Early and late morbidity associated with axillary levels I–III dissection in breast cancer
Identifieur interne : 002F37 ( Istex/Corpus ); précédent : 002F36; suivant : 002F38Early and late morbidity associated with axillary levels I–III dissection in breast cancer
Auteurs : Miranda F. Ernst ; Adri C. Voogd ; Willemijn Balder ; Jean H. G. Klinkenbijl ; Jan A. RoukemaSource :
- Journal of Surgical Oncology [ 0022-4790 ] ; 2002-03.
Abstract
Axillary dissection may cause substatial morbidity in breast cancer patients. The purpose of this study was to investigate the value of a registration method of morbidity of the arm and shoulder, which is frequently used by surgeons and which includes the measurement of range of movement, strength, and pain.
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DOI: 10.1002/jso.10061
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ISTEX:653E3186EBF264BF0025AFE17D7644E5038E13FDLe document en format XML
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Klinkenbijl</name><affiliation><mods:affiliation>Department of Surgery, St. Elisabeth Hospital, Tilburg, The Netherlands</mods:affiliation></affiliation></author><author><name sortKey="Roukema, Jan A" sort="Roukema, Jan A" uniqKey="Roukema J" first="Jan A." last="Roukema">Jan A. Roukema</name><affiliation><mods:affiliation>Department of Surgery, St. Elisabeth Hospital, Tilburg, The Netherlands</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Surgery, St. Elisabeth Hospital, P.O. Box 90052, 5600 PD Tilburg, The Netherlands.</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Surgical Oncology</title><title level="j" type="alt">JOURNAL OF SURGICAL ONCOLOGY</title><idno type="ISSN">0022-4790</idno><idno type="eISSN">1096-9098</idno><imprint><biblScope unit="vol">79</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="151">151</biblScope><biblScope unit="page" to="155">155</biblScope><biblScope unit="page-count">5</biblScope><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>New York</pubPlace><date type="published" when="2002-03">2002-03</date></imprint><idno type="ISSN">0022-4790</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0022-4790</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">Axillary dissection may cause substatial morbidity in breast cancer patients. The purpose of this study was to investigate the value of a registration method of morbidity of the arm and shoulder, which is frequently used by surgeons and which includes the measurement of range of movement, strength, and pain.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>axillary</json:string><json:string>breast cancer</json:string><json:string>morbidity</json:string><json:string>axillary dissection</json:string><json:string>mastectomy</json:string><json:string>node</json:string><json:string>surg</json:string><json:string>radiotherapy</json:string><json:string>oncol</json:string><json:string>abduction</json:string><json:string>axilla</json:string><json:string>ventral</json:string><json:string>lymphedema</json:string><json:string>dorsal</json:string><json:string>shoulder pain</json:string><json:string>dissection</json:string><json:string>breast cancer patients</json:string><json:string>shoulder movement</json:string><json:string>dorsal elevation</json:string><json:string>axillary lymph node dissection</json:string><json:string>lymph</json:string><json:string>ventral elevation</json:string><json:string>lymph nodes</json:string><json:string>operable breast cancer</json:string><json:string>elisabeth hospital</json:string><json:string>axillary clearance</json:string><json:string>mastectomy group</json:string><json:string>sentinel node biopsy</json:string><json:string>elderly patients</json:string><json:string>early breast cancer</json:string><json:string>radiat oncol biol phys</json:string><json:string>radical mastectomy</json:string><json:string>breast</json:string></teeft></keywords><author><json:item><name>Miranda F. Ernst MD</name><affiliations><json:string>Department of Surgery, St. Elisabeth Hospital, Tilburg, The Netherlands</json:string></affiliations></json:item><json:item><name>Adri C. Voogd PhD</name><affiliations><json:string>Comprehensive Cancer Center South, Eindhoven, The Netherlands</json:string></affiliations></json:item><json:item><name>Willemijn Balder MD</name><affiliations><json:string>Department of Surgery, St. Elisabeth Hospital, Tilburg, The Netherlands</json:string></affiliations></json:item><json:item><name>Jean H. G. Klinkenbijl MD, PhD</name><affiliations><json:string>Department of Surgery, St. Elisabeth Hospital, Tilburg, The Netherlands</json:string></affiliations></json:item><json:item><name>Jan A. Roukema MD, PhD</name><affiliations><json:string>Department of Surgery, St. Elisabeth Hospital, Tilburg, The Netherlands</json:string><json:string>Department of Surgery, St. Elisabeth Hospital, P.O. 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G.</forename><surname>Klinkenbijl</surname><roleName type="degree">MD, PhD</roleName></persName><affiliation>Department of Surgery, St. Elisabeth Hospital, Tilburg, The Netherlands<address><country key="NL"></country></address></affiliation></author><author xml:id="author-0004" role="corresp"><persName><forename type="first">Jan A.</forename><surname>Roukema</surname><roleName type="degree">MD, PhD</roleName></persName><email>JARouke@elisabeth.nl</email><affiliation>Department of Surgery, St. Elisabeth Hospital, Tilburg, The Netherlands<address><country key="NL"></country></address></affiliation><affiliation>Department of Surgery, St. Elisabeth Hospital, P.O. Box 90052, 5600 PD Tilburg, The Netherlands.</affiliation></author><idno type="istex">653E3186EBF264BF0025AFE17D7644E5038E13FD</idno><idno type="DOI">10.1002/jso.10061</idno><idno type="unit">JSO10061</idno><idno type="toTypesetVersion">file:JSO.JSO10061.pdf</idno></analytic><monogr><title level="j" type="main">Journal of Surgical Oncology</title><title level="j" type="alt">JOURNAL OF SURGICAL ONCOLOGY</title><idno type="pISSN">0022-4790</idno><idno type="eISSN">1096-9098</idno><idno type="book-DOI">10.1002/(ISSN)1096-9098</idno><idno type="book-part-DOI">10.1002/jso.v79:3</idno><idno type="product">JSO</idno><imprint><biblScope unit="vol">79</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="151">151</biblScope><biblScope unit="page" to="155">155</biblScope><biblScope unit="page-count">5</biblScope><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>New York</pubPlace><date type="published" when="2002-03"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head>
Background and Objectives
<p>Axillary dissection may cause substatial morbidity in breast cancer patients. The purpose of this study was to investigate the value of a registration method of morbidity of the arm and shoulder, which is frequently used by surgeons and which includes the measurement of range of movement, strength, and pain.</p>
Methods
<p>We surveyed 148 patients who had received an axillary dissection as part of breast cancer surgery. Of these patients, 77 had undergone axillary dissection 6–12 months ago and 71 patients more than 5 years ago. In all patients, an objective measurement of shoulder movement and a subjective measurement of pain and arm strength was performed.</p>
Results
<p>A difference of more than 20 degrees in abduction, ventral elevation, or dorsal elevation occurred in 12% of the patients. Pain or loss of strength were measured in half of the patients. Shoulder movement, pain, and arm strength were not significantly different between the patients who underwent mastectomy or breast conserving surgery. Also, no significant difference could be found in shoulder movement, pain, and arm strength between the patients who underwent axillary dissection 6–12 months ago and those who underwent it more than 5 years ago.</p>
Conclusions
<p>Pain, loss of arm strength, and limitation of shoulder movement are frequent complaints after axillary dissection for breast cancer and appear to be independent of the length of follow‐up and the type of surgery (i.e., breast‐conservation or mastectomy). J. Surg. Oncol. 2002;79:151–155. © 2002 Wiley–Liss, Inc.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="kwd1">carcinoma</term><term xml:id="kwd2">breast</term><term xml:id="kwd3">axilla</term><term xml:id="kwd4">lymph node</term><term xml:id="kwd5">arm</term><term xml:id="kwd6">pain</term></keywords><classCode scheme="articleCategory">Research Article</classCode><classCode scheme="tocHeading1">Research Articles</classCode></textClass><langUsage><language ident="EN"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/653E3186EBF264BF0025AFE17D7644E5038E13FD/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Wiley Subscription Services, Inc., A Wiley Company</publisherName><publisherLoc>New York</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1096-9098</doi><issn type="print">0022-4790</issn><issn type="electronic">1096-9098</issn><idGroup><id type="product" value="JSO"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="JOURNAL OF SURGICAL ONCOLOGY">Journal of Surgical Oncology</title><title type="short">J. Surg. Oncol.</title></titleGroup></publicationMeta><publicationMeta level="part" position="30"><doi origin="wiley" registered="yes">10.1002/jso.v79:3</doi><numberingGroup><numbering type="journalVolume" number="79">79</numbering><numbering type="journalIssue">3</numbering></numberingGroup><coverDate startDate="2002-03">March 2002</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="5" status="forIssue"><doi origin="wiley" registered="yes">10.1002/jso.10061</doi><idGroup><id type="unit" value="JSO10061"></id></idGroup><countGroup><count type="pageTotal" number="5"></count></countGroup><titleGroup><title type="articleCategory">Research Article</title><title type="tocHeading1">Research Articles</title></titleGroup><copyright ownership="publisher">Copyright © 2002 Wiley‐Liss, Inc.</copyright><eventGroup><event type="manuscriptAccepted" date="2001-11-20"></event><event type="firstOnline" date="2002-02-21"></event><event type="publishedOnlineFinalForm" date="2002-02-21"></event><event type="xmlConverted" agent="Converter:JWSART34_TO_WML3G version:2.3.2 mode:FullText source:HeaderRef result:HeaderRef" date="2010-03-10"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-01"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-30"></event></eventGroup><numberingGroup><numbering type="pageFirst">151</numbering><numbering type="pageLast">155</numbering></numberingGroup><correspondenceTo>Department of Surgery, St. Elisabeth Hospital, P.O. Box 90052, 5600 PD Tilburg, The Netherlands.</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JSO.JSO10061.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="4"></count><count type="referenceTotal" number="42"></count><count type="wordTotal" number="1246"></count></countGroup><titleGroup><title type="main" xml:lang="en">Early and late morbidity associated with axillary levels I–III dissection in breast cancer</title><title type="short" xml:lang="en">Morbidity After Axillary Dissection</title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Miranda F.</givenNames><familyName>Ernst</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af2"><personName><givenNames>Adri C.</givenNames><familyName>Voogd</familyName><degrees>PhD</degrees></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Willemijn</givenNames><familyName>Balder</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au4" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Jean H. G.</givenNames><familyName>Klinkenbijl</familyName><degrees>MD, PhD</degrees></personName></creator><creator xml:id="au5" creatorRole="author" affiliationRef="#af1" corresponding="yes"><personName><givenNames>Jan A.</givenNames><familyName>Roukema</familyName><degrees>MD, PhD</degrees></personName><contactDetails><email>JARouke@elisabeth.nl</email></contactDetails></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="NL" type="organization"><unparsedAffiliation>Department of Surgery, St. Elisabeth Hospital, Tilburg, The Netherlands</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="NL" type="organization"><unparsedAffiliation>Comprehensive Cancer Center South, Eindhoven, The Netherlands</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">carcinoma</keyword><keyword xml:id="kwd2">breast</keyword><keyword xml:id="kwd3">axilla</keyword><keyword xml:id="kwd4">lymph node</keyword><keyword xml:id="kwd5">arm</keyword><keyword xml:id="kwd6">pain</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><section xml:id="abs1-1"><title type="main">Background and Objectives</title><p>Axillary dissection may cause substatial morbidity in breast cancer patients. The purpose of this study was to investigate the value of a registration method of morbidity of the arm and shoulder, which is frequently used by surgeons and which includes the measurement of range of movement, strength, and pain.</p></section><section xml:id="abs1-2"><title type="main">Methods</title><p>We surveyed 148 patients who had received an axillary dissection as part of breast cancer surgery. Of these patients, 77 had undergone axillary dissection 6–12 months ago and 71 patients more than 5 years ago. In all patients, an objective measurement of shoulder movement and a subjective measurement of pain and arm strength was performed.</p></section><section xml:id="abs1-3"><title type="main">Results</title><p>A difference of more than 20 degrees in abduction, ventral elevation, or dorsal elevation occurred in 12% of the patients. Pain or loss of strength were measured in half of the patients. Shoulder movement, pain, and arm strength were not significantly different between the patients who underwent mastectomy or breast conserving surgery. Also, no significant difference could be found in shoulder movement, pain, and arm strength between the patients who underwent axillary dissection 6–12 months ago and those who underwent it more than 5 years ago.</p></section><section xml:id="abs1-4"><title type="main">Conclusions</title><p>Pain, loss of arm strength, and limitation of shoulder movement are frequent complaints after axillary dissection for breast cancer and appear to be independent of the length of follow‐up and the type of surgery (i.e., breast‐conservation or mastectomy). J. Surg. Oncol. 2002;79:151–155. © 2002 Wiley–Liss, Inc.</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Early and late morbidity associated with axillary levels I–III dissection in breast cancer</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Morbidity After Axillary Dissection</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Early and late morbidity associated with axillary levels I–III dissection in breast cancer</title></titleInfo><name type="personal"><namePart type="given">Miranda F.</namePart><namePart type="family">Ernst</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Surgery, St. Elisabeth Hospital, Tilburg, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Adri C.</namePart><namePart type="family">Voogd</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Comprehensive Cancer Center South, Eindhoven, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Willemijn</namePart><namePart type="family">Balder</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Surgery, St. Elisabeth Hospital, Tilburg, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jean H. G.</namePart><namePart type="family">Klinkenbijl</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Department of Surgery, St. Elisabeth Hospital, Tilburg, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jan A.</namePart><namePart type="family">Roukema</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Department of Surgery, St. Elisabeth Hospital, Tilburg, The Netherlands</affiliation><affiliation>Department of Surgery, St. Elisabeth Hospital, P.O. Box 90052, 5600 PD Tilburg, The Netherlands.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">New York</placeTerm></place><dateIssued encoding="w3cdtf">2002-03</dateIssued><dateValid encoding="w3cdtf">2001-11-20</dateValid><copyrightDate encoding="w3cdtf">2002</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="tables">4</extent><extent unit="references">42</extent><extent unit="words">1246</extent></physicalDescription><abstract>Axillary dissection may cause substatial morbidity in breast cancer patients. The purpose of this study was to investigate the value of a registration method of morbidity of the arm and shoulder, which is frequently used by surgeons and which includes the measurement of range of movement, strength, and pain.</abstract><abstract>We surveyed 148 patients who had received an axillary dissection as part of breast cancer surgery. Of these patients, 77 had undergone axillary dissection 6–12 months ago and 71 patients more than 5 years ago. In all patients, an objective measurement of shoulder movement and a subjective measurement of pain and arm strength was performed.</abstract><abstract>A difference of more than 20 degrees in abduction, ventral elevation, or dorsal elevation occurred in 12% of the patients. Pain or loss of strength were measured in half of the patients. Shoulder movement, pain, and arm strength were not significantly different between the patients who underwent mastectomy or breast conserving surgery. Also, no significant difference could be found in shoulder movement, pain, and arm strength between the patients who underwent axillary dissection 6–12 months ago and those who underwent it more than 5 years ago.</abstract><abstract>Pain, loss of arm strength, and limitation of shoulder movement are frequent complaints after axillary dissection for breast cancer and appear to be independent of the length of follow‐up and the type of surgery (i.e., breast‐conservation or mastectomy). J. Surg. Oncol. 2002;79:151–155. © 2002 Wiley–Liss, Inc.</abstract><subject lang="en"><genre>keywords</genre><topic>carcinoma</topic><topic>breast</topic><topic>axilla</topic><topic>lymph node</topic><topic>arm</topic><topic>pain</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Surgical Oncology</title></titleInfo><titleInfo type="abbreviated"><title>J. Surg. Oncol.</title></titleInfo><genre type="journal">journal</genre><subject><genre>article-category</genre><topic>Research Article</topic></subject><identifier type="ISSN">0022-4790</identifier><identifier type="eISSN">1096-9098</identifier><identifier type="DOI">10.1002/(ISSN)1096-9098</identifier><identifier type="PublisherID">JSO</identifier><part><date>2002</date><detail type="volume"><caption>vol.</caption><number>79</number></detail><detail type="issue"><caption>no.</caption><number>3</number></detail><extent unit="pages"><start>151</start><end>155</end><total>5</total></extent></part></relatedItem><identifier type="istex">653E3186EBF264BF0025AFE17D7644E5038E13FD</identifier><identifier type="DOI">10.1002/jso.10061</identifier><identifier type="ArticleID">JSO10061</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2002 Wiley‐Liss, Inc.</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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|texte= Early and late morbidity associated with axillary levels I–III dissection in breast cancer
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