[No need to spare the arm after axillary dissection: the prohibition on interventions such as venepuncture is obsolete].
Identifieur interne : 001579 ( Main/Exploration ); précédent : 001578; suivant : 001580[No need to spare the arm after axillary dissection: the prohibition on interventions such as venepuncture is obsolete].
Auteurs : Ragna L A. Van Der Linden ; Ignas P T. Van Bebber ; Koop Bosscha ; Maud BessemsSource :
- Nederlands tijdschrift voor geneeskunde [ 1876-8784 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
- effets indésirables : Lymphadénectomie.
- étiologie : Lymphoedème.
- Aisselle, Bras, Facteurs de risque, Femelle, Humains, Mesure de la pression artérielle, Phlébotomie, Tumeurs du sein.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Lymph Node Excision.
- etiology : Lymphedema.
- surgery : Axilla, Breast Neoplasms.
- Arm, Blood Pressure Determination, Female, Humans, Phlebotomy, Risk Factors.
Abstract
Annually, around 11,500 patients are treated surgically for breast cancer. In the past, 5-25% of these underwent an axillary dissection. This procedure can entail complications such as lymphoedema. Known risk factors are obesity and infections or wounds in the arm concerned. There is a traditional assumption that interventions on this arm, such as venepuncture, infusion or measurement of blood pressure, may induce lymphoedema. This assumption has been queried in recent years. Based on our analysis of the current literature, we believe that the above-mentioned interventions after non-complicated axillary dissection do not increase the risk of lymphoedema or other complications. We recommend changing the policy that prohibits interventions such as venepuncture after axillary dissection.
PubMed: 26488191
Affiliations:
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Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en">[No need to spare the arm after axillary dissection: the prohibition on interventions such as venepuncture is obsolete].</title>
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<author><name sortKey="Van Bebber, Ignas P T" sort="Van Bebber, Ignas P T" uniqKey="Van Bebber I" first="Ignas P T" last="Van Bebber">Ignas P T. Van Bebber</name>
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<term>Axilla (surgery)</term>
<term>Blood Pressure Determination</term>
<term>Breast Neoplasms (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphedema (etiology)</term>
<term>Phlebotomy</term>
<term>Risk Factors</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Aisselle ()</term>
<term>Bras</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème (étiologie)</term>
<term>Mesure de la pression artérielle</term>
<term>Phlébotomie</term>
<term>Tumeurs du sein ()</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Axilla</term>
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
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<term>Blood Pressure Determination</term>
<term>Female</term>
<term>Humans</term>
<term>Phlebotomy</term>
<term>Risk Factors</term>
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<term>Bras</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mesure de la pression artérielle</term>
<term>Phlébotomie</term>
<term>Tumeurs du sein</term>
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<front><div type="abstract" xml:lang="en">Annually, around 11,500 patients are treated surgically for breast cancer. In the past, 5-25% of these underwent an axillary dissection. This procedure can entail complications such as lymphoedema. Known risk factors are obesity and infections or wounds in the arm concerned. There is a traditional assumption that interventions on this arm, such as venepuncture, infusion or measurement of blood pressure, may induce lymphoedema. This assumption has been queried in recent years. Based on our analysis of the current literature, we believe that the above-mentioned interventions after non-complicated axillary dissection do not increase the risk of lymphoedema or other complications. We recommend changing the policy that prohibits interventions such as venepuncture after axillary dissection.</div>
</front>
</TEI>
<affiliations><list></list>
<tree><noCountry><name sortKey="Bessems, Maud" sort="Bessems, Maud" uniqKey="Bessems M" first="Maud" last="Bessems">Maud Bessems</name>
<name sortKey="Bosscha, Koop" sort="Bosscha, Koop" uniqKey="Bosscha K" first="Koop" last="Bosscha">Koop Bosscha</name>
<name sortKey="Van Bebber, Ignas P T" sort="Van Bebber, Ignas P T" uniqKey="Van Bebber I" first="Ignas P T" last="Van Bebber">Ignas P T. Van Bebber</name>
<name sortKey="Van Der Linden, Ragna L A" sort="Van Der Linden, Ragna L A" uniqKey="Van Der Linden R" first="Ragna L A" last="Van Der Linden">Ragna L A. Van Der Linden</name>
</noCountry>
</tree>
</affiliations>
</record>
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