Change in blood flow velocity demonstrated by Doppler ultrasound in upper limb after axillary dissection surgery for the treatment of breast cancer.
Identifieur interne : 005019 ( Main/Exploration ); précédent : 005018; suivant : 005020Change in blood flow velocity demonstrated by Doppler ultrasound in upper limb after axillary dissection surgery for the treatment of breast cancer.
Auteurs : Carolina Nascimben Matheus [Brésil] ; Elaine Caldeira De Oliveira GuirroSource :
- Breast cancer research and treatment [ 1573-7217 ] ; 2011.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Artère axillaire (), Artère brachiale, Femelle, Humains, Lymphoedème (), Maladie artérielle périphérique (étiologie), Mastectomie (effets indésirables), Membre supérieur (), Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein (), Tumeurs du sein (physiopathologie), Veine axillaire (), Veines brachiocéphaliques, Vitesse du flux sanguin, Échographie-doppler.
- MESH :
- effets indésirables : Mastectomie.
- physiopathologie : Tumeurs du sein.
- étiologie : Maladie artérielle périphérique.
- Adulte, Adulte d'âge moyen, Artère axillaire, Artère brachiale, Femelle, Humains, Lymphoedème, Membre supérieur, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein, Veine axillaire, Veines brachiocéphaliques, Vitesse du flux sanguin, Échographie-doppler.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Axillary Artery (surgery), Axillary Vein (surgery), Blood Flow Velocity, Brachial Artery, Brachiocephalic Veins, Breast Neoplasms (blood supply), Breast Neoplasms (physiopathology), Breast Neoplasms (surgery), Female, Humans, Lymphedema (surgery), Mastectomy (adverse effects), Middle Aged, Peripheral Arterial Disease (etiology), Ultrasonography, Doppler, Upper Extremity (blood supply), Upper Extremity (surgery).
- MESH :
- adverse effects : Mastectomy.
- blood supply : Breast Neoplasms, Upper Extremity.
- etiology : Peripheral Arterial Disease.
- physiopathology : Breast Neoplasms.
- surgery : Axillary Artery, Axillary Vein, Breast Neoplasms, Lymphedema, Upper Extremity.
- Adult, Aged, Aged, 80 and over, Blood Flow Velocity, Brachial Artery, Brachiocephalic Veins, Female, Humans, Middle Aged, Ultrasonography, Doppler.
Abstract
The aim of this study was to evaluate the arterial and venous blood flow in women who underwent upper limb axillary dissection surgery for the treatment of breast cancer. Sixty women were divided into two groups: group 1 (G1)--30 women who underwent breast surgery with axillary dissection level II or III (55.6 ± 8.6 years); group 2 (G2)--control, 30 women with no breast cancer (57.4 ± 7.0 years). Blood flow profile was evaluated by a continuous wave ultrasound Doppler device (Nicolet Vascular Versalab SE) with an 8 MHz probe. Axillary, brachial arteries and veins, arm circumference, volumes, and the ankle-brachial index (ABI) were examined. Wilcoxon test and Mann-Whitney tests were applied to analyze blood flow velocity intra-group and between G1 and G2, respectively. The G1 results showed no lymphedema and no peripheral arterial disease (ABI > 0.9). Moreover, the mean blood flow velocity of the vessels ipsilateral to the surgery was significantly higher than the contralateral ones for all vessels examined (P < 0.05). The mean velocity of blood flow of the vessels contralateral to surgery was significantly higher than the axillary artery in G2 (P < 0.05). It can be concluded that women who underwent axillary dissection due to breast cancer showed probable stenosis in the arterial and venous axillary and brachial vessels of the upper limb ipsilateral to the surgery, confirmed by the increase of blood flow velocity, and such obstruction might affect the limb contralateral to the operation site.
DOI: 10.1007/s10549-011-1456-8
PubMed: 21445573
Affiliations:
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uniqKey="Caldeira De Oliveira Guirro E" first="Elaine" last="Caldeira De Oliveira Guirro">Elaine Caldeira De Oliveira Guirro</name></author></analytic><series><title level="j">Breast cancer research and treatment</title><idno type="eISSN">1573-7217</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Axillary Artery (surgery)</term><term>Axillary Vein (surgery)</term><term>Blood Flow Velocity</term><term>Brachial Artery</term><term>Brachiocephalic Veins</term><term>Breast Neoplasms (blood supply)</term><term>Breast Neoplasms (physiopathology)</term><term>Breast Neoplasms (surgery)</term><term>Female</term><term>Humans</term><term>Lymphedema (surgery)</term><term>Mastectomy (adverse effects)</term><term>Middle Aged</term><term>Peripheral Arterial Disease (etiology)</term><term>Ultrasonography, Doppler</term><term>Upper Extremity (blood supply)</term><term>Upper Extremity (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Artère axillaire ()</term><term>Artère brachiale</term><term>Femelle</term><term>Humains</term><term>Lymphoedème ()</term><term>Maladie artérielle périphérique (étiologie)</term><term>Mastectomie (effets indésirables)</term><term>Membre supérieur ()</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (physiopathologie)</term><term>Veine axillaire ()</term><term>Veines brachiocéphaliques</term><term>Vitesse du flux sanguin</term><term>Échographie-doppler</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mastectomy</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Breast Neoplasms</term><term>Upper 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Veins</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Ultrasonography, Doppler</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Artère axillaire</term><term>Artère brachiale</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Membre supérieur</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein</term><term>Veine axillaire</term><term>Veines brachiocéphaliques</term><term>Vitesse du flux sanguin</term><term>Échographie-doppler</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of this study was to evaluate the arterial and venous blood flow in women who underwent upper limb axillary dissection surgery for the treatment of breast cancer. Sixty women were divided into two groups: group 1 (G1)--30 women who underwent breast surgery with axillary dissection level II or III (55.6 ± 8.6 years); group 2 (G2)--control, 30 women with no breast cancer (57.4 ± 7.0 years). Blood flow profile was evaluated by a continuous wave ultrasound Doppler device (Nicolet Vascular Versalab SE) with an 8 MHz probe. Axillary, brachial arteries and veins, arm circumference, volumes, and the ankle-brachial index (ABI) were examined. Wilcoxon test and Mann-Whitney tests were applied to analyze blood flow velocity intra-group and between G1 and G2, respectively. The G1 results showed no lymphedema and no peripheral arterial disease (ABI > 0.9). Moreover, the mean blood flow velocity of the vessels ipsilateral to the surgery was significantly higher than the contralateral ones for all vessels examined (P < 0.05). The mean velocity of blood flow of the vessels contralateral to surgery was significantly higher than the axillary artery in G2 (P < 0.05). It can be concluded that women who underwent axillary dissection due to breast cancer showed probable stenosis in the arterial and venous axillary and brachial vessels of the upper limb ipsilateral to the surgery, confirmed by the increase of blood flow velocity, and such obstruction might affect the limb contralateral to the operation site.</div></front></TEI><affiliations><list><country><li>Brésil</li></country></list><tree><noCountry><name sortKey="Caldeira De Oliveira Guirro, Elaine" sort="Caldeira De Oliveira Guirro, Elaine" uniqKey="Caldeira De Oliveira Guirro E" first="Elaine" last="Caldeira De Oliveira Guirro">Elaine Caldeira De Oliveira Guirro</name></noCountry><country name="Brésil"><noRegion><name sortKey="Nascimben Matheus, Carolina" sort="Nascimben Matheus, Carolina" uniqKey="Nascimben Matheus C" first="Carolina" last="Nascimben Matheus">Carolina Nascimben Matheus</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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