Is there a role for microsurgery in the prevention of arm lymphedema secondary to breast cancer treatment?
Identifieur interne : 007C45 ( Main/Exploration ); précédent : 007C44; suivant : 007C46Is there a role for microsurgery in the prevention of arm lymphedema secondary to breast cancer treatment?
Auteurs : C. Campisi [Italie] ; D. Davini [Italie] ; C. Bellini [Italie] ; G. Taddei [Italie] ; G. Villa [Italie] ; E. Fulcheri [Italie] ; A. Zilli [Italie] ; E. Da Rin [Italie] ; C. Eretta [Italie] ; F. Boccardo [Italie]Source :
- Microsurgery [ 0738-1085 ] ; 2006.
Descripteurs français
- KwdFr :
- Adénocarcinome (), Adénocarcinome (imagerie diagnostique), Adénocarcinome (radiothérapie), Bras, Femelle, Humains, Lymphadénectomie (effets indésirables), Lymphoedème (), Lymphoedème (imagerie diagnostique), Lymphoedème (étiologie), Mastectomie (effets indésirables), Microchirurgie, Noeuds lymphatiques (imagerie diagnostique), Scintigraphie, Tumeurs du sein (), Tumeurs du sein (imagerie diagnostique), Tumeurs du sein (radiothérapie), Études de suivi, Études rétrospectives.
- MESH :
- effets indésirables : Lymphadénectomie, Mastectomie.
- imagerie diagnostique : Adénocarcinome, Lymphoedème, Noeuds lymphatiques, Tumeurs du sein.
- radiothérapie : Adénocarcinome, Tumeurs du sein.
- étiologie : Lymphoedème.
- Adénocarcinome, Bras, Femelle, Humains, Lymphoedème, Microchirurgie, Scintigraphie, Tumeurs du sein, Études de suivi, Études rétrospectives.
English descriptors
- KwdEn :
- Adenocarcinoma (diagnostic imaging), Adenocarcinoma (radiotherapy), Adenocarcinoma (surgery), Arm, Breast Neoplasms (diagnostic imaging), Breast Neoplasms (radiotherapy), Breast Neoplasms (surgery), Female, Follow-Up Studies, Humans, Lymph Node Excision (adverse effects), Lymph Nodes (diagnostic imaging), Lymphedema (diagnostic imaging), Lymphedema (etiology), Lymphedema (prevention & control), Mastectomy (adverse effects), Microsurgery, Radionuclide Imaging, Retrospective Studies.
- MESH :
- adverse effects : Lymph Node Excision, Mastectomy.
- diagnostic imaging : Adenocarcinoma, Breast Neoplasms, Lymph Nodes, Lymphedema.
- etiology : Lymphedema.
- prevention & control : Lymphedema.
- radiotherapy : Adenocarcinoma, Breast Neoplasms.
- surgery : Adenocarcinoma, Breast Neoplasms.
- Arm, Female, Follow-Up Studies, Humans, Microsurgery, Radionuclide Imaging, Retrospective Studies.
Abstract
The secondary lymphedema of the upper limb (post‐mastectomy lymphedema) has an incidence, in patients who underwent axillary lymphadenectomy for breast cancer, between 5 to 25%, up to 40% after radiotherapic treatment. We studied 50 patients treated for breast cancer. The patients were divided in two groups of 25 each, comparable for age, sex, pathology and treatment and followed up to 5 years after operation for breast. One group of 25 patients was controlled only clinically (physical examination, water volumetry) at 1‐3‐6 months and 1‐3‐5 years from breast cancer treatment. The other group of 25 patients was followed also by lymphatic scintigraphy performed pre‐operatively and after 1‐3‐6 months and 1‐3‐5 years from operation. In the first group, followed only clinically, lymphedema appeared in 9 patients after a period variable from 1 week to 2 years, with highest incidence between 3 and 6 months. In the second group of 25 patients, the preventive therapeutic protocol allowed to have a clinically evident arm lymphedema only in 2 patients. The comparison of the two groups of 25 patients proved a statistically significant difference in the appearance of arm secondary lymphedema (p = 0.01, using Fisher's exact test). The diagnostic and therapeutic preventive procedures allow to reduce the incidence rate of lymphedema significantly, in comparison with patients who did not undergo this protocol of prevention. © 2006 Wiley‐Liss, Inc. Microsurgery 26: 70–72, 2006.
Url:
DOI: 10.1002/micr.20215
Affiliations:
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<term>Arm</term>
<term>Breast Neoplasms (diagnostic imaging)</term>
<term>Breast Neoplasms (radiotherapy)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymph Nodes (diagnostic imaging)</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (prevention & control)</term>
<term>Mastectomy (adverse effects)</term>
<term>Microsurgery</term>
<term>Radionuclide Imaging</term>
<term>Retrospective Studies</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adénocarcinome ()</term>
<term>Adénocarcinome (imagerie diagnostique)</term>
<term>Adénocarcinome (radiothérapie)</term>
<term>Bras</term>
<term>Femelle</term>
<term>Humains</term>
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<term>Lymphoedème ()</term>
<term>Lymphoedème (imagerie diagnostique)</term>
<term>Lymphoedème (étiologie)</term>
<term>Mastectomie (effets indésirables)</term>
<term>Microchirurgie</term>
<term>Noeuds lymphatiques (imagerie diagnostique)</term>
<term>Scintigraphie</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (imagerie diagnostique)</term>
<term>Tumeurs du sein (radiothérapie)</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<term>Mastectomy</term>
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<term>Breast Neoplasms</term>
<term>Lymph Nodes</term>
<term>Lymphedema</term>
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<term>Noeuds lymphatiques</term>
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<front><div type="abstract" xml:lang="en">The secondary lymphedema of the upper limb (post‐mastectomy lymphedema) has an incidence, in patients who underwent axillary lymphadenectomy for breast cancer, between 5 to 25%, up to 40% after radiotherapic treatment. We studied 50 patients treated for breast cancer. The patients were divided in two groups of 25 each, comparable for age, sex, pathology and treatment and followed up to 5 years after operation for breast. One group of 25 patients was controlled only clinically (physical examination, water volumetry) at 1‐3‐6 months and 1‐3‐5 years from breast cancer treatment. The other group of 25 patients was followed also by lymphatic scintigraphy performed pre‐operatively and after 1‐3‐6 months and 1‐3‐5 years from operation. In the first group, followed only clinically, lymphedema appeared in 9 patients after a period variable from 1 week to 2 years, with highest incidence between 3 and 6 months. In the second group of 25 patients, the preventive therapeutic protocol allowed to have a clinically evident arm lymphedema only in 2 patients. The comparison of the two groups of 25 patients proved a statistically significant difference in the appearance of arm secondary lymphedema (p = 0.01, using Fisher's exact test). The diagnostic and therapeutic preventive procedures allow to reduce the incidence rate of lymphedema significantly, in comparison with patients who did not undergo this protocol of prevention. © 2006 Wiley‐Liss, Inc. Microsurgery 26: 70–72, 2006.</div>
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