Arm lymphoscintigraphy after axillary lymph node dissection or sentinel lymph node biopsy in breast cancer
Identifieur interne : 000771 ( Main/Exploration ); précédent : 000770; suivant : 000772Arm lymphoscintigraphy after axillary lymph node dissection or sentinel lymph node biopsy in breast cancer
Auteurs : Almir José Sarri ; Rogério Dias ; Carla Elaine Laurienzo ; Mônica Carboni Pereira Gonçalves ; Daniel Spadoto Dias ; Sonia Marta Moriguchi [Brésil]Source :
- OncoTargets and therapy [ 1178-6930 ] ; 2017.
Abstract
Compare the lymphatic flow in the arm after breast cancer surgery and axillary lymph node dissection (ALND) versus sentinel lymph node biopsy (SLNB) using lymphos-cintigraphy (LS).
A cross-sectional study with 39 women >18 years who underwent surgical treatment for unilateral breast cancer and manipulation of the axillary lymph node chain through either ALND or SLNB, with subsequent comparison of the lymphatic flow of the arm by LS. The variables analyzed were the area reached by the lymphatic flow in the upper limb and the sites and number of lymph nodes identified in the ALND or SLNB groups visualized in the three phases of LS acquisition (immediate dynamic and static images, delayed scan images). For all analyses, the level of significance was set at 5%.
There was a significant difference between the ALND and SLNB groups, with predominant visualization of lymphatic flow and/or lymph nodes in the arm and axilla (
The lymphatic flow from the axilla was redirected to alternative extra-axillary routes in the ALND group.
Url:
DOI: 10.2147/OTT.S117830
PubMed: 28331338
PubMed Central: 5348076
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Arm lymphoscintigraphy after axillary lymph node dissection or sentinel lymph node biopsy in breast cancer</title><author><name sortKey="Sarri, Almir Jose" sort="Sarri, Almir Jose" uniqKey="Sarri A" first="Almir José" last="Sarri">Almir José Sarri</name><affiliation><nlm:aff id="af1-ott-10-1451">Department of Physical Therapy, Barretos Cancer Hospital, Barretos</nlm:aff><wicri:noCountry code="subfield">Barretos</wicri:noCountry></affiliation></author><author><name sortKey="Dias, Rogerio" sort="Dias, Rogerio" uniqKey="Dias R" first="Rogério" last="Dias">Rogério Dias</name><affiliation><nlm:aff id="af2-ott-10-1451">Department of Obstetrics, Gynaecology and Mastology, Botucatu Medical School, São Paulo State University – UNESP, Botucatu</nlm:aff><wicri:noCountry code="subfield">Botucatu</wicri:noCountry></affiliation></author><author><name sortKey="Laurienzo, Carla Elaine" sort="Laurienzo, Carla Elaine" uniqKey="Laurienzo C" first="Carla Elaine" last="Laurienzo">Carla Elaine Laurienzo</name><affiliation><nlm:aff id="af1-ott-10-1451">Department of Physical Therapy, Barretos Cancer Hospital, Barretos</nlm:aff><wicri:noCountry code="subfield">Barretos</wicri:noCountry></affiliation></author><author><name sortKey="Goncalves, Monica Carboni Pereira" sort="Goncalves, Monica Carboni Pereira" uniqKey="Goncalves M" first="Mônica Carboni Pereira" last="Gonçalves">Mônica Carboni Pereira Gonçalves</name><affiliation><nlm:aff id="af3-ott-10-1451">Department of Nuclear Medicine, Barretos Cancer Hospital, Barretos</nlm:aff><wicri:noCountry code="subfield">Barretos</wicri:noCountry></affiliation></author><author><name sortKey="Dias, Daniel Spadoto" sort="Dias, Daniel Spadoto" uniqKey="Dias D" first="Daniel Spadoto" last="Dias">Daniel Spadoto Dias</name><affiliation><nlm:aff id="af2-ott-10-1451">Department of Obstetrics, Gynaecology and Mastology, Botucatu Medical School, São Paulo State University – UNESP, Botucatu</nlm:aff><wicri:noCountry code="subfield">Botucatu</wicri:noCountry></affiliation></author><author><name sortKey="Moriguchi, Sonia Marta" sort="Moriguchi, Sonia Marta" uniqKey="Moriguchi S" first="Sonia Marta" last="Moriguchi">Sonia Marta Moriguchi</name><affiliation wicri:level="3"><nlm:aff id="af4-ott-10-1451">Department of Tropical Diseases and Diagnostic Imaging, Botucatu Medical School, São Paulo State University – UNESP, Botucatu, São Paulo, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Tropical Diseases and Diagnostic Imaging, Botucatu Medical School, São Paulo State University – UNESP, Botucatu, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28331338</idno><idno type="pmc">5348076</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5348076</idno><idno type="RBID">PMC:5348076</idno><idno type="doi">10.2147/OTT.S117830</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">004238</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">004238</idno><idno type="wicri:Area/Pmc/Curation">004237</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">004237</idno><idno type="wicri:Area/Pmc/Checkpoint">000388</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000388</idno><idno type="wicri:Area/Ncbi/Merge">008E77</idno><idno type="wicri:Area/Ncbi/Curation">008E77</idno><idno type="wicri:Area/Ncbi/Checkpoint">008E77</idno><idno type="wicri:Area/Main/Merge">000772</idno><idno type="wicri:Area/Main/Curation">000771</idno><idno type="wicri:Area/Main/Exploration">000771</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Arm lymphoscintigraphy after axillary lymph node dissection or sentinel lymph node biopsy in breast cancer</title><author><name sortKey="Sarri, Almir Jose" sort="Sarri, Almir Jose" uniqKey="Sarri A" first="Almir José" last="Sarri">Almir José Sarri</name><affiliation><nlm:aff id="af1-ott-10-1451">Department of Physical Therapy, Barretos Cancer Hospital, Barretos</nlm:aff><wicri:noCountry code="subfield">Barretos</wicri:noCountry></affiliation></author><author><name sortKey="Dias, Rogerio" sort="Dias, Rogerio" uniqKey="Dias R" first="Rogério" last="Dias">Rogério Dias</name><affiliation><nlm:aff id="af2-ott-10-1451">Department of Obstetrics, Gynaecology and Mastology, Botucatu Medical School, São Paulo State University – UNESP, Botucatu</nlm:aff><wicri:noCountry code="subfield">Botucatu</wicri:noCountry></affiliation></author><author><name sortKey="Laurienzo, Carla Elaine" sort="Laurienzo, Carla Elaine" uniqKey="Laurienzo C" first="Carla Elaine" last="Laurienzo">Carla Elaine Laurienzo</name><affiliation><nlm:aff id="af1-ott-10-1451">Department of Physical Therapy, Barretos Cancer Hospital, Barretos</nlm:aff><wicri:noCountry code="subfield">Barretos</wicri:noCountry></affiliation></author><author><name sortKey="Goncalves, Monica Carboni Pereira" sort="Goncalves, Monica Carboni Pereira" uniqKey="Goncalves M" first="Mônica Carboni Pereira" last="Gonçalves">Mônica Carboni Pereira Gonçalves</name><affiliation><nlm:aff id="af3-ott-10-1451">Department of Nuclear Medicine, Barretos Cancer Hospital, Barretos</nlm:aff><wicri:noCountry code="subfield">Barretos</wicri:noCountry></affiliation></author><author><name sortKey="Dias, Daniel Spadoto" sort="Dias, Daniel Spadoto" uniqKey="Dias D" first="Daniel Spadoto" last="Dias">Daniel Spadoto Dias</name><affiliation><nlm:aff id="af2-ott-10-1451">Department of Obstetrics, Gynaecology and Mastology, Botucatu Medical School, São Paulo State University – UNESP, Botucatu</nlm:aff><wicri:noCountry code="subfield">Botucatu</wicri:noCountry></affiliation></author><author><name sortKey="Moriguchi, Sonia Marta" sort="Moriguchi, Sonia Marta" uniqKey="Moriguchi S" first="Sonia Marta" last="Moriguchi">Sonia Marta Moriguchi</name><affiliation wicri:level="3"><nlm:aff id="af4-ott-10-1451">Department of Tropical Diseases and Diagnostic Imaging, Botucatu Medical School, São Paulo State University – UNESP, Botucatu, São Paulo, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Tropical Diseases and Diagnostic Imaging, Botucatu Medical School, São Paulo State University – UNESP, Botucatu, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author></analytic><series><title level="j">OncoTargets and therapy</title><idno type="eISSN">1178-6930</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>Compare the lymphatic flow in the arm after breast cancer surgery and axillary lymph node dissection (ALND) versus sentinel lymph node biopsy (SLNB) using lymphos-cintigraphy (LS).</p></sec><sec><title>Patients and methods</title><p>A cross-sectional study with 39 women >18 years who underwent surgical treatment for unilateral breast cancer and manipulation of the axillary lymph node chain through either ALND or SLNB, with subsequent comparison of the lymphatic flow of the arm by LS. The variables analyzed were the area reached by the lymphatic flow in the upper limb and the sites and number of lymph nodes identified in the ALND or SLNB groups visualized in the three phases of LS acquisition (immediate dynamic and static images, delayed scan images). For all analyses, the level of significance was set at 5%.</p></sec><sec><title>Results</title><p>There was a significant difference between the ALND and SLNB groups, with predominant visualization of lymphatic flow and/or lymph nodes in the arm and axilla (<italic>P</italic>=0.01) and extra-axillary lymph nodes (<italic>P</italic><0.01) in the ALND group. There was no significant difference in the total number of lymph nodes identified between the two groups. However, there was a significant difference in the distribution of lymph nodes in these groups. The cubital lymph node was more often visualized in the immediate dynamic images in the ALND group (<italic>P</italic>=0.004), while the axillary lymph nodes were more often identified in the delayed scan images of the SLNB group (<italic>P</italic><0.01). The deltopectoral lymph node was only identified in the ALND group, but with no significant difference.</p></sec><sec><title>Conclusion</title><p>The lymphatic flow from the axilla was redirected to alternative extra-axillary routes in the ALND group.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Cidon, Eu" uniqKey="Cidon E">EU Cidon</name></author><author><name sortKey="Perea, C" uniqKey="Perea C">C Perea</name></author><author><name sortKey="Lopez Lara, F" uniqKey="Lopez Lara F">F Lopez-Lara</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hashim, D" uniqKey="Hashim D">D Hashim</name></author><author><name sortKey="Boffetta, P" uniqKey="Boffetta P">P Boffetta</name></author><author><name sortKey="La Vecchia, C" uniqKey="La Vecchia C">C La Vecchia</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Noguchi, M" uniqKey="Noguchi M">M 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D" first="Daniel Spadoto" last="Dias">Daniel Spadoto Dias</name><name sortKey="Dias, Rogerio" sort="Dias, Rogerio" uniqKey="Dias R" first="Rogério" last="Dias">Rogério Dias</name><name sortKey="Goncalves, Monica Carboni Pereira" sort="Goncalves, Monica Carboni Pereira" uniqKey="Goncalves M" first="Mônica Carboni Pereira" last="Gonçalves">Mônica Carboni Pereira Gonçalves</name><name sortKey="Laurienzo, Carla Elaine" sort="Laurienzo, Carla Elaine" uniqKey="Laurienzo C" first="Carla Elaine" last="Laurienzo">Carla Elaine Laurienzo</name><name sortKey="Sarri, Almir Jose" sort="Sarri, Almir Jose" uniqKey="Sarri A" first="Almir José" last="Sarri">Almir José Sarri</name></noCountry><country name="Brésil"><region name="État de São Paulo"><name sortKey="Moriguchi, Sonia Marta" sort="Moriguchi, Sonia Marta" uniqKey="Moriguchi S" first="Sonia Marta" last="Moriguchi">Sonia Marta Moriguchi</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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