Ultrasound elastography as an objective diagnostic measurement tool for lymphoedema of the treated breast in breast cancer patients following breast conserving surgery and radiotherapy
Identifieur interne : 004635 ( Main/Exploration ); précédent : 004634; suivant : 004636Ultrasound elastography as an objective diagnostic measurement tool for lymphoedema of the treated breast in breast cancer patients following breast conserving surgery and radiotherapy
Auteurs : Nele Adriaenssens [Belgique] ; Dries Belsack [Belgique] ; Ronald Buyl [Belgique] ; Leonardo Ruggiero [Belgique] ; Catherine Breucq [Belgique] ; Johan De Mey [Belgique] ; Pierre Lievens [Belgique] ; Jan Lamote [Belgique]Source :
- Radiology and Oncology [ 1318-2099 ] ; 2012-10-01.
Abstract
Background. Lymphoedema of the operated and irradiated breast is a common complication following early breast cancer treatment. There is no consensus on objective diagnostic criteria and standard measurement tools. This study investigates the use of ultrasound elastography as an objective quantitative measurement tool for the diagnosis of parenchymal breast oedema. Patients and methods. The elasticity ratio of the subcutis, measured with ultrasound elastography, was compared with high-frequency ultrasound parameters and subjective symptoms in twenty patients, bilaterally, prior to and following breast conserving surgery and breast irradiation. Results. Elasticity ratio of the subcutis of the operated breast following radiation therapy increased in 88.9% of patients, was significantly higher than prior to surgery, unlike the non operated breast and significantly higher than the non operated breast, unlike preoperative results. These results were significantly correlated with visibility of the echogenic line, measured with high-frequency ultrasound. Big preoperative bra cup size was a significant risk factor for the development of breast oedema. Conclusions. Ultrasound elastography is an objective quantitative measurement tool for the diagnosis of parenchymal breast oedema, in combination with other objective diagnostic criteria. Further research with longer follow-up and more patients is necessary to confirm our findings.
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- https://api.istex.fr/document/2A933E932D74911184CF91D35E33AD17F535EDDC/fulltext/pdf
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3572897
DOI: 10.2478/v10019-012-0033-z
Affiliations:
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sort="Lamote, Jan" uniqKey="Lamote J" first="Jan" last="Lamote">Jan Lamote</name><affiliation wicri:level="1"><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Oncological Surgery, Universitair Ziekenhuis Brussel</wicri:regionArea><wicri:noRegion>Universitair Ziekenhuis Brussel</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Radiology and Oncology</title><idno type="ISSN">1318-2099</idno><idno type="eISSN">1581-3207</idno><imprint><publisher>Versita</publisher><date type="published" when="2012-10-01">2012-10-01</date><biblScope unit="volume">46</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="284">284</biblScope><biblScope unit="page" to="295">295</biblScope></imprint><idno type="ISSN">1318-2099</idno></series><idno type="istex">2A933E932D74911184CF91D35E33AD17F535EDDC</idno><idno type="DOI">10.2478/v10019-012-0033-z</idno><idno type="ArticleID">v10019-012-0033-z</idno><idno 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Lymphoedema of the operated and irradiated breast is a common complication following early breast cancer treatment. There is no consensus on objective diagnostic criteria and standard measurement tools. This study investigates the use of ultrasound elastography as an objective quantitative measurement tool for the diagnosis of parenchymal breast oedema. Patients and methods. The elasticity ratio of the subcutis, measured with ultrasound elastography, was compared with high-frequency ultrasound parameters and subjective symptoms in twenty patients, bilaterally, prior to and following breast conserving surgery and breast irradiation. Results. Elasticity ratio of the subcutis of the operated breast following radiation therapy increased in 88.9% of patients, was significantly higher than prior to surgery, unlike the non operated breast and significantly higher than the non operated breast, unlike preoperative results. These results were significantly correlated with visibility of the echogenic line, measured with high-frequency ultrasound. Big preoperative bra cup size was a significant risk factor for the development of breast oedema. Conclusions. Ultrasound elastography is an objective quantitative measurement tool for the diagnosis of parenchymal breast oedema, in combination with other objective diagnostic criteria. Further research with longer follow-up and more patients is necessary to confirm our findings.</div></front></TEI><affiliations><list><country><li>Belgique</li></country></list><tree><country name="Belgique"><noRegion><name sortKey="Adriaenssens, Nele" sort="Adriaenssens, Nele" uniqKey="Adriaenssens N" first="Nele" last="Adriaenssens">Nele Adriaenssens</name></noRegion><name sortKey="Adriaenssens, Nele" sort="Adriaenssens, Nele" uniqKey="Adriaenssens N" first="Nele" last="Adriaenssens">Nele Adriaenssens</name><name sortKey="Belsack, Dries" sort="Belsack, Dries" uniqKey="Belsack D" first="Dries" last="Belsack">Dries Belsack</name><name sortKey="Breucq, Catherine" sort="Breucq, Catherine" uniqKey="Breucq C" first="Catherine" last="Breucq">Catherine Breucq</name><name sortKey="Buyl, Ronald" sort="Buyl, Ronald" uniqKey="Buyl R" first="Ronald" last="Buyl">Ronald Buyl</name><name sortKey="De Mey, Johan" sort="De Mey, Johan" uniqKey="De Mey J" first="Johan" last="De Mey">Johan De Mey</name><name sortKey="Lamote, Jan" sort="Lamote, Jan" uniqKey="Lamote 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="Ruggiero, Leonardo" sort="Ruggiero, Leonardo" uniqKey="Ruggiero L" first="Leonardo" last="Ruggiero">Leonardo Ruggiero</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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