Lymphedema Following Treatment for Breast Cancer: A New Approach to an Old Problem
Identifieur interne : 003454 ( Main/Exploration ); précédent : 003453; suivant : 003455Lymphedema Following Treatment for Breast Cancer: A New Approach to an Old Problem
Auteurs : Jean O Oole ; Lauren Jammallo ; Melissa Skolny ; Cynthia Miller ; Krista Elliott ; Michelle Specht ; Alphonse G. TaghianSource :
- Critical reviews in oncology/hematology [ 1040-8428 ] ; 2013.
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Lymphoedème.
- étiologie : Lymphoedème.
- Facteurs temps, Femelle, Humains, Lymphoedème, Qualité de vie, Tumeurs du sein.
English descriptors
- KwdEn :
- MESH :
- complications : Breast Neoplasms.
- diagnosis : Lymphedema.
- etiology : Lymphedema.
- prevention & control : Lymphedema.
- therapy : Breast Neoplasms, Lymphedema.
- Female, Humans, Quality of Life, Time Factors.
Abstract
Lymphedema following treatment for breast cancer can be an irreversible condition with a profound negative impact on quality of life. The lack of consensus regarding standard definitions of clinically significant lymphedema and optimal methods of measurement and quantification are unresolved problems. Inconsistencies persist regarding the appropriate timing of intervention and what forms of treatment should be the standard of care. There are reports that early detection and intervention can prevent progression, however the Level 1 evidence to support this hypothesis has yet to be generated. To assess these controversies, we propose the implementation of a screening program to detect early lymphedema in conjunction with a randomized, prospective trial designed to generate Level 1 evidence regarding the efficacy of early intervention and appropriate treatment strategies. Collaboration among institutions that manage breast cancer patients is essential to establish a standardized approach to lymphedema and to establish guidelines for best practice.
Url:
DOI: 10.1016/j.critrevonc.2013.05.001
PubMed: 23777977
PubMed Central: 3784614
Affiliations:
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Le document en format XML
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<term>Lymphedema (diagnosis)</term>
<term>Lymphedema (etiology)</term>
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<term>Lymphoedème (étiologie)</term>
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<front><div type="abstract" xml:lang="en"><p id="P2">Lymphedema following treatment for breast cancer can be an irreversible condition with a profound negative impact on quality of life. The lack of consensus regarding standard definitions of clinically significant lymphedema and optimal methods of measurement and quantification are unresolved problems. Inconsistencies persist regarding the appropriate timing of intervention and what forms of treatment should be the standard of care. There are reports that early detection and intervention can prevent progression, however the Level 1 evidence to support this hypothesis has yet to be generated. To assess these controversies, we propose the implementation of a screening program to detect early lymphedema in conjunction with a randomized, prospective trial designed to generate Level 1 evidence regarding the efficacy of early intervention and appropriate treatment strategies. Collaboration among institutions that manage breast cancer patients is essential to establish a standardized approach to lymphedema and to establish guidelines for best practice.</p>
</div>
</front>
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<affiliations><list></list>
<tree><noCountry><name sortKey="Elliott, Krista" sort="Elliott, Krista" uniqKey="Elliott K" first="Krista" last="Elliott">Krista Elliott</name>
<name sortKey="Jammallo, Lauren" sort="Jammallo, Lauren" uniqKey="Jammallo L" first="Lauren" last="Jammallo">Lauren Jammallo</name>
<name sortKey="Miller, Cynthia" sort="Miller, Cynthia" uniqKey="Miller C" first="Cynthia" last="Miller">Cynthia Miller</name>
<name sortKey="O Oole, Jean" sort="O Oole, Jean" uniqKey="O Oole J" first="Jean" last="O Oole">Jean O Oole</name>
<name sortKey="Skolny, Melissa" sort="Skolny, Melissa" uniqKey="Skolny M" first="Melissa" last="Skolny">Melissa Skolny</name>
<name sortKey="Specht, Michelle" sort="Specht, Michelle" uniqKey="Specht M" first="Michelle" last="Specht">Michelle Specht</name>
<name sortKey="Taghian, Alphonse G" sort="Taghian, Alphonse G" uniqKey="Taghian A" first="Alphonse G." last="Taghian">Alphonse G. Taghian</name>
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