><term>Radiation Injuries</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Complications postopératoires</term><term>Lymphoedème</term><term>Lésions radio-induites</term><term>Oedème cardiaque</term><term>Péricardite constrictive</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Breast Neoplasms</term><term>Carcinoma, Ductal</term></keywords><keywords scheme="MESH" qualifier="effets des radiations" xml:lang="fr"><term>Péricarde</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Protocoles de polychimiothérapie antinéoplasique</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Edema, Cardiac</term><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="radiation effects" xml:lang="en"><term>Pericardium</term></keywords><keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en"><term>Breast Neoplasms</term><term>Carcinoma, Ductal</term></keywords><keywords scheme="MESH" qualifier="radiothérapie" xml:lang="fr"><term>Carcinome canalaire</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term><term>Carcinoma, Ductal</term><term>Lymphedema</term><term>Pericarditis, Constrictive</term><term>Postoperative Complications</term><term>Radiation Injuries</term></keywords><keywords scheme="MESH" qualifier="therapeutic use" xml:lang="en"><term>Antineoplastic Combined Chemotherapy Protocols</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Carcinome canalaire</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Protocoles de polychimiothérapie antinéoplasique</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Complications postopératoires</term><term>Lymphoedème</term><term>Oedème cardiaque</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Combined Modality Therapy</term><term>Female</term><term>Humans</term><term>Leg</term><term>Lymph Node Excision</term><term>Lymphatic Metastasis</term><term>Mastectomy, Segmental</term><term>Middle Aged</term><term>Pericardiectomy</term><term>Reoperation</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Association thérapeutique</term><term>Carcinome canalaire</term><term>Complications postopératoires</term><term>Femelle</term><term>Humains</term><term>Jambe</term><term>Lymphadénectomie</term><term>Lymphoedème</term><term>Lésions radio-induites</term><term>Mastectomie partielle</term><term>Métastase lymphatique</term><term>Péricardectomie</term><term>Péricardite constrictive</term><term>Réintervention</term><term>Tumeurs du sein</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Appareil circulatoire pathologie</term><term>Carcinome sein</term><term>Etude cas</term><term>Lymphoedème</term><term>Membre inférieur</term><term>Péricardite</term><term>Traitement</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In patients treated for breast carcinoma, unilateral lymphedema of the upper limb is usual. However, to the authors’ knowledge, lower limb lymphedema has never been reported as a complication of breast carcinoma therapy. They report here the first case of a radiation-induced constrictive pericarditis revealed by severe lower limbs lymphedema. A 60-year-old woman was treated for left breast carcinoma with quadrantectomy, axillary lymphadenectomy, and combined radio chemotherapy (60 grays). Three and a half years later she suffered from a diffuse and increasing lower limbs lymphedema, which became huge and disabling. Radiation-induced constrictive pericarditis was evidenced by right cardiac cavities catheterization. A dramatic improvement was rapidly obtained after pericardectomy. Histopathologic analysis of the pericardium did not reveal neoplastic cells. Radiation-induced constrictive pericarditis is usually responsible for lower limbs edema, but lymphedema is exceptional. This case highlights the need to search for a constrictive pericarditis also in the case of lower limbs lymphedema, particularly in a patient treated with mediastinal radiotherapy or combined radio chemotherapy.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Provence-Alpes-Côte d'Azur</li></region><settlement><li>Marseille</li></settlement></list><tree><country name="France"><region name="Provence-Alpes-Côte d'Azur"><name sortKey="Granel, B" sort="Granel, B" uniqKey="Granel B" first="B." last="Granel">B. Granel</name></region><name sortKey="Bonnet, J L" sort="Bonnet, J L" uniqKey="Bonnet J" first="J. L." last="Bonnet">J. L. Bonnet</name><name sortKey="Disdier, P" sort="Disdier, P" uniqKey="Disdier P" first="P." last="Disdier">P. Disdier</name><name sortKey="Ene, Nicoleta" sort="Ene, Nicoleta" uniqKey="Ene N" first="Nicoleta" last="Ene">Nicoleta Ene</name><name sortKey="Gaudy, C" sort="Gaudy, C" uniqKey="Gaudy C" first="C." last="Gaudy">C. Gaudy</name><name sortKey="Lepidi, H" sort="Lepidi, H" uniqKey="Lepidi H" first="H." last="Lepidi">H. Lepidi</name><name sortKey="Mesana, T" sort="Mesana, T" uniqKey="Mesana T" first="T." last="Mesana">T. Mesana</name><name sortKey="Piana, L" sort="Piana, L" uniqKey="Piana L" first="L." last="Piana">L. Piana</name><name sortKey="Serratrice, J" sort="Serratrice, J" uniqKey="Serratrice J" first="J." last="Serratrice">J. Serratrice</name><name sortKey="Weiller, P J" sort="Weiller, P J" uniqKey="Weiller P" first="P. J." last="Weiller">P. J. Weiller</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/France/Analysis
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000537 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/France/Analysis/biblio.hfd -nk 000537 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= France
|étape= Analysis
|type= RBID
|clé= ISTEX:7273FDA95AB2DD620939765BE708F5041144DE77
|texte= Severe Lower Limbs Lymphedema Following Breast Carcinoma Treatment Revealing Radiation-Induced Constrictive Pericarditis
}}
| This area was generated with Dilib version V0.6.31. |  |