Lymphedema Precautions: Time to Abandon Old Practices?
Identifieur interne : 000E57 ( Main/Exploration ); précédent : 000E56; suivant : 000E58Lymphedema Precautions: Time to Abandon Old Practices?
Auteurs : Soojin Ahn [États-Unis] ; Elisa R. PortSource :
- Journal of clinical oncology : official journal of the American Society of Clinical Oncology [ 1527-7755 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Biopsie au trocart, Carcinome canalaire du sein (anatomopathologie), Carcinome canalaire du sein (imagerie diagnostique), Carcinome canalaire du sein (radiothérapie), Femelle, Humains, Invasion tumorale, Lymphoedème (), Lymphoedème (étiologie), Mammographie, Membre supérieur, Stade de la tumeur, Tumeurs du sein (anatomopathologie), Tumeurs du sein (imagerie diagnostique), Tumeurs du sein (radiothérapie), Épithélioma in situ (anatomopathologie), Épithélioma in situ (imagerie diagnostique), Épithélioma in situ (radiothérapie).
- MESH :
- anatomopathologie : Carcinome canalaire du sein, Tumeurs du sein, Épithélioma in situ.
- imagerie diagnostique : Carcinome canalaire du sein, Tumeurs du sein, Épithélioma in situ.
- radiothérapie : Carcinome canalaire du sein, Tumeurs du sein, Épithélioma in situ.
- étiologie : Lymphoedème.
- Adulte d'âge moyen, Biopsie au trocart, Femelle, Humains, Invasion tumorale, Lymphoedème, Mammographie, Membre supérieur, Stade de la tumeur.
English descriptors
- KwdEn :
- Biopsy, Large-Core Needle, Breast Neoplasms (diagnostic imaging), Breast Neoplasms (pathology), Breast Neoplasms (radiotherapy), Carcinoma in Situ (diagnostic imaging), Carcinoma in Situ (pathology), Carcinoma in Situ (radiotherapy), Carcinoma, Ductal, Breast (diagnostic imaging), Carcinoma, Ductal, Breast (pathology), Carcinoma, Ductal, Breast (radiotherapy), Female, Humans, Lymphedema (etiology), Lymphedema (prevention & control), Mammography, Middle Aged, Neoplasm Invasiveness, Neoplasm Staging, Upper Extremity.
- MESH :
- diagnostic imaging : Breast Neoplasms, Carcinoma in Situ, Carcinoma, Ductal, Breast.
- etiology : Lymphedema.
- pathology : Breast Neoplasms, Carcinoma in Situ, Carcinoma, Ductal, Breast.
- prevention & control : Lymphedema.
- radiotherapy : Breast Neoplasms, Carcinoma in Situ, Carcinoma, Ductal, Breast.
- Biopsy, Large-Core Needle, Female, Humans, Mammography, Middle Aged, Neoplasm Invasiveness, Neoplasm Staging, Upper Extremity.
Abstract
The Oncology Grand Rounds series is designed to place original reports published in the Journal into clinical context. A case presentation is followed by a description of diagnostic and management challenges, a review of the relevant literature, and a summary of the authors' suggested management approaches. The goal of this series is to help readers better understand how to apply the results of key studies, including those published in Journal of Clinical Oncology, to patients seen in their own clinical practice.A 46-year-old premenopausal woman with a body mass index of 21 was found on screening mammography to have a new, approximately 1-cm spiculated mass with associated calcifications in the upper outer quadrant of the left breast. Stereotactic core biopsy showed a focus of invasive duct carcinoma, strongly positive for estrogen and progesterone receptors and negative for human epidermal growth factor receptor 2, with associated ductal carcinoma in situ. Clinical examination revealed no palpable mass or axillary lymphadenopathy. She underwent a left lumpectomy with seed localization and sentinel lymph node biopsy. Final pathology revealed an 8-mm well-differentiated invasive carcinoma without lymphovascular invasion and intermediate grade ductal carcinoma in situ. The margins were clear, and three sentinel lymph nodes were negative for metastasis. The 21-gene recurrence score was 10, suggesting a 7% risk of 10-year distant recurrence with adjuvant endocrine treatment. After the completion of adjuvant radiotherapy (42.50 Gy in 16 fractions to the breast), the patient has returned for a follow-up visit. She is a professional violinist and would like to know what she can do to prevent lymphedema on her upcoming flight to Vienna.
DOI: 10.1200/JCO.2015.64.9574
PubMed: 26712226
Affiliations:
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Le document en format XML
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<term>Breast Neoplasms (diagnostic imaging)</term>
<term>Breast Neoplasms (pathology)</term>
<term>Breast Neoplasms (radiotherapy)</term>
<term>Carcinoma in Situ (diagnostic imaging)</term>
<term>Carcinoma in Situ (pathology)</term>
<term>Carcinoma in Situ (radiotherapy)</term>
<term>Carcinoma, Ductal, Breast (diagnostic imaging)</term>
<term>Carcinoma, Ductal, Breast (pathology)</term>
<term>Carcinoma, Ductal, Breast (radiotherapy)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (prevention & control)</term>
<term>Mammography</term>
<term>Middle Aged</term>
<term>Neoplasm Invasiveness</term>
<term>Neoplasm Staging</term>
<term>Upper Extremity</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Biopsie au trocart</term>
<term>Carcinome canalaire du sein (anatomopathologie)</term>
<term>Carcinome canalaire du sein (imagerie diagnostique)</term>
<term>Carcinome canalaire du sein (radiothérapie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Invasion tumorale</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (étiologie)</term>
<term>Mammographie</term>
<term>Membre supérieur</term>
<term>Stade de la tumeur</term>
<term>Tumeurs du sein (anatomopathologie)</term>
<term>Tumeurs du sein (imagerie diagnostique)</term>
<term>Tumeurs du sein (radiothérapie)</term>
<term>Épithélioma in situ (anatomopathologie)</term>
<term>Épithélioma in situ (imagerie diagnostique)</term>
<term>Épithélioma in situ (radiothérapie)</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Carcinome canalaire du sein</term>
<term>Tumeurs du sein</term>
<term>Épithélioma in situ</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Breast Neoplasms</term>
<term>Carcinoma in Situ</term>
<term>Carcinoma, Ductal, Breast</term>
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<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Carcinome canalaire du sein</term>
<term>Tumeurs du sein</term>
<term>Épithélioma in situ</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term>
<term>Carcinoma in Situ</term>
<term>Carcinoma, Ductal, Breast</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en"><term>Breast Neoplasms</term>
<term>Carcinoma in Situ</term>
<term>Carcinoma, Ductal, Breast</term>
</keywords>
<keywords scheme="MESH" qualifier="radiothérapie" xml:lang="fr"><term>Carcinome canalaire du sein</term>
<term>Tumeurs du sein</term>
<term>Épithélioma in situ</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Biopsy, Large-Core Needle</term>
<term>Female</term>
<term>Humans</term>
<term>Mammography</term>
<term>Middle Aged</term>
<term>Neoplasm Invasiveness</term>
<term>Neoplasm Staging</term>
<term>Upper Extremity</term>
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<term>Biopsie au trocart</term>
<term>Femelle</term>
<term>Humains</term>
<term>Invasion tumorale</term>
<term>Lymphoedème</term>
<term>Mammographie</term>
<term>Membre supérieur</term>
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<front><div type="abstract" xml:lang="en">The Oncology Grand Rounds series is designed to place original reports published in the Journal into clinical context. A case presentation is followed by a description of diagnostic and management challenges, a review of the relevant literature, and a summary of the authors' suggested management approaches. The goal of this series is to help readers better understand how to apply the results of key studies, including those published in Journal of Clinical Oncology, to patients seen in their own clinical practice.A 46-year-old premenopausal woman with a body mass index of 21 was found on screening mammography to have a new, approximately 1-cm spiculated mass with associated calcifications in the upper outer quadrant of the left breast. Stereotactic core biopsy showed a focus of invasive duct carcinoma, strongly positive for estrogen and progesterone receptors and negative for human epidermal growth factor receptor 2, with associated ductal carcinoma in situ. Clinical examination revealed no palpable mass or axillary lymphadenopathy. She underwent a left lumpectomy with seed localization and sentinel lymph node biopsy. Final pathology revealed an 8-mm well-differentiated invasive carcinoma without lymphovascular invasion and intermediate grade ductal carcinoma in situ. The margins were clear, and three sentinel lymph nodes were negative for metastasis. The 21-gene recurrence score was 10, suggesting a 7% risk of 10-year distant recurrence with adjuvant endocrine treatment. After the completion of adjuvant radiotherapy (42.50 Gy in 16 fractions to the breast), the patient has returned for a follow-up visit. She is a professional violinist and would like to know what she can do to prevent lymphedema on her upcoming flight to Vienna.</div>
</front>
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