LymphedemaV1, Main, Exploration, bibRecord, 005A74

A Pilot Study Using the Gynecologic Cancer Lymphedema Questionnaire (GCLQ) as a Clinical Care Tool to Identify Lower Extremity Lymphedema in Gynecologic Cancer Survivors

Identifieur interne : 005A74 ( Main/Exploration ); précédent : 005A73; suivant : 005A75

A Pilot Study Using the Gynecologic Cancer Lymphedema Questionnaire (GCLQ) as a Clinical Care Tool to Identify Lower Extremity Lymphedema in Gynecologic Cancer Survivors

Auteurs : Jeanne Carter [États-Unis] ; Leigh Raviv [États-Unis] ; Kathleen Appollo [États-Unis] ; Raymond E. Baser [États-Unis] ; Alexia Iasonos [États-Unis] ; Richard R. Barakat [États-Unis]

Source :

Gynecologic oncology [ 0090-8258 ] ; 2010.

RBID : PMC:4847724

Descripteurs français

KwdFr :
- Adulte, Adulte d'âge moyen, Enquêtes et questionnaires, Femelle, Humains, Indice de gravité médicale, Lymphoedème (diagnostic), Membre inférieur, Projets pilotes, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de l'appareil génital féminin (), Études de suivi.
MESH :
- diagnostic : Lymphoedème.
- Adulte, Adulte d'âge moyen, Enquêtes et questionnaires, Femelle, Humains, Indice de gravité médicale, Membre inférieur, Projets pilotes, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de l'appareil génital féminin, Études de suivi.

English descriptors

KwdEn :
- Adult, Aged, Aged, 80 and over, Female, Follow-Up Studies, Genital Neoplasms, Female (complications), Humans, Lower Extremity, Lymphedema (diagnosis), Middle Aged, Pilot Projects, Severity of Illness Index, Surveys and Questionnaires.
MESH :
- complications : Genital Neoplasms, Female.
- diagnosis : Lymphedema.
- Adult, Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Lower Extremity, Middle Aged, Pilot Projects, Severity of Illness Index, Surveys and Questionnaires.

Abstract

Objective

To determine the feasibility and efficacy of using the Gynecologic Cancer Lymphedema Questionnaire (GCLQ) as a symptom scale for lymphedema of the lower extremity (LLE).

Methods

Twenty-eight gynecologic cancer survivors with documented LLE and 30 without a history or presence of lymphedema completed the GCLQ and provided feedback about their satisfaction with and feasibility of using the GCLQ at their oncology follow-ups. The study survey took approximately 5–10 minutes to complete, and it was easily understood by the majority of the sample.

Results

Participants had a mean age of 59.6 years (range, 28–80 years). Twenty-eight women (48%) had LLE and 30 (52%) had no history or presence of LLE (confirmed by limb volume [LV] measurements at assessment). Type of cancer history included: endometrial, 38 (66%); cervical, 13 (22%); and vulvar, 7 (12%). GCLQ scores differed significantly by lymphedema diagnosis; LLE patients had higher scores (P<0.01). The large area under the curve (AUC) of 0.95 (95% CI: 0.90–1.000) suggests that the GCLQ can distinguish between patients with and without LLE. Although all 28 (100%) of the LLE patients were aware of their LLE diagnosis, only 23 (82%) underwent treatment. The GCLQ was easily understood by most (55/58, 95%); and overall, patients showed a high willingness (56/58, 96%) to complete the questionnaire at future appointments. Twenty-five (88%) of the LLE patients found the GCLQ to be helpful in identifying symptoms of lymphedema.

Conclusions

The GCLQ effectively distinguished between gynecologic cancer survivors with and those without LLE, with good sensitivity and specificity. The patients, particularly those with LLE, showed high confidence in the GCLQ’s ability to detect LLE symptoms.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4847724

DOI: 10.1016/j.ygyno.2010.01.022
PubMed: 20163847
PubMed Central: 4847724

Affiliations:

Le document en format XML

<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A Pilot Study Using the Gynecologic Cancer Lymphedema Questionnaire (GCLQ) as a Clinical Care Tool to Identify Lower Extremity Lymphedema in Gynecologic Cancer Survivors</title>
<author><name sortKey="Carter, Jeanne" sort="Carter, Jeanne" uniqKey="Carter J" first="Jeanne" last="Carter">Jeanne Carter</name>
<affiliation wicri:level="2"><nlm:aff id="A1">Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY 10065</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="A2">Department of Surgery, Gynecology Service, Memorial Sloan-Kettering Cancer Center, New York, NY 10065</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Surgery, Gynecology Service, Memorial Sloan-Kettering Cancer Center, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Raviv, Leigh" sort="Raviv, Leigh" uniqKey="Raviv L" first="Leigh" last="Raviv">Leigh Raviv</name>
<affiliation wicri:level="2"><nlm:aff id="A1">Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY 10065</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Appollo, Kathleen" sort="Appollo, Kathleen" uniqKey="Appollo K" first="Kathleen" last="Appollo">Kathleen Appollo</name>
<affiliation wicri:level="2"><nlm:aff id="A2">Department of Surgery, Gynecology Service, Memorial Sloan-Kettering Cancer Center, New York, NY 10065</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Surgery, Gynecology Service, Memorial Sloan-Kettering Cancer Center, New York</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="A4">Department of Nursing, Memorial Sloan-Kettering Cancer Center, New York, NY 10065</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Nursing, Memorial Sloan-Kettering Cancer Center, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Baser, Raymond E" sort="Baser, Raymond E" uniqKey="Baser R" first="Raymond E." last="Baser">Raymond E. Baser</name>
<affiliation wicri:level="2"><nlm:aff id="A3">Department of Epidemiology and Biostatistics Memorial Sloan-Kettering Cancer Center, New York, NY 10065</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Epidemiology and Biostatistics Memorial Sloan-Kettering Cancer Center, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Iasonos, Alexia" sort="Iasonos, Alexia" uniqKey="Iasonos A" first="Alexia" last="Iasonos">Alexia Iasonos</name>
<affiliation wicri:level="2"><nlm:aff id="A3">Department of Epidemiology and Biostatistics Memorial Sloan-Kettering Cancer Center, New York, NY 10065</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Epidemiology and Biostatistics Memorial Sloan-Kettering Cancer Center, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Barakat, Richard R" sort="Barakat, Richard R" uniqKey="Barakat R" first="Richard R." last="Barakat">Richard R. Barakat</name>
<affiliation wicri:level="2"><nlm:aff id="A2">Department of Surgery, Gynecology Service, Memorial Sloan-Kettering Cancer Center, New York, NY 10065</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Surgery, Gynecology Service, Memorial Sloan-Kettering Cancer Center, New York</wicri:cityArea>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">20163847</idno>
<idno type="pmc">4847724</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4847724</idno>
<idno type="RBID">PMC:4847724</idno>
<idno type="doi">10.1016/j.ygyno.2010.01.022</idno>
<date when="2010">2010</date>
<idno type="wicri:Area/Pmc/Corpus">003303</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003303</idno>
<idno type="wicri:Area/Pmc/Curation">003302</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003302</idno>
<idno type="wicri:Area/Pmc/Checkpoint">003528</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">003528</idno>
<idno type="wicri:source">PubMed</idno>
<idno type="wicri:Area/PubMed/Corpus">002B65</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002B65</idno>
<idno type="wicri:Area/PubMed/Curation">002B65</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002B65</idno>
<idno type="wicri:Area/PubMed/Checkpoint">002B65</idno>
<idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002B65</idno>
<idno type="wicri:Area/Ncbi/Merge">003920</idno>
<idno type="wicri:Area/Ncbi/Curation">003920</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">003920</idno>
<idno type="wicri:doubleKey">0090-8258:2010:Carter J:a:pilot:study</idno>
<idno type="wicri:Area/Main/Merge">005B28</idno>
<idno type="wicri:Area/Main/Curation">005A74</idno>
<idno type="wicri:Area/Main/Exploration">005A74</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A Pilot Study Using the Gynecologic Cancer Lymphedema Questionnaire (GCLQ) as a Clinical Care Tool to Identify Lower Extremity Lymphedema in Gynecologic Cancer Survivors</title>
<author><name sortKey="Carter, Jeanne" sort="Carter, Jeanne" uniqKey="Carter J" first="Jeanne" last="Carter">Jeanne Carter</name>
<affiliation wicri:level="2"><nlm:aff id="A1">Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY 10065</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="A2">Department of Surgery, Gynecology Service, Memorial Sloan-Kettering Cancer Center, New York, NY 10065</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Surgery, Gynecology Service, Memorial Sloan-Kettering Cancer Center, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Raviv, Leigh" sort="Raviv, Leigh" uniqKey="Raviv L" first="Leigh" last="Raviv">Leigh Raviv</name>
<affiliation wicri:level="2"><nlm:aff id="A1">Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY 10065</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Appollo, Kathleen" sort="Appollo, Kathleen" uniqKey="Appollo K" first="Kathleen" last="Appollo">Kathleen Appollo</name>
<affiliation wicri:level="2"><nlm:aff id="A2">Department of Surgery, Gynecology Service, Memorial Sloan-Kettering Cancer Center, New York, NY 10065</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Surgery, Gynecology Service, Memorial Sloan-Kettering Cancer Center, New York</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="A4">Department of Nursing, Memorial Sloan-Kettering Cancer Center, New York, NY 10065</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Nursing, Memorial Sloan-Kettering Cancer Center, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Baser, Raymond E" sort="Baser, Raymond E" uniqKey="Baser R" first="Raymond E." last="Baser">Raymond E. Baser</name>
<affiliation wicri:level="2"><nlm:aff id="A3">Department of Epidemiology and Biostatistics Memorial Sloan-Kettering Cancer Center, New York, NY 10065</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Epidemiology and Biostatistics Memorial Sloan-Kettering Cancer Center, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Iasonos, Alexia" sort="Iasonos, Alexia" uniqKey="Iasonos A" first="Alexia" last="Iasonos">Alexia Iasonos</name>
<affiliation wicri:level="2"><nlm:aff id="A3">Department of Epidemiology and Biostatistics Memorial Sloan-Kettering Cancer Center, New York, NY 10065</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Epidemiology and Biostatistics Memorial Sloan-Kettering Cancer Center, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Barakat, Richard R" sort="Barakat, Richard R" uniqKey="Barakat R" first="Richard R." last="Barakat">Richard R. Barakat</name>
<affiliation wicri:level="2"><nlm:aff id="A2">Department of Surgery, Gynecology Service, Memorial Sloan-Kettering Cancer Center, New York, NY 10065</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>Department of Surgery, Gynecology Service, Memorial Sloan-Kettering Cancer Center, New York</wicri:cityArea>
</affiliation>
</author>
</analytic>
<series><title level="j">Gynecologic oncology</title>
<idno type="ISSN">0090-8258</idno>
<idno type="eISSN">1095-6859</idno>
<imprint><date when="2010">2010</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>Female</term>
<term>Follow-Up Studies</term>
<term>Genital Neoplasms, Female (complications)</term>
<term>Humans</term>
<term>Lower Extremity</term>
<term>Lymphedema (diagnosis)</term>
<term>Middle Aged</term>
<term>Pilot Projects</term>
<term>Severity of Illness Index</term>
<term>Surveys and Questionnaires</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Lymphoedème (diagnostic)</term>
<term>Membre inférieur</term>
<term>Projets pilotes</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs de l'appareil génital féminin ()</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Genital Neoplasms, Female</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lower Extremity</term>
<term>Middle Aged</term>
<term>Pilot Projects</term>
<term>Severity of Illness Index</term>
<term>Surveys and Questionnaires</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Membre inférieur</term>
<term>Projets pilotes</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs de l'appareil génital féminin</term>
<term>Études de suivi</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title>
<p id="P2">To determine the feasibility and efficacy of using the Gynecologic Cancer Lymphedema Questionnaire (GCLQ) as a symptom scale for lymphedema of the lower extremity (LLE).</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P3">Twenty-eight gynecologic cancer survivors with documented LLE and 30 without a history or presence of lymphedema completed the GCLQ and provided feedback about their satisfaction with and feasibility of using the GCLQ at their oncology follow-ups. The study survey took approximately 5–10 minutes to complete, and it was easily understood by the majority of the sample.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P4">Participants had a mean age of 59.6 years (range, 28–80 years). Twenty-eight women (48%) had LLE and 30 (52%) had no history or presence of LLE (confirmed by limb volume [LV] measurements at assessment). Type of cancer history included: endometrial, 38 (66%); cervical, 13 (22%); and vulvar, 7 (12%). GCLQ scores differed significantly by lymphedema diagnosis; LLE patients had higher scores (<italic>P</italic>
<0.01). The large area under the curve (AUC) of 0.95 (95% CI: 0.90–1.000) suggests that the GCLQ can distinguish between patients with and without LLE. Although all 28 (100%) of the LLE patients were aware of their LLE diagnosis, only 23 (82%) underwent treatment. The GCLQ was easily understood by most (55/58, 95%); and overall, patients showed a high willingness (56/58, 96%) to complete the questionnaire at future appointments. Twenty-five (88%) of the LLE patients found the GCLQ to be helpful in identifying symptoms of lymphedema.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P5">The GCLQ effectively distinguished between gynecologic cancer survivors with and those without LLE, with good sensitivity and specificity. The patients, particularly those with LLE, showed high confidence in the GCLQ’s ability to detect LLE symptoms.</p>
</sec>
</div>
</front>
</TEI>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>État de New York</li>
</region>
</list>
<tree><country name="États-Unis"><region name="État de New York"><name sortKey="Carter, Jeanne" sort="Carter, Jeanne" uniqKey="Carter J" first="Jeanne" last="Carter">Jeanne Carter</name>
</region>
<name sortKey="Appollo, Kathleen" sort="Appollo, Kathleen" uniqKey="Appollo K" first="Kathleen" last="Appollo">Kathleen Appollo</name>
<name sortKey="Appollo, Kathleen" sort="Appollo, Kathleen" uniqKey="Appollo K" first="Kathleen" last="Appollo">Kathleen Appollo</name>
<name sortKey="Barakat, Richard R" sort="Barakat, Richard R" uniqKey="Barakat R" first="Richard R." last="Barakat">Richard R. Barakat</name>
<name sortKey="Baser, Raymond E" sort="Baser, Raymond E" uniqKey="Baser R" first="Raymond E." last="Baser">Raymond E. Baser</name>
<name sortKey="Carter, Jeanne" sort="Carter, Jeanne" uniqKey="Carter J" first="Jeanne" last="Carter">Jeanne Carter</name>
<name sortKey="Iasonos, Alexia" sort="Iasonos, Alexia" uniqKey="Iasonos A" first="Alexia" last="Iasonos">Alexia Iasonos</name>
<name sortKey="Raviv, Leigh" sort="Raviv, Leigh" uniqKey="Raviv L" first="Leigh" last="Raviv">Leigh Raviv</name>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Exploration

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 005A74 | SxmlIndent | more

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 005A74 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Wicri/Sante
   |area=    LymphedemaV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     PMC:4847724
   |texte=   A Pilot Study Using the Gynecologic Cancer Lymphedema Questionnaire (GCLQ) as a Clinical Care Tool to Identify Lower Extremity Lymphedema in Gynecologic Cancer Survivors
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i   -Sk "pubmed:20163847" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd   \
       | NlmPubMed2Wicri -a LymphedemaV1

This area was generated with Dilib version V0.6.31.
Data generation: Sat Nov 4 17:40:35 2017. Site generation: Tue Feb 13 16:42:16 2024

Serveur d'exploration sur le lymphœdème

A Pilot Study Using the Gynecologic Cancer Lymphedema Questionnaire (GCLQ) as a Clinical Care Tool to Identify Lower Extremity Lymphedema in Gynecologic Cancer Survivors

A Pilot Study Using the Gynecologic Cancer Lymphedema Questionnaire (GCLQ) as a Clinical Care Tool to Identify Lower Extremity Lymphedema in Gynecologic Cancer Survivors

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

	Serveur d'exploration sur le lymphœdème
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.