Lymphatic microsurgical preventing healing approach (LYMPHA) for primary surgical prevention of breast cancer-related lymphedema: over 4 years follow-up.
Identifieur interne : 002895 ( Main/Exploration ); précédent : 002894; suivant : 002896Lymphatic microsurgical preventing healing approach (LYMPHA) for primary surgical prevention of breast cancer-related lymphedema: over 4 years follow-up.
Auteurs : Francesco Boccardo [Italie] ; Federico Casabona ; Franco De Cian ; Franco Decian ; Daniele Friedman ; Federica Murelli ; Maria Puglisi ; Corrado C. Campisi ; Lidia Molinari ; Stefano Spinaci ; Sara Dessalvi ; Corradino CampisiSource :
- Microsurgery [ 1098-2752 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Aisselle, Anastomose chirurgicale, Complications postopératoires (), Complications postopératoires (diagnostic), Femelle, Humains, Lymphadénectomie, Lymphoedème (), Lymphoedème (diagnostic), Lymphoedème (étiologie), Mastectomie, Microchirurgie, Prévention primaire, Sujet âgé, Tumeurs du sein (), Vaisseaux lymphatiques (), Veine axillaire (), Études de suivi.
- MESH :
- diagnostic : Complications postopératoires, Lymphoedème.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Aisselle, Anastomose chirurgicale, Complications postopératoires, Femelle, Humains, Lymphadénectomie, Lymphoedème, Mastectomie, Microchirurgie, Prévention primaire, Sujet âgé, Tumeurs du sein, Vaisseaux lymphatiques, Veine axillaire, Études de suivi.
English descriptors
- KwdEn :
- Adult, Aged, Anastomosis, Surgical, Axilla, Axillary Vein (surgery), Breast Neoplasms (surgery), Female, Follow-Up Studies, Humans, Lymph Node Excision, Lymphatic Vessels (surgery), Lymphedema (diagnosis), Lymphedema (etiology), Lymphedema (prevention & control), Mastectomy, Microsurgery, Middle Aged, Postoperative Complications (diagnosis), Postoperative Complications (prevention & control), Primary Prevention.
- MESH :
- diagnosis : Lymphedema, Postoperative Complications.
- etiology : Lymphedema.
- prevention & control : Lymphedema, Postoperative Complications.
- surgery : Axillary Vein, Breast Neoplasms, Lymphatic Vessels.
- Adult, Aged, Anastomosis, Surgical, Axilla, Female, Follow-Up Studies, Humans, Lymph Node Excision, Mastectomy, Microsurgery, Middle Aged, Primary Prevention.
Abstract
Breast cancer-related lymphedema (LE) represents an important morbidity that jeopardizes breast cancer patients' quality of life. Different attempts to prevent LE brought about improvements in the incidence of the pathology but LE still represents a frequent occurrence in breast cancer survivors. Over 4 years ago, Lymphatic Microsurgical Preventing Healing Approach (LYMPHA) was proposed and long-term results are reported in this study. From July 2008 to December 2012, 74 patients underwent axillary nodal dissection for breast cancer treatment together with LYMPHA procedure. Volumetry was performed preoperatively in all patients and after 1, 3, 6, 12 months, and once a year. Lymphoscintigraphy was performed in 45 patients preoperatively and in 30 also postoperatively after at least over 1 year. Seventy one patients had no sign of LE, and volumetry was coincident to preoperative condition. In three patients, LE occurred after 8-12 months postoperatively. Lymphoscintigraphy showed the patency of lymphatic-venous anastomoses at 1-4 years after operation. LYMPHA technique represents a successful surgical procedure for primary prevention of arm LE in breast cancer patients.
DOI: 10.1002/micr.22254
PubMed: 24677148
Affiliations:
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Benzi 10, 16132, Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Casabona, Federico" sort="Casabona, Federico" uniqKey="Casabona F" first="Federico" last="Casabona">Federico Casabona</name></author><author><name sortKey="De Cian, Franco" sort="De Cian, Franco" uniqKey="De Cian F" first="Franco" last="De Cian">Franco De Cian</name></author><author><name sortKey="Decian, Franco" sort="Decian, Franco" uniqKey="Decian F" first="Franco" last="Decian">Franco Decian</name></author><author><name sortKey="Friedman, Daniele" sort="Friedman, Daniele" uniqKey="Friedman D" first="Daniele" last="Friedman">Daniele Friedman</name></author><author><name sortKey="Murelli, Federica" sort="Murelli, Federica" uniqKey="Murelli F" first="Federica" last="Murelli">Federica Murelli</name></author><author><name sortKey="Puglisi, Maria" sort="Puglisi, Maria" uniqKey="Puglisi M" first="Maria" last="Puglisi">Maria Puglisi</name></author><author><name sortKey="Campisi, Corrado C" sort="Campisi, Corrado C" uniqKey="Campisi C" first="Corrado C" last="Campisi">Corrado C. Campisi</name></author><author><name sortKey="Molinari, Lidia" sort="Molinari, Lidia" uniqKey="Molinari L" first="Lidia" last="Molinari">Lidia Molinari</name></author><author><name sortKey="Spinaci, Stefano" sort="Spinaci, Stefano" uniqKey="Spinaci S" first="Stefano" last="Spinaci">Stefano Spinaci</name></author><author><name sortKey="Dessalvi, Sara" sort="Dessalvi, Sara" uniqKey="Dessalvi S" first="Sara" last="Dessalvi">Sara Dessalvi</name></author><author><name sortKey="Campisi, Corradino" sort="Campisi, Corradino" uniqKey="Campisi C" first="Corradino" last="Campisi">Corradino Campisi</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:24677148</idno><idno type="pmid">24677148</idno><idno type="doi">10.1002/micr.22254</idno><idno type="wicri:Area/PubMed/Corpus">001592</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001592</idno><idno type="wicri:Area/PubMed/Curation">001592</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001592</idno><idno type="wicri:Area/PubMed/Checkpoint">001592</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001592</idno><idno type="wicri:Area/Ncbi/Merge">006491</idno><idno type="wicri:Area/Ncbi/Curation">006491</idno><idno type="wicri:Area/Ncbi/Checkpoint">006491</idno><idno type="wicri:Area/Main/Merge">002899</idno><idno type="wicri:Area/Main/Curation">002895</idno><idno type="wicri:Area/Main/Exploration">002895</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Lymphatic microsurgical preventing healing approach (LYMPHA) for primary surgical prevention of breast cancer-related lymphedema: over 4 years follow-up.</title><author><name sortKey="Boccardo, Francesco" sort="Boccardo, Francesco" uniqKey="Boccardo F" first="Francesco" last="Boccardo">Francesco Boccardo</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgery-Unit of Lymphatic Surgery, IRCCS S. Martino University Hospital-IST, National Institute for Cancer Research, University of Genoa, Largo R. Benzi 10, 16132, Genoa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgery-Unit of Lymphatic Surgery, IRCCS S. Martino University Hospital-IST, National Institute for Cancer Research, University of Genoa, Largo R. Benzi 10, 16132, Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Casabona, Federico" sort="Casabona, Federico" uniqKey="Casabona F" first="Federico" last="Casabona">Federico Casabona</name></author><author><name sortKey="De Cian, Franco" sort="De Cian, Franco" uniqKey="De Cian F" first="Franco" last="De Cian">Franco De Cian</name></author><author><name sortKey="Decian, Franco" sort="Decian, Franco" uniqKey="Decian F" first="Franco" last="Decian">Franco Decian</name></author><author><name sortKey="Friedman, Daniele" sort="Friedman, Daniele" uniqKey="Friedman D" first="Daniele" last="Friedman">Daniele Friedman</name></author><author><name sortKey="Murelli, Federica" sort="Murelli, Federica" uniqKey="Murelli F" first="Federica" last="Murelli">Federica Murelli</name></author><author><name sortKey="Puglisi, Maria" sort="Puglisi, Maria" uniqKey="Puglisi M" first="Maria" last="Puglisi">Maria Puglisi</name></author><author><name sortKey="Campisi, Corrado C" sort="Campisi, Corrado C" uniqKey="Campisi C" first="Corrado C" last="Campisi">Corrado C. Campisi</name></author><author><name sortKey="Molinari, Lidia" sort="Molinari, Lidia" uniqKey="Molinari L" first="Lidia" last="Molinari">Lidia Molinari</name></author><author><name sortKey="Spinaci, Stefano" sort="Spinaci, Stefano" uniqKey="Spinaci S" first="Stefano" last="Spinaci">Stefano Spinaci</name></author><author><name sortKey="Dessalvi, Sara" sort="Dessalvi, Sara" uniqKey="Dessalvi S" first="Sara" last="Dessalvi">Sara Dessalvi</name></author><author><name sortKey="Campisi, Corradino" sort="Campisi, Corradino" uniqKey="Campisi C" first="Corradino" last="Campisi">Corradino Campisi</name></author></analytic><series><title level="j">Microsurgery</title><idno type="eISSN">1098-2752</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Anastomosis, Surgical</term><term>Axilla</term><term>Axillary Vein (surgery)</term><term>Breast Neoplasms (surgery)</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Lymph Node Excision</term><term>Lymphatic Vessels (surgery)</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (etiology)</term><term>Lymphedema (prevention & control)</term><term>Mastectomy</term><term>Microsurgery</term><term>Middle Aged</term><term>Postoperative Complications (diagnosis)</term><term>Postoperative Complications (prevention & control)</term><term>Primary Prevention</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Anastomose chirurgicale</term><term>Complications postopératoires ()</term><term>Complications postopératoires (diagnostic)</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie</term><term>Lymphoedème ()</term><term>Lymphoedème (diagnostic)</term><term>Lymphoedème (étiologie)</term><term>Mastectomie</term><term>Microchirurgie</term><term>Prévention primaire</term><term>Sujet âgé</term><term>Tumeurs du sein ()</term><term>Vaisseaux lymphatiques ()</term><term>Veine axillaire ()</term><term>Études de suivi</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Complications postopératoires</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Axillary Vein</term><term>Breast Neoplasms</term><term>Lymphatic Vessels</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Anastomosis, Surgical</term><term>Axilla</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Lymph Node Excision</term><term>Mastectomy</term><term>Microsurgery</term><term>Middle Aged</term><term>Primary Prevention</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Anastomose chirurgicale</term><term>Complications postopératoires</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie</term><term>Lymphoedème</term><term>Mastectomie</term><term>Microchirurgie</term><term>Prévention primaire</term><term>Sujet âgé</term><term>Tumeurs du sein</term><term>Vaisseaux lymphatiques</term><term>Veine axillaire</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Breast cancer-related lymphedema (LE) represents an important morbidity that jeopardizes breast cancer patients' quality of life. Different attempts to prevent LE brought about improvements in the incidence of the pathology but LE still represents a frequent occurrence in breast cancer survivors. Over 4 years ago, Lymphatic Microsurgical Preventing Healing Approach (LYMPHA) was proposed and long-term results are reported in this study. From July 2008 to December 2012, 74 patients underwent axillary nodal dissection for breast cancer treatment together with LYMPHA procedure. Volumetry was performed preoperatively in all patients and after 1, 3, 6, 12 months, and once a year. Lymphoscintigraphy was performed in 45 patients preoperatively and in 30 also postoperatively after at least over 1 year. Seventy one patients had no sign of LE, and volumetry was coincident to preoperative condition. In three patients, LE occurred after 8-12 months postoperatively. Lymphoscintigraphy showed the patency of lymphatic-venous anastomoses at 1-4 years after operation. LYMPHA technique represents a successful surgical procedure for primary prevention of arm LE in breast cancer patients.</div></front></TEI><affiliations><list><country><li>Italie</li></country></list><tree><noCountry><name sortKey="Campisi, Corradino" sort="Campisi, Corradino" uniqKey="Campisi C" first="Corradino" last="Campisi">Corradino Campisi</name><name sortKey="Campisi, Corrado C" sort="Campisi, Corrado C" uniqKey="Campisi C" first="Corrado C" last="Campisi">Corrado C. Campisi</name><name sortKey="Casabona, Federico" sort="Casabona, Federico" uniqKey="Casabona F" first="Federico" last="Casabona">Federico Casabona</name><name sortKey="De Cian, Franco" sort="De Cian, Franco" uniqKey="De Cian F" first="Franco" last="De Cian">Franco De Cian</name><name sortKey="Decian, Franco" sort="Decian, Franco" uniqKey="Decian F" first="Franco" last="Decian">Franco Decian</name><name sortKey="Dessalvi, Sara" sort="Dessalvi, Sara" uniqKey="Dessalvi S" first="Sara" last="Dessalvi">Sara Dessalvi</name><name sortKey="Friedman, Daniele" sort="Friedman, Daniele" uniqKey="Friedman D" first="Daniele" last="Friedman">Daniele Friedman</name><name sortKey="Molinari, Lidia" sort="Molinari, Lidia" uniqKey="Molinari L" first="Lidia" last="Molinari">Lidia Molinari</name><name sortKey="Murelli, Federica" sort="Murelli, Federica" uniqKey="Murelli F" first="Federica" last="Murelli">Federica Murelli</name><name sortKey="Puglisi, Maria" sort="Puglisi, Maria" uniqKey="Puglisi M" first="Maria" last="Puglisi">Maria Puglisi</name><name sortKey="Spinaci, Stefano" sort="Spinaci, Stefano" uniqKey="Spinaci S" first="Stefano" last="Spinaci">Stefano Spinaci</name></noCountry><country name="Italie"><noRegion><name sortKey="Boccardo, Francesco" sort="Boccardo, Francesco" uniqKey="Boccardo F" first="Francesco" last="Boccardo">Francesco Boccardo</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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