LymphedemaV1, Main, Exploration, bibRecord, 002C88

CHARACTERIZING AXILLARY WEB SYNDROME: ULTRASONOGRAPHIC EFFICACY

Identifieur interne : 002C88 ( Main/Exploration ); précédent : 002C87; suivant : 002C89

CHARACTERIZING AXILLARY WEB SYNDROME: ULTRASONOGRAPHIC EFFICACY

Auteurs : L. A. Koehler ; D. W. Hunter ; T. C. Haddad ; A. H. Blaes ; A. T. Hirsch ; P. M. Ludewig

Source :

Lymphology [ 0024-7766 ] ; 2014.

RBID : PMC:4518554

Descripteurs français

KwdFr :
- Adulte, Adulte d'âge moyen, Aisselle (), Aisselle (imagerie diagnostique), Biopsie de noeud lymphatique sentinelle (effets indésirables), Bras (imagerie diagnostique), Femelle, Humains, Lymphadénectomie (effets indésirables), Lymphoedème (imagerie diagnostique), Lymphoedème (étiologie), Mastectomie, Mastectomie partielle, Peau (imagerie diagnostique), Sensibilité et spécificité, Syndrome, Tumeurs du sein (), Vaisseaux lymphatiques (imagerie diagnostique), Échographie, Études de cohortes, Études prospectives.
MESH :
- effets indésirables : Biopsie de noeud lymphatique sentinelle, Lymphadénectomie.
- imagerie diagnostique : Aisselle, Bras, Lymphoedème, Peau, Vaisseaux lymphatiques.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Aisselle, Femelle, Humains, Mastectomie, Mastectomie partielle, Sensibilité et spécificité, Syndrome, Tumeurs du sein, Échographie, Études de cohortes, Études prospectives.

English descriptors

KwdEn :
- Adult, Arm (diagnostic imaging), Axilla (diagnostic imaging), Axilla (surgery), Breast Neoplasms (surgery), Cohort Studies, Female, Humans, Lymph Node Excision (adverse effects), Lymphatic Vessels (diagnostic imaging), Lymphedema (diagnostic imaging), Lymphedema (etiology), Mastectomy, Mastectomy, Segmental, Middle Aged, Prospective Studies, Sensitivity and Specificity, Sentinel Lymph Node Biopsy (adverse effects), Skin (diagnostic imaging), Syndrome, Ultrasonography.
MESH :
- adverse effects : Lymph Node Excision, Sentinel Lymph Node Biopsy.
- diagnostic imaging : Arm, Axilla, Lymphatic Vessels, Lymphedema, Skin.
- etiology : Lymphedema.
- surgery : Axilla, Breast Neoplasms.
- Adult, Cohort Studies, Female, Humans, Mastectomy, Mastectomy, Segmental, Middle Aged, Prospective Studies, Sensitivity and Specificity, Syndrome, Ultrasonography.

Abstract

The aim of this study was to determine if ultrasound could successfully characterize axillary web syndrome (AWS) and clarify the pathophysiologic basis of AWS as a vascular or lymphatic abnormality, or an abnormal tissue structure. This prospective study evaluated women who developed AWS following breast cancer surgery. Using an 18 MHz ultrasound transducer, images were taken of the AWS cord and compared to mirror images on the contralateral side. A blinded radiologist assessed the ultrasound characteristics of and structural changes in the skin and subcutaneous tissue and formulated an opinion as to the side in which AWS was located. Seventeen subjects participated in the study. No structure or abnormality consistent with AWS could be identified by ultrasound. There were no statistical differences between the ipsilateral and contralateral side in skin thickness; subcutaneous reflector thickness, number or disorganization; or subcutaneous tissue echodensity (p>0.05). The radiologist correctly identified the side with AWS in 12 of 17 subjects (=0.41). A distinct ultrasonographic structure or abnormality could not be identified in subjects with AWS using 18 MHz ultrasound. The inability to identify a specific structure excludes the possibility that AWS is associated with vein thrombosis or a fascial abnormality, and supports the theory that AWS may be pathology that is not visible with 18 MHz ultrasound, such as microlymphatic stasis or binding of fibrin or other proteins in the interstitial space.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4518554

PubMed: 25915976
PubMed Central: 4518554

Affiliations:

Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Arm (diagnostic imaging)</term>
<term>Axilla (diagnostic imaging)</term>
<term>Axilla (surgery)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphatic Vessels (diagnostic imaging)</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Lymphedema (etiology)</term>
<term>Mastectomy</term>
<term>Mastectomy, Segmental</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Sensitivity and Specificity</term>
<term>Sentinel Lymph Node Biopsy (adverse effects)</term>
<term>Skin (diagnostic imaging)</term>
<term>Syndrome</term>
<term>Ultrasonography</term>
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<term>Adulte d'âge moyen</term>
<term>Aisselle ()</term>
<term>Aisselle (imagerie diagnostique)</term>
<term>Biopsie de noeud lymphatique sentinelle (effets indésirables)</term>
<term>Bras (imagerie diagnostique)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème (imagerie diagnostique)</term>
<term>Lymphoedème (étiologie)</term>
<term>Mastectomie</term>
<term>Mastectomie partielle</term>
<term>Peau (imagerie diagnostique)</term>
<term>Sensibilité et spécificité</term>
<term>Syndrome</term>
<term>Tumeurs du sein ()</term>
<term>Vaisseaux lymphatiques (imagerie diagnostique)</term>
<term>Échographie</term>
<term>Études de cohortes</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term>
<term>Sentinel Lymph Node Biopsy</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Arm</term>
<term>Axilla</term>
<term>Lymphatic Vessels</term>
<term>Lymphedema</term>
<term>Skin</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Biopsie de noeud lymphatique sentinelle</term>
<term>Lymphadénectomie</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Aisselle</term>
<term>Bras</term>
<term>Lymphoedème</term>
<term>Peau</term>
<term>Vaisseaux lymphatiques</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Axilla</term>
<term>Breast Neoplasms</term>
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<term>Cohort Studies</term>
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<term>Humans</term>
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<term>Prospective Studies</term>
<term>Sensitivity and Specificity</term>
<term>Syndrome</term>
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<term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mastectomie</term>
<term>Mastectomie partielle</term>
<term>Sensibilité et spécificité</term>
<term>Syndrome</term>
<term>Tumeurs du sein</term>
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<front><div type="abstract" xml:lang="en"><p id="P1">The aim of this study was to determine if ultrasound could successfully characterize axillary web syndrome (AWS) and clarify the pathophysiologic basis of AWS as a vascular or lymphatic abnormality, or an abnormal tissue structure. This prospective study evaluated women who developed AWS following breast cancer surgery. Using an 18 MHz ultrasound transducer, images were taken of the AWS cord and compared to mirror images on the contralateral side. A blinded radiologist assessed the ultrasound characteristics of and structural changes in the skin and subcutaneous tissue and formulated an opinion as to the side in which AWS was located. Seventeen subjects participated in the study. No structure or abnormality consistent with AWS could be identified by ultrasound. There were no statistical differences between the ipsilateral and contralateral side in skin thickness; subcutaneous reflector thickness, number or disorganization; or subcutaneous tissue echodensity (p>0.05). The radiologist correctly identified the side with AWS in 12 of 17 subjects (=0.41). A distinct ultrasonographic structure or abnormality could not be identified in subjects with AWS using 18 MHz ultrasound. The inability to identify a specific structure excludes the possibility that AWS is associated with vein thrombosis or a fascial abnormality, and supports the theory that AWS may be pathology that is not visible with 18 MHz ultrasound, such as microlymphatic stasis or binding of fibrin or other proteins in the interstitial space.</p>
</div>
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Serveur d'exploration sur le lymphœdème

CHARACTERIZING AXILLARY WEB SYNDROME: ULTRASONOGRAPHIC EFFICACY

CHARACTERIZING AXILLARY WEB SYNDROME: ULTRASONOGRAPHIC EFFICACY

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

	Serveur d'exploration sur le lymphœdème
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.