Early arm swelling after breast surgery: changes on both sides
Identifieur interne : 007757 ( Main/Exploration ); précédent : 007756; suivant : 007758Early arm swelling after breast surgery: changes on both sides
Auteurs : Terry P. Haines [Australie] ; Patricia Sinnamon [Australie]Source :
- Breast cancer research and treatment [ 0167-6806 ] ; 2007.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Bras.
- effets indésirables : Mastectomie.
- étiologie : Lymphoedème.
- Pascal (Inist)
- Wicri :
English descriptors
- KwdEn :
- Aged, Arm, Arm (pathology), Australia, Breast Neoplasms (surgery), Breast cancer, Early, Epidemiology, Female, Humans, Incidence, Lymph Node Excision, Lymphedema, Lymphedema (etiology), Lymphedema (prevention & control), Mammary gland, Mastectomy (adverse effects), Middle Aged, Retrospective Studies, Risk Factors, Risk factor, Surgery, Time Factors, Treatment.
- MESH :
- geographic : Australia.
- adverse effects : Mastectomy.
- etiology : Lymphedema.
- pathology : Arm.
- prevention & control : Lymphedema.
- surgery : Breast Neoplasms.
- Aged, Female, Humans, Lymph Node Excision, Middle Aged, Retrospective Studies, Risk Factors, Time Factors.
Abstract
Introduction Lymphedema is a common complication of treatment for breast cancer. However, little information is available describing changes in upper limb volumes in the early stages following surgery. Method Study design: Retrospective audit. Participants: Women who underwent unilateral mastectomy or axillary node removal for breast cancer at the Princess Alexandra Hospital, Brisbane, Australia. Measurements: Circumferential measurements taken at 10 cm intervals from the ulnar styloid on each arm were converted to segmental volumes using the frustum approach. Procedure: Pre-surgery baseline measures were taken by a physiotherapist at Preadmission Clinic at the Princess Alexandra Hospital. Follow-up measures were taken 6 weeks after surgery by Domiciliary Allied Health Acute Care and Rehabilitation Service physiotherapists in patients' homes. Results Limb segment volumes increased in the proximal upper limb segments at follow-up. The proportion of patients with a 10% or greater increase in volume in one or more segments of their upper limb were similar for ipsilateral (35%) and contralateral (32%) sides (to side of surgery), respectively. No significant interaction between time and arm (ipsilateral versus contralateral) was identified. Discussion These findings demonstrate that limb segment volume changes affect a greater proportion of patients during the first 6 weeks following surgery than previously recorded. They also indicate that flow of lymph from the side of surgery to the contralateral side may disperse lymph between sides during this early post-operative period. This has implications for how swelling is measured during this period and strategies to prevent onset of lymphedema.
Affiliations:
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Le document en format XML
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Haines</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>The University of Queensland</s1><s2>Brisbane</s2><s3>AUS</s3><sZ>1 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>The University of Queensland</wicri:noRegion></affiliation></author><author><name sortKey="Sinnamon, Patricia" sort="Sinnamon, Patricia" uniqKey="Sinnamon P" first="Patricia" last="Sinnamon">Patricia Sinnamon</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Physiotherapy Department, GARU, Princess Alexandra Hospital, Ipswich Rd</s1><s2>Woolloongabba, QLD 4102</s2><s3>AUS</s3><sZ>2 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Woolloongabba, QLD 4102</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">07-0318807</idno><date when="2007">2007</date><idno type="stanalyst">PASCAL 07-0318807 INIST</idno><idno type="RBID">Pascal:07-0318807</idno><idno type="wicri:Area/PascalFrancis/Corpus">000463</idno><idno type="wicri:Area/PascalFrancis/Curation">000497</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000477</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000477</idno><idno type="wicri:doubleKey">0167-6806:2007:Haines T:early:arm:swelling</idno><idno type="wicri:Area/Main/Merge">007921</idno><idno type="wicri:source">PubMed</idno><idno type="RBID">pubmed:17061048</idno><idno type="wicri:Area/PubMed/Corpus">003845</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003845</idno><idno type="wicri:Area/PubMed/Curation">003845</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">003845</idno><idno type="wicri:Area/PubMed/Checkpoint">003845</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">003845</idno><idno type="wicri:Area/Ncbi/Merge">002454</idno><idno type="wicri:Area/Ncbi/Curation">002454</idno><idno type="wicri:Area/Ncbi/Checkpoint">002454</idno><idno type="wicri:doubleKey">0167-6806:2007:Haines T:early:arm:swelling</idno><idno type="wicri:Area/Main/Merge">007435</idno><idno type="wicri:Area/Main/Curation">007757</idno><idno type="wicri:Area/Main/Exploration">007757</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Early arm swelling after breast surgery: changes on both sides</title><author><name sortKey="Haines, Terry P" sort="Haines, Terry P" uniqKey="Haines T" first="Terry P." last="Haines">Terry P. Haines</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>The University of Queensland</s1><s2>Brisbane</s2><s3>AUS</s3><sZ>1 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>The University of Queensland</wicri:noRegion></affiliation></author><author><name sortKey="Sinnamon, Patricia" sort="Sinnamon, Patricia" uniqKey="Sinnamon P" first="Patricia" last="Sinnamon">Patricia Sinnamon</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Physiotherapy Department, GARU, Princess Alexandra Hospital, Ipswich Rd</s1><s2>Woolloongabba, QLD 4102</s2><s3>AUS</s3><sZ>2 aut.</sZ></inist:fA14><country>Australie</country><wicri:noRegion>Woolloongabba, QLD 4102</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Breast cancer research and treatment</title><title level="j" type="abbreviated">Breast cancer res. treat.</title><idno type="ISSN">0167-6806</idno><imprint><date when="2007">2007</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Breast cancer research and treatment</title><title level="j" type="abbreviated">Breast cancer res. treat.</title><idno type="ISSN">0167-6806</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Arm</term><term>Arm (pathology)</term><term>Australia</term><term>Breast Neoplasms (surgery)</term><term>Breast cancer</term><term>Early</term><term>Epidemiology</term><term>Female</term><term>Humans</term><term>Incidence</term><term>Lymph Node Excision</term><term>Lymphedema</term><term>Lymphedema (etiology)</term><term>Lymphedema (prevention & control)</term><term>Mammary gland</term><term>Mastectomy (adverse effects)</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Risk Factors</term><term>Risk factor</term><term>Surgery</term><term>Time Factors</term><term>Treatment</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Australie</term><term>Bras (anatomopathologie)</term><term>Facteurs de risque</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Mastectomie (effets indésirables)</term><term>Sujet âgé</term><term>Tumeurs du sein ()</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Australia</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mastectomy</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Bras</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Mastectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Arm</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Lymph Node Excision</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Risk Factors</term><term>Time Factors</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Australie</term><term>Facteurs de risque</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie</term><term>Lymphoedème</term><term>Précoce</term><term>Bras</term><term>Glande mammaire</term><term>Chirurgie</term><term>Lymphoedème</term><term>Incidence</term><term>Epidémiologie</term><term>Facteur risque</term><term>Sujet âgé</term><term>Traitement</term><term>Cancer du sein</term><term>Tumeurs du sein</term><term>Études rétrospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Australie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Introduction Lymphedema is a common complication of treatment for breast cancer. However, little information is available describing changes in upper limb volumes in the early stages following surgery. Method Study design: Retrospective audit. Participants: Women who underwent unilateral mastectomy or axillary node removal for breast cancer at the Princess Alexandra Hospital, Brisbane, Australia. Measurements: Circumferential measurements taken at 10 cm intervals from the ulnar styloid on each arm were converted to segmental volumes using the frustum approach. Procedure: Pre-surgery baseline measures were taken by a physiotherapist at Preadmission Clinic at the Princess Alexandra Hospital. Follow-up measures were taken 6 weeks after surgery by Domiciliary Allied Health Acute Care and Rehabilitation Service physiotherapists in patients' homes. Results Limb segment volumes increased in the proximal upper limb segments at follow-up. The proportion of patients with a 10% or greater increase in volume in one or more segments of their upper limb were similar for ipsilateral (35%) and contralateral (32%) sides (to side of surgery), respectively. No significant interaction between time and arm (ipsilateral versus contralateral) was identified. Discussion These findings demonstrate that limb segment volume changes affect a greater proportion of patients during the first 6 weeks following surgery than previously recorded. They also indicate that flow of lymph from the side of surgery to the contralateral side may disperse lymph between sides during this early post-operative period. This has implications for how swelling is measured during this period and strategies to prevent onset of lymphedema.</div></front></TEI><affiliations><list><country><li>Australie</li></country></list><tree><country name="Australie"><noRegion><name sortKey="Haines, Terry P" sort="Haines, Terry P" uniqKey="Haines T" first="Terry P." last="Haines">Terry P. Haines</name></noRegion><name sortKey="Sinnamon, Patricia" sort="Sinnamon, Patricia" uniqKey="Sinnamon P" first="Patricia" last="Sinnamon">Patricia Sinnamon</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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