Early Contralateral Shoulder-Arm Morbidity in Breast Cancer Patients Enrolled in a Randomized Trial of Post-Surgery Radiation Therapy
Identifieur interne : 004360 ( Main/Exploration ); précédent : 004359; suivant : 004361Early Contralateral Shoulder-Arm Morbidity in Breast Cancer Patients Enrolled in a Randomized Trial of Post-Surgery Radiation Therapy
Auteurs : Nele Adriaenssens [Belgique] ; Vincent Vinh-Hung [Suisse, Belgique] ; Geertje Miedema [Belgique] ; Harijati Versmessen [Belgique] ; Jan Lamote [Belgique] ; Marian Vanhoeij [Belgique] ; Pierre Lievens [Belgique] ; Hilde Van Parijs [Belgique] ; Guy Storme [Belgique] ; Mia Voordeckers [Belgique] ; Mark De Ridder [Belgique]Source :
- Breast Cancer : Basic and Clinical Research [ 1178-2234 ] ; 2012.
Abstract
Shoulder/arm morbidity is a common complication of breast cancer surgery and radiotherapy (RT), but little is known about acute contralateral morbidity.
Patients were 118 women enrolled in a RT trial. Arm volume and shoulder mobility were assessed before and 1–3 months after RT. Correlations and linear regression were used to analyze changes affecting ipsilateral and contralateral arms, and changes affecting relative interlimb differences (RID).
Changes affecting one limb correlated with changes affecting the other limb. Arm volume between the two limbs correlated (R = 0.57). Risk factors were weight increase and axillary dissection. Contralateral and ipsilateral loss of abduction strongly correlated (R = 0.78). Changes of combined RID exceeding 10% affected the ipsilateral limb in 25% of patients, and the contralateral limb in 18%. Aromatase inhibitor therapy was significantly associated with contralateral loss of abduction.
High incidence of early contralateral arm morbidity warrants further investigations.
Url:
DOI: 10.4137/BCBCR.S9362
PubMed: 22904635
PubMed Central: 3418149
Affiliations:
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wicri:level="3"><nlm:aff id="af1-bcbcr-6-2012-079">Breast Clinic, Oncological Surgery, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Breast Clinic, Oncological Surgery, UZ Brussel, Laarbeeklaan 101, 1090 Brussels</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="af2-bcbcr-6-2012-079">Physical Therapy Department, Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Physical Therapy Department, Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author><author><name sortKey="Vinh Hung, Vincent" sort="Vinh Hung, Vincent" uniqKey="Vinh Hung V" first="Vincent" last="Vinh-Hung">Vincent Vinh-Hung</name><affiliation wicri:level="1"><nlm:aff id="af3-bcbcr-6-2012-079">Radiation Oncology, Geneva University Hospitals, 1205 Geneva, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Radiation Oncology, Geneva University Hospitals, 1205 Geneva</wicri:regionArea><wicri:noRegion>1205 Geneva</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="af4-bcbcr-6-2012-079">Oncology Centre, Department of Radiation therapy, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Oncology Centre, Department of Radiation therapy, UZ Brussel, Laarbeeklaan 101, 1090 Brussels</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author><author><name sortKey="Miedema, Geertje" sort="Miedema, Geertje" uniqKey="Miedema G" first="Geertje" last="Miedema">Geertje Miedema</name><affiliation wicri:level="3"><nlm:aff id="af4-bcbcr-6-2012-079">Oncology Centre, Department of Radiation therapy, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Oncology Centre, Department of Radiation therapy, UZ Brussel, Laarbeeklaan 101, 1090 Brussels</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author><author><name sortKey="Versmessen, Harijati" sort="Versmessen, Harijati" uniqKey="Versmessen H" first="Harijati" last="Versmessen">Harijati Versmessen</name><affiliation wicri:level="3"><nlm:aff id="af4-bcbcr-6-2012-079">Oncology Centre, Department of Radiation therapy, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Oncology Centre, Department of Radiation therapy, UZ Brussel, Laarbeeklaan 101, 1090 Brussels</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author><author><name sortKey="Lamote, Jan" sort="Lamote, Jan" uniqKey="Lamote J" first="Jan" last="Lamote">Jan Lamote</name><affiliation wicri:level="3"><nlm:aff id="af1-bcbcr-6-2012-079">Breast Clinic, Oncological Surgery, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Breast Clinic, Oncological Surgery, UZ Brussel, Laarbeeklaan 101, 1090 Brussels</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author><author><name sortKey="Vanhoeij, Marian" sort="Vanhoeij, Marian" uniqKey="Vanhoeij M" first="Marian" last="Vanhoeij">Marian Vanhoeij</name><affiliation wicri:level="3"><nlm:aff id="af1-bcbcr-6-2012-079">Breast Clinic, Oncological Surgery, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Breast Clinic, Oncological Surgery, UZ Brussel, Laarbeeklaan 101, 1090 Brussels</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author><author><name sortKey="Lievens, Pierre" sort="Lievens, Pierre" uniqKey="Lievens P" first="Pierre" last="Lievens">Pierre Lievens</name><affiliation wicri:level="3"><nlm:aff id="af2-bcbcr-6-2012-079">Physical Therapy Department, Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Physical Therapy Department, Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author><author><name sortKey="Van Parijs, Hilde" sort="Van Parijs, Hilde" uniqKey="Van Parijs H" first="Hilde" last="Van Parijs">Hilde Van Parijs</name><affiliation wicri:level="3"><nlm:aff id="af4-bcbcr-6-2012-079">Oncology Centre, Department of Radiation therapy, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Oncology Centre, Department of Radiation therapy, UZ Brussel, Laarbeeklaan 101, 1090 Brussels</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author><author><name sortKey="Storme, Guy" sort="Storme, Guy" uniqKey="Storme G" first="Guy" last="Storme">Guy Storme</name><affiliation wicri:level="3"><nlm:aff id="af4-bcbcr-6-2012-079">Oncology Centre, Department of Radiation therapy, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Oncology Centre, Department of Radiation therapy, UZ Brussel, Laarbeeklaan 101, 1090 Brussels</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author><author><name sortKey="Voordeckers, Mia" sort="Voordeckers, Mia" uniqKey="Voordeckers M" first="Mia" last="Voordeckers">Mia Voordeckers</name><affiliation wicri:level="3"><nlm:aff id="af4-bcbcr-6-2012-079">Oncology Centre, Department of Radiation therapy, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Oncology Centre, Department of Radiation therapy, UZ Brussel, Laarbeeklaan 101, 1090 Brussels</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author><author><name sortKey="De Ridder, Mark" sort="De Ridder, Mark" uniqKey="De Ridder M" first="Mark" last="De Ridder">Mark De Ridder</name><affiliation wicri:level="3"><nlm:aff id="af4-bcbcr-6-2012-079">Oncology Centre, Department of Radiation therapy, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Oncology Centre, Department of Radiation therapy, UZ Brussel, Laarbeeklaan 101, 1090 Brussels</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName></affiliation></author></analytic><series><title level="j">Breast Cancer : Basic and Clinical Research</title><idno type="eISSN">1178-2234</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>Shoulder/arm morbidity is a common complication of breast cancer surgery and radiotherapy (RT), but little is known about acute contralateral morbidity.</p></sec><sec><title>Methods</title><p>Patients were 118 women enrolled in a RT trial. Arm volume and shoulder mobility were assessed before and 1–3 months after RT. Correlations and linear regression were used to analyze changes affecting ipsilateral and contralateral arms, and changes affecting relative interlimb differences (RID).</p></sec><sec><title>Results</title><p>Changes affecting one limb correlated with changes affecting the other limb. Arm volume between the two limbs correlated (R = 0.57). Risk factors were weight increase and axillary dissection. Contralateral and ipsilateral loss of abduction strongly correlated (R = 0.78). Changes of combined RID exceeding 10% affected the ipsilateral limb in 25% of patients, and the contralateral limb in 18%. Aromatase inhibitor therapy was significantly associated with contralateral loss of abduction.</p></sec><sec><title>Conclusions</title><p>High incidence of early contralateral arm morbidity warrants further investigations.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Boyle, P" uniqKey="Boyle P">P Boyle</name></author><author><name sortKey="Levin, B" uniqKey="Levin B">B Levin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Howlader, N" uniqKey="Howlader N">N Howlader</name></author><author><name sortKey="Noone, A" uniqKey="Noone A">A Noone</name></author><author><name sortKey="Krapcho, M" uniqKey="Krapcho M">M Krapcho</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, Ts" uniqKey="Lee T">TS Lee</name></author><author><name sortKey="Kilbreath, Sl" uniqKey="Kilbreath S">SL Kilbreath</name></author><author><name sortKey="Refshauge, Km" 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J" first="Jan" last="Lamote">Jan Lamote</name><name sortKey="Lievens, Pierre" sort="Lievens, Pierre" uniqKey="Lievens P" first="Pierre" last="Lievens">Pierre Lievens</name><name sortKey="Miedema, Geertje" sort="Miedema, Geertje" uniqKey="Miedema G" first="Geertje" last="Miedema">Geertje Miedema</name><name sortKey="Storme, Guy" sort="Storme, Guy" uniqKey="Storme G" first="Guy" last="Storme">Guy Storme</name><name sortKey="Van Parijs, Hilde" sort="Van Parijs, Hilde" uniqKey="Van Parijs H" first="Hilde" last="Van Parijs">Hilde Van Parijs</name><name sortKey="Vanhoeij, Marian" sort="Vanhoeij, Marian" uniqKey="Vanhoeij M" first="Marian" last="Vanhoeij">Marian Vanhoeij</name><name sortKey="Versmessen, Harijati" sort="Versmessen, Harijati" uniqKey="Versmessen H" first="Harijati" last="Versmessen">Harijati Versmessen</name><name sortKey="Vinh Hung, Vincent" sort="Vinh Hung, Vincent" uniqKey="Vinh Hung V" first="Vincent" last="Vinh-Hung">Vincent Vinh-Hung</name><name sortKey="Voordeckers, Mia" sort="Voordeckers, Mia" uniqKey="Voordeckers M" first="Mia" last="Voordeckers">Mia Voordeckers</name></country><country name="Suisse"><noRegion><name sortKey="Vinh Hung, Vincent" sort="Vinh Hung, Vincent" uniqKey="Vinh Hung V" first="Vincent" last="Vinh-Hung">Vincent Vinh-Hung</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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