Prospective Assessment of Lymphedema Incidence and Lymphedema-associated Symptoms Following Lymph Node Surgery for Melanoma
Identifieur interne : 003258 ( Main/Exploration ); précédent : 003257; suivant : 003259Prospective Assessment of Lymphedema Incidence and Lymphedema-associated Symptoms Following Lymph Node Surgery for Melanoma
Auteurs : John R. Hyngstrom [États-Unis] ; Yi-Ju Chiang [États-Unis] ; Kate D. Cromwell [États-Unis] ; Merrick I. Ross [États-Unis] ; Yan Xing [États-Unis] ; Kristi S. Mungovan [États-Unis] ; Jeffrey E. Lee ; Jeffrey E. Gershenwald [États-Unis] ; Richard E. Royal [États-Unis] ; Anthony Lucci [États-Unis] ; Jane M. Armer [États-Unis] ; Janice N. Cormier [États-Unis]Source :
- Melanoma research [ 0960-8931 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Biopsie de noeud lymphatique sentinelle, Complications postopératoires, Femelle, Humains, Incidence, Indice de masse corporelle, Lymphadénectomie (effets indésirables), Lymphoedème (anatomopathologie), Lymphoedème (épidémiologie), Lymphoedème (étiologie), Mâle, Mélanome (), Mélanome (anatomopathologie), Pronostic, Stade de la tumeur, Texas (épidémiologie), Tumeurs cutanées (), Tumeurs cutanées (anatomopathologie), Études longitudinales, Études prospectives.
- MESH :
- anatomopathologie : Lymphoedème, Mélanome, Tumeurs cutanées.
- effets indésirables : Lymphadénectomie.
- épidémiologie : Lymphoedème, Texas.
- étiologie : Lymphoedème.
- Adulte d'âge moyen, Biopsie de noeud lymphatique sentinelle, Complications postopératoires, Femelle, Humains, Incidence, Indice de masse corporelle, Mâle, Mélanome, Pronostic, Stade de la tumeur, Tumeurs cutanées, Études longitudinales, Études prospectives.
English descriptors
- KwdEn :
- Body Mass Index, Female, Humans, Incidence, Longitudinal Studies, Lymph Node Excision (adverse effects), Lymphedema (epidemiology), Lymphedema (etiology), Lymphedema (pathology), Male, Melanoma (complications), Melanoma (pathology), Melanoma (surgery), Middle Aged, Neoplasm Staging, Postoperative Complications, Prognosis, Prospective Studies, Sentinel Lymph Node Biopsy, Skin Neoplasms (complications), Skin Neoplasms (pathology), Skin Neoplasms (surgery), Texas (epidemiology).
- MESH :
- geographic , epidemiology : Texas.
- adverse effects : Lymph Node Excision.
- complications : Melanoma, Skin Neoplasms.
- epidemiology : Lymphedema.
- etiology : Lymphedema.
- pathology : Lymphedema, Melanoma, Skin Neoplasms.
- surgery : Melanoma, Skin Neoplasms.
- Body Mass Index, Female, Humans, Incidence, Longitudinal Studies, Male, Middle Aged, Neoplasm Staging, Postoperative Complications, Prognosis, Prospective Studies, Sentinel Lymph Node Biopsy.
Abstract
We sought to prospectively assess limb volume change (LVC) and associated symptoms in patients with melanoma undergoing sentinel lymph node (SLN) biopsy and/or therapeutic lymph node dissection (TLND).
Limb volume was measured pre-operatively and post-operatively at 6 and 12 months using a perometer (JUZO 1000M). LVC calculated and used to define 3 groups: <5%, 5-10%, and >10%. A 19-item lymphedema symptom questionnaire was administered at baseline, 6-month and 12-months.
One hundred eighty-two patients were enrolled. Twelve months after axillary surgery, 9% had LVC 5-10%, and 13% had LVC >10%. Twelve months after inguino-femoral surgery, 10% had LVC 5-10%, and 13% had LVC >10%. There was a significant 7- to 9-fold increase in symptoms for patients with LVC greater than >10% compared to those with LVC <5% (
LVC greater than 5% is common at 12 months following nodal surgery for melanoma and is associated with symptoms. Informed consent for melanoma patients undergoing lymph node surgery should include a discussion of the risks of post-operative lymphedema.
Url:
DOI: 10.1097/CMR.0b013e3283632c83
PubMed: 23752305
PubMed Central: 3881422
Affiliations:
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Hyngstrom</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Chiang, Yi Ju" sort="Chiang, Yi Ju" uniqKey="Chiang Y" first="Yi-Ju" last="Chiang">Yi-Ju Chiang</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Cromwell, Kate D" sort="Cromwell, Kate D" uniqKey="Cromwell K" first="Kate D." last="Cromwell">Kate D. Cromwell</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Ross, Merrick I" sort="Ross, Merrick I" uniqKey="Ross M" first="Merrick I." last="Ross">Merrick I. Ross</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Xing, Yan" sort="Xing, Yan" uniqKey="Xing Y" first="Yan" last="Xing">Yan Xing</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Mungovan, Kristi S" sort="Mungovan, Kristi S" uniqKey="Mungovan K" first="Kristi S." last="Mungovan">Kristi S. Mungovan</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Lee, Jeffrey E" sort="Lee, Jeffrey E" uniqKey="Lee J" first="Jeffrey E." last="Lee">Jeffrey E. Lee</name></author><author><name sortKey="Gershenwald, Jeffrey E" sort="Gershenwald, Jeffrey E" uniqKey="Gershenwald J" first="Jeffrey E." last="Gershenwald">Jeffrey E. Gershenwald</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Royal, Richard E" sort="Royal, Richard E" uniqKey="Royal R" first="Richard E." last="Royal">Richard E. Royal</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Lucci, Anthony" sort="Lucci, Anthony" uniqKey="Lucci A" first="Anthony" last="Lucci">Anthony Lucci</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Armer, Jane M" sort="Armer, Jane M" uniqKey="Armer J" first="Jane M." last="Armer">Jane M. Armer</name><affiliation wicri:level="2"><nlm:aff id="A2">Sinclair School of Nursing/Ellis Fischel Cancer Center, Sinclair School of Nursing, University of Missouri, Columbia, MO</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Sinclair School of Nursing/Ellis Fischel Cancer Center, Sinclair School of Nursing, University of Missouri, Columbia</wicri:cityArea></affiliation></author><author><name sortKey="Cormier, Janice N" sort="Cormier, Janice N" uniqKey="Cormier J" first="Janice N." last="Cormier">Janice N. Cormier</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston</wicri:cityArea></affiliation></author></analytic><series><title level="j">Melanoma research</title><idno type="ISSN">0960-8931</idno><idno type="eISSN">1473-5636</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Body Mass Index</term><term>Female</term><term>Humans</term><term>Incidence</term><term>Longitudinal Studies</term><term>Lymph Node Excision (adverse effects)</term><term>Lymphedema (epidemiology)</term><term>Lymphedema (etiology)</term><term>Lymphedema (pathology)</term><term>Male</term><term>Melanoma (complications)</term><term>Melanoma (pathology)</term><term>Melanoma (surgery)</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Postoperative Complications</term><term>Prognosis</term><term>Prospective Studies</term><term>Sentinel Lymph Node Biopsy</term><term>Skin Neoplasms (complications)</term><term>Skin Neoplasms (pathology)</term><term>Skin Neoplasms (surgery)</term><term>Texas (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Biopsie de noeud lymphatique sentinelle</term><term>Complications postopératoires</term><term>Femelle</term><term>Humains</term><term>Incidence</term><term>Indice de masse corporelle</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème (anatomopathologie)</term><term>Lymphoedème (épidémiologie)</term><term>Lymphoedème (étiologie)</term><term>Mâle</term><term>Mélanome ()</term><term>Mélanome (anatomopathologie)</term><term>Pronostic</term><term>Stade de la tumeur</term><term>Texas (épidémiologie)</term><term>Tumeurs cutanées ()</term><term>Tumeurs cutanées (anatomopathologie)</term><term>Études longitudinales</term><term>Études prospectives</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Texas</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Lymphoedème</term><term>Mélanome</term><term>Tumeurs cutanées</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Melanoma</term><term>Skin Neoplasms</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lymphedema</term><term>Melanoma</term><term>Skin Neoplasms</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Melanoma</term><term>Skin Neoplasms</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Lymphoedème</term><term>Texas</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Body Mass Index</term><term>Female</term><term>Humans</term><term>Incidence</term><term>Longitudinal Studies</term><term>Male</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Postoperative Complications</term><term>Prognosis</term><term>Prospective Studies</term><term>Sentinel Lymph Node Biopsy</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Biopsie de noeud lymphatique sentinelle</term><term>Complications postopératoires</term><term>Femelle</term><term>Humains</term><term>Incidence</term><term>Indice de masse corporelle</term><term>Mâle</term><term>Mélanome</term><term>Pronostic</term><term>Stade de la tumeur</term><term>Tumeurs cutanées</term><term>Études longitudinales</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Aims</title><p id="P1">We sought to prospectively assess limb volume change (LVC) and associated symptoms in patients with melanoma undergoing sentinel lymph node (SLN) biopsy and/or therapeutic lymph node dissection (TLND).</p></sec><sec id="S2"><title>Methods</title><p id="P2">Limb volume was measured pre-operatively and post-operatively at 6 and 12 months using a perometer (JUZO 1000M). LVC calculated and used to define 3 groups: <5%, 5-10%, and >10%. A 19-item lymphedema symptom questionnaire was administered at baseline, 6-month and 12-months.</p></sec><sec id="S3"><title>Results</title><p id="P3">One hundred eighty-two patients were enrolled. Twelve months after axillary surgery, 9% had LVC 5-10%, and 13% had LVC >10%. Twelve months after inguino-femoral surgery, 10% had LVC 5-10%, and 13% had LVC >10%. There was a significant 7- to 9-fold increase in symptoms for patients with LVC greater than >10% compared to those with LVC <5% (<italic>P</italic><.05). By multivariate analysis, TLND versus SLN biopsy (odds ratio [OR] = 3.18 <italic>P</italic><0.01) and borderline significance for lower-versus upper-extremity procedures (OR=1.72; <italic>P</italic>=0.07) were associated with LVC >5%.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">LVC greater than 5% is common at 12 months following nodal surgery for melanoma and is associated with symptoms. Informed consent for melanoma patients undergoing lymph node surgery should include a discussion of the risks of post-operative lymphedema.</p></sec></div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Missouri (État)</li><li>Texas</li></region></list><tree><noCountry><name sortKey="Lee, Jeffrey E" sort="Lee, Jeffrey E" uniqKey="Lee J" first="Jeffrey E." last="Lee">Jeffrey E. Lee</name></noCountry><country name="États-Unis"><region name="Texas"><name sortKey="Hyngstrom, John R" sort="Hyngstrom, John R" uniqKey="Hyngstrom J" first="John R." last="Hyngstrom">John R. Hyngstrom</name></region><name sortKey="Armer, Jane M" sort="Armer, Jane M" uniqKey="Armer J" first="Jane M." last="Armer">Jane M. Armer</name><name sortKey="Chiang, Yi Ju" sort="Chiang, Yi Ju" uniqKey="Chiang Y" first="Yi-Ju" last="Chiang">Yi-Ju Chiang</name><name sortKey="Cormier, Janice N" sort="Cormier, Janice N" uniqKey="Cormier J" first="Janice N." last="Cormier">Janice N. Cormier</name><name sortKey="Cromwell, Kate D" sort="Cromwell, Kate D" uniqKey="Cromwell K" first="Kate D." last="Cromwell">Kate D. Cromwell</name><name sortKey="Gershenwald, Jeffrey E" sort="Gershenwald, Jeffrey E" uniqKey="Gershenwald J" first="Jeffrey E." last="Gershenwald">Jeffrey E. Gershenwald</name><name sortKey="Lucci, Anthony" sort="Lucci, Anthony" uniqKey="Lucci A" first="Anthony" last="Lucci">Anthony Lucci</name><name sortKey="Mungovan, Kristi S" sort="Mungovan, Kristi S" uniqKey="Mungovan K" first="Kristi S." last="Mungovan">Kristi S. Mungovan</name><name sortKey="Ross, Merrick I" sort="Ross, Merrick I" uniqKey="Ross M" first="Merrick I." last="Ross">Merrick I. Ross</name><name sortKey="Royal, Richard E" sort="Royal, Richard E" uniqKey="Royal R" first="Richard E." last="Royal">Richard E. Royal</name><name sortKey="Xing, Yan" sort="Xing, Yan" uniqKey="Xing Y" first="Yan" last="Xing">Yan Xing</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 003258 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 003258 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= PMC:3881422
|texte= Prospective Assessment of Lymphedema Incidence and Lymphedema-associated Symptoms Following Lymph Node Surgery for Melanoma
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:23752305" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a LymphedemaV1
| This area was generated with Dilib version V0.6.31. |  |