[Treatment of postoperative lymphedema of the upper limb].
Identifieur interne : 00D449 ( Main/Curation ); précédent : 00D448; suivant : 00D450[Treatment of postoperative lymphedema of the upper limb].
Auteurs : A. Pecking [France]Source :
- Bulletin du cancer [ 0007-4551 ] ; 1991.
Descripteurs français
- KwdFr :
- MESH :
- effets indésirables : Mastectomie partielle, Mastectomie radicale.
- radiothérapie : Tumeurs du sein.
- étiologie : Lymphoedème.
- Association thérapeutique, Bras, Complications postopératoires, Femelle, Humains, Lymphoedème, Protocoles cliniques, Tumeurs du sein.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Mastectomy, Radical, Mastectomy, Segmental.
- etiology : Lymphedema.
- radiotherapy : Breast Neoplasms.
- surgery : Breast Neoplasms.
- therapy : Lymphedema, Postoperative Complications.
- Arm, Clinical Protocols, Combined Modality Therapy, Female, Humans.
Abstract
In breast cancer the overall incidence of post-therapeutic lymphedemas of the arm remains at 20% despite the use of new conservative treatments. Patients suffering from pains and heaviness require additional treatment for their swollen arm. One hundred and seventy-nine women with a post therapeutic edema of the upper limb have been treated in a special medical unit where medical and physiotherapeutic care were given as an intensive treatment for 4 weeks. More than 80% of good results were obtained with a median decrease in volume of swelling of 45%. The duration of the clinical improvement during the 6 months following the intensive first treatment was excellent for 76% of all improved cases. Treatment failure occurred in 16.2% of upper limb swelling mostly in relation to a recurrence of the disease (81%). 84.3% of cases undergoing a second intensive treatment 6 months later displayed a new decrease in volume and a new real clinical improvement. Small post therapeutic lymphedemas must be treated as soon as possible to avoid more serious delayed disorders.
PubMed: 1859905
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pubmed:1859905Le document en format XML
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<affiliation wicri:level="1"><nlm:affiliation>Service de médecine nucléaire, Centre René-Huguenin, Saint-Cloud, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
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<affiliation wicri:level="1"><nlm:affiliation>Service de médecine nucléaire, Centre René-Huguenin, Saint-Cloud, France.</nlm:affiliation>
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<series><title level="j">Bulletin du cancer</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arm</term>
<term>Breast Neoplasms (radiotherapy)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Clinical Protocols</term>
<term>Combined Modality Therapy</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (therapy)</term>
<term>Mastectomy, Radical (adverse effects)</term>
<term>Mastectomy, Segmental (adverse effects)</term>
<term>Postoperative Complications (therapy)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Association thérapeutique</term>
<term>Bras</term>
<term>Complications postopératoires ()</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (étiologie)</term>
<term>Mastectomie partielle (effets indésirables)</term>
<term>Mastectomie radicale (effets indésirables)</term>
<term>Protocoles cliniques</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (radiothérapie)</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mastectomy, Radical</term>
<term>Mastectomy, Segmental</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Mastectomie partielle</term>
<term>Mastectomie radicale</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="radiothérapie" xml:lang="fr"><term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term>
<term>Postoperative Complications</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
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<term>Complications postopératoires</term>
<term>Femelle</term>
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<term>Lymphoedème</term>
<term>Protocoles cliniques</term>
<term>Tumeurs du sein</term>
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<front><div type="abstract" xml:lang="en">In breast cancer the overall incidence of post-therapeutic lymphedemas of the arm remains at 20% despite the use of new conservative treatments. Patients suffering from pains and heaviness require additional treatment for their swollen arm. One hundred and seventy-nine women with a post therapeutic edema of the upper limb have been treated in a special medical unit where medical and physiotherapeutic care were given as an intensive treatment for 4 weeks. More than 80% of good results were obtained with a median decrease in volume of swelling of 45%. The duration of the clinical improvement during the 6 months following the intensive first treatment was excellent for 76% of all improved cases. Treatment failure occurred in 16.2% of upper limb swelling mostly in relation to a recurrence of the disease (81%). 84.3% of cases undergoing a second intensive treatment 6 months later displayed a new decrease in volume and a new real clinical improvement. Small post therapeutic lymphedemas must be treated as soon as possible to avoid more serious delayed disorders.</div>
</front>
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