Prevalence of Secondary Lymphedema in Patients With Head and Neck Cancer
Identifieur interne : 004924 ( Main/Exploration ); précédent : 004923; suivant : 004925Prevalence of Secondary Lymphedema in Patients With Head and Neck Cancer
Auteurs : JIE DENG [États-Unis] ; Sheila H. Ridner [États-Unis] ; Mary S. Dietrich [États-Unis] ; Nancy Wells [États-Unis] ; Kenneth A. Wallston [États-Unis] ; Robert J. Sinard [États-Unis] ; Anthony J. Cmelak [États-Unis] ; Barbara A. Murphy [États-Unis]Source :
- Journal of pain and symptom management [ 0885-3924 ] ; 2012.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
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Abstract
Context. Because surgery, radiation, and/or chemotherapy disrupt lymphatic structures, damage soft tissue leading to scar tissue formation and fibrosis, and further affect lymphatic function, patients with head and neck cancer may be at high risk for developing secondary lymphedema. Yet, no published data are available regarding the prevalence of secondary lymphedema after head and neck cancer treatment. Objectives. The aim of this study was to examine prevalence of secondary lymphedema in patients with head and neck cancer. Methods. The study included 81 patients with head and neck cancer who were three months or more post-treatment. External lymphedema was staged using Foldi's lymphedema scale. Internal lymphedema was identified through a flexible fiber-optic endoscopic or mirror examination. Patterson's scale was used to grade degrees of internal lymphedema. Results. Of the 81 patients, 75.3% (61 of 81) had some form of late-effect lymphedema. Of those, 9.8% (6 of 61) only had external, 39.4% (24 of 61) only had internal, and 50.8% (31 of 61) had both types. Conclusion. Lymphedema is a common late effect in patients with head and neck cancer, and it develops in multiple external and internal anatomical locations. During physical examination and endoscopic procedures, clinicians should assess patients with head and neck cancer for late-effect lymphedema. Referral for treatment should be considered when lymphedema is noted. Research is needed to examine risk factors of lymphedema in patients with head and neck cancer and its effects on patients' symptoms, function, and quality of life.
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Ridner</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>School of Nursing, School of Medicine, Vanderbilt University</s1><s2>Nashville, Tennessee</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Tennessee</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Vanderbilt-Ingram Cancer Center</s1><s2>Nashville, Tennessee</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Tennessee</region></placeName></affiliation></author><author><name sortKey="Dietrich, Mary S" sort="Dietrich, Mary S" uniqKey="Dietrich M" first="Mary S." last="Dietrich">Mary S. Dietrich</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>School of Nursing, School of Medicine, Vanderbilt University</s1><s2>Nashville, Tennessee</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Tennessee</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Biostatistics, School of Medicine, Vanderbilt University</s1><s2>Nashville, Tennessee</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Tennessee</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Vanderbilt-Ingram Cancer Center</s1><s2>Nashville, Tennessee</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Tennessee</region></placeName></affiliation></author><author><name sortKey="Wells, Nancy" sort="Wells, Nancy" uniqKey="Wells N" first="Nancy" last="Wells">Nancy Wells</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>School of Nursing, School of Medicine, Vanderbilt University</s1><s2>Nashville, Tennessee</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Tennessee</region></placeName></affiliation></author><author><name sortKey="Wallston, Kenneth A" sort="Wallston, Kenneth A" uniqKey="Wallston K" first="Kenneth A." last="Wallston">Kenneth A. Wallston</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>School of Nursing, School of Medicine, Vanderbilt University</s1><s2>Nashville, Tennessee</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Tennessee</region></placeName></affiliation></author><author><name sortKey="Sinard, Robert J" sort="Sinard, Robert J" uniqKey="Sinard R" first="Robert J." last="Sinard">Robert J. Sinard</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Vanderbilt-Ingram Cancer Center</s1><s2>Nashville, Tennessee</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Tennessee</region></placeName></affiliation></author><author><name sortKey="Cmelak, Anthony J" sort="Cmelak, Anthony J" uniqKey="Cmelak A" first="Anthony J." last="Cmelak">Anthony J. Cmelak</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Vanderbilt-Ingram Cancer Center</s1><s2>Nashville, Tennessee</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Tennessee</region></placeName></affiliation></author><author><name sortKey="Murphy, Barbara A" sort="Murphy, Barbara A" uniqKey="Murphy B" first="Barbara A." last="Murphy">Barbara A. Murphy</name><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Vanderbilt-Ingram Cancer Center</s1><s2>Nashville, Tennessee</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Tennessee</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Journal of pain and symptom management</title><title level="j" type="abbreviated">J. pain symptom manage.</title><idno type="ISSN">0885-3924</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of pain and symptom management</title><title level="j" type="abbreviated">J. pain symptom manage.</title><idno type="ISSN">0885-3924</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Epidemiology</term><term>Head and neck cancer</term><term>Human</term><term>Late</term><term>Lymphedema</term><term>Prevalence</term><term>Secondary</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Prévalence</term><term>Epidémiologie</term><term>Secondaire</term><term>Lymphoedème</term><term>Homme</term><term>Cancer de la tête et du cou</term><term>Tardif</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Context. Because surgery, radiation, and/or chemotherapy disrupt lymphatic structures, damage soft tissue leading to scar tissue formation and fibrosis, and further affect lymphatic function, patients with head and neck cancer may be at high risk for developing secondary lymphedema. Yet, no published data are available regarding the prevalence of secondary lymphedema after head and neck cancer treatment. Objectives. The aim of this study was to examine prevalence of secondary lymphedema in patients with head and neck cancer. Methods. The study included 81 patients with head and neck cancer who were three months or more post-treatment. External lymphedema was staged using Foldi's lymphedema scale. Internal lymphedema was identified through a flexible fiber-optic endoscopic or mirror examination. Patterson's scale was used to grade degrees of internal lymphedema. Results. Of the 81 patients, 75.3% (61 of 81) had some form of late-effect lymphedema. Of those, 9.8% (6 of 61) only had external, 39.4% (24 of 61) only had internal, and 50.8% (31 of 61) had both types. Conclusion. Lymphedema is a common late effect in patients with head and neck cancer, and it develops in multiple external and internal anatomical locations. During physical examination and endoscopic procedures, clinicians should assess patients with head and neck cancer for late-effect lymphedema. Referral for treatment should be considered when lymphedema is noted. Research is needed to examine risk factors of lymphedema in patients with head and neck cancer and its effects on patients' symptoms, function, and quality of life.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Tennessee</li></region></list><tree><country name="États-Unis"><region name="Tennessee"><name sortKey="Jie Deng" sort="Jie Deng" uniqKey="Jie Deng" last="Jie Deng">JIE DENG</name></region><name sortKey="Cmelak, Anthony J" sort="Cmelak, Anthony J" uniqKey="Cmelak A" first="Anthony J." last="Cmelak">Anthony J. Cmelak</name><name sortKey="Dietrich, Mary S" sort="Dietrich, Mary S" uniqKey="Dietrich M" first="Mary S." last="Dietrich">Mary S. Dietrich</name><name sortKey="Dietrich, Mary S" sort="Dietrich, Mary S" uniqKey="Dietrich M" first="Mary S." last="Dietrich">Mary S. Dietrich</name><name sortKey="Dietrich, Mary S" sort="Dietrich, Mary S" uniqKey="Dietrich M" first="Mary S." last="Dietrich">Mary S. Dietrich</name><name sortKey="Murphy, Barbara A" sort="Murphy, Barbara A" uniqKey="Murphy B" first="Barbara A." last="Murphy">Barbara A. Murphy</name><name sortKey="Ridner, Sheila H" sort="Ridner, Sheila H" uniqKey="Ridner S" first="Sheila H." last="Ridner">Sheila H. Ridner</name><name sortKey="Ridner, Sheila H" sort="Ridner, Sheila H" uniqKey="Ridner S" first="Sheila H." last="Ridner">Sheila H. Ridner</name><name sortKey="Sinard, Robert J" sort="Sinard, Robert J" uniqKey="Sinard R" first="Robert J." last="Sinard">Robert J. Sinard</name><name sortKey="Wallston, Kenneth A" sort="Wallston, Kenneth A" uniqKey="Wallston K" first="Kenneth A." last="Wallston">Kenneth A. Wallston</name><name sortKey="Wells, Nancy" sort="Wells, Nancy" uniqKey="Wells N" first="Nancy" last="Wells">Nancy Wells</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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