LymphedemaV1, Main, Exploration, bibRecord, 008613

Transcutaneous oxygen tension in arms of women with unilateral postmastectomy lymphedema

Identifieur interne : 008613 ( Main/Exploration ); précédent : 008612; suivant : 008614

Transcutaneous oxygen tension in arms of women with unilateral postmastectomy lymphedema

Auteurs : H. N. Mayrovitz [États-Unis] ; N. Sims [États-Unis] ; D. Brown-Cross [États-Unis] ; S. Humen [États-Unis] ; P. Cohen [États-Unis] ; C. Kleinman-Barnett [États-Unis]

Source :

Lymphology [ 0024-7766 ] ; 2005.

RBID : Pascal:05-0458293

Descripteurs français

KwdFr :
- Adulte d'âge moyen, Bras (anatomopathologie), Complications postopératoires (), Femelle, Fibrose, Humains, Lymphoedème (), Lymphoedème (anatomopathologie), Lymphoedème (sang), Lymphoedème (étiologie), Mastectomie (effets indésirables), Mesure transcutanée des gaz du sang, Oxygène (sang), Sujet âgé, Sujet âgé de 80 ans ou plus, Techniques de physiothérapie.
MESH :
- anatomopathologie : Bras, Lymphoedème.
- effets indésirables : Mastectomie.
- sang : Lymphoedème, Oxygène.
- étiologie : Lymphoedème.
Pascal (Inist)
- Adulte d'âge moyen, Appareil circulatoire pathologie, Complications postopératoires, Femelle, Fibrose, Humains, Lymphatique pathologie, Lymphoedème, Mesure transcutanée des gaz du sang, Oxygène, Homme, Peau, Débit sanguin, Sujet âgé, Sujet âgé de 80 ans ou plus, Techniques de physiothérapie, Traitement, Oxygénation, Oedème, Fibrose, Cancer sein.
Wicri :
- topic : Oxygène, Homme.

English descriptors

KwdEn :
- Aged, Aged, 80 and over, Arm (pathology), Blood Gas Monitoring, Transcutaneous, Blood flow, Breast cancer, Cardiovascular disease, Edema, Female, Fibrosis, Human, Humans, Lymphatic vessel disease, Lymphedema, Lymphedema (blood), Lymphedema (etiology), Lymphedema (pathology), Lymphedema (therapy), Mastectomy (adverse effects), Middle Aged, Oxygen, Oxygen (blood), Oxygenation, Physical Therapy Modalities, Postoperative Complications (therapy), Skin, Treatment.
MESH :
- chemical , blood : Oxygen.
- adverse effects : Mastectomy.
- blood : Lymphedema.
- etiology : Lymphedema.
- pathology : Arm, Lymphedema.
- therapy : Lymphedema, Postoperative Complications.
- Aged, Aged, 80 and over, Blood Gas Monitoring, Transcutaneous, Female, Fibrosis, Humans, Middle Aged, Physical Therapy Modalities.

Abstract

Previous reports suggest that skin blood flow is reduced in arms of women with lymphedema due to breast cancer treatment. Since tissue oxygenation depends on blood flow, we sought to determine if transcutaneous oxygen tension (TcPO₂) is also reduced and if so, if therapy that reduces edema has a beneficial effect. TcPO₂ was measured in fibrotic areas of affected arms and in corresponding sites on non-affected arms of 15 women with unilateral arm lymphedema before and after CDP therapy sequences. Fibrosis was assessed by indentation recovery times (IRT) after applying an indenter-like device to tissue. Volumes and edema percentages were determined from circumferences using automated software calculations. Treatment significantly (p< 0.01) reduced arm edema from 28.6 ± 22.9% to 18.1 ± 17.7% (mean ± SD) and fibrotic segment edema from 42.6 ± 30.1% to 25.0 ± 20.4%, and softened fibrotic tissue judged by reductions in IRT (88.7 ± 60.7 sec vs. 23.1 ± 38.8 sec, p<0.001). TcPO₂ did not differ between arms initially and did not change with treatment, being 60.1 ± 8.8 mmHg at the start and 61.8 ± 9.2 mmHg at the end of treatment. Thus, despite significant amounts of initial edema, TcPO₂ was not initially less in affected arms nor was it changed by therapy that improved both edema and fibrosis.

Affiliations:

Le document en format XML

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<author><name sortKey="Mayrovitz, H N" sort="Mayrovitz, H N" uniqKey="Mayrovitz H" first="H. N." last="Mayrovitz">H. N. Mayrovitz</name>
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<author><name sortKey="Humen, S" sort="Humen, S" uniqKey="Humen S" first="S." last="Humen">S. Humen</name>
<affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Physiology, College of Medical Sciences, Nova Southeastern University</s1>
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<series><title level="j" type="main">Lymphology</title>
<title level="j" type="abbreviated">Lymphology</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Arm (pathology)</term>
<term>Blood Gas Monitoring, Transcutaneous</term>
<term>Blood flow</term>
<term>Breast cancer</term>
<term>Cardiovascular disease</term>
<term>Edema</term>
<term>Female</term>
<term>Fibrosis</term>
<term>Human</term>
<term>Humans</term>
<term>Lymphatic vessel disease</term>
<term>Lymphedema</term>
<term>Lymphedema (blood)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (pathology)</term>
<term>Lymphedema (therapy)</term>
<term>Mastectomy (adverse effects)</term>
<term>Middle Aged</term>
<term>Oxygen</term>
<term>Oxygen (blood)</term>
<term>Oxygenation</term>
<term>Physical Therapy Modalities</term>
<term>Postoperative Complications (therapy)</term>
<term>Skin</term>
<term>Treatment</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Bras (anatomopathologie)</term>
<term>Complications postopératoires ()</term>
<term>Femelle</term>
<term>Fibrose</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (anatomopathologie)</term>
<term>Lymphoedème (sang)</term>
<term>Lymphoedème (étiologie)</term>
<term>Mastectomie (effets indésirables)</term>
<term>Mesure transcutanée des gaz du sang</term>
<term>Oxygène (sang)</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Techniques de physiothérapie</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Oxygen</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>
<term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" qualifier="blood" xml:lang="en"><term>Lymphedema</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>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Lymphoedème</term>
<term>Oxygène</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Blood Gas Monitoring, Transcutaneous</term>
<term>Female</term>
<term>Fibrosis</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Physical Therapy Modalities</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Appareil circulatoire pathologie</term>
<term>Complications postopératoires</term>
<term>Femelle</term>
<term>Fibrose</term>
<term>Humains</term>
<term>Lymphatique pathologie</term>
<term>Lymphoedème</term>
<term>Mesure transcutanée des gaz du sang</term>
<term>Oxygène</term>
<term>Homme</term>
<term>Peau</term>
<term>Débit sanguin</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Techniques de physiothérapie</term>
<term>Traitement</term>
<term>Oxygénation</term>
<term>Oedème</term>
<term>Fibrose</term>
<term>Cancer sein</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Oxygène</term>
<term>Homme</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Previous reports suggest that skin blood flow is reduced in arms of women with lymphedema due to breast cancer treatment. Since tissue oxygenation depends on blood flow, we sought to determine if transcutaneous oxygen tension (TcPO<sub>2</sub>
) is also reduced and if so, if therapy that reduces edema has a beneficial effect. TcPO<sub>2</sub>
 was measured in fibrotic areas of affected arms and in corresponding sites on non-affected arms of 15 women with unilateral arm lymphedema before and after CDP therapy sequences. Fibrosis was assessed by indentation recovery times (IRT) after applying an indenter-like device to tissue. Volumes and edema percentages were determined from circumferences using automated software calculations. Treatment significantly (p< 0.01) reduced arm edema from 28.6 ± 22.9% to 18.1 ± 17.7% (mean ± SD) and fibrotic segment edema from 42.6 ± 30.1% to 25.0 ± 20.4%, and softened fibrotic tissue judged by reductions in IRT (88.7 ± 60.7 sec vs. 23.1 ± 38.8 sec, p<0.001). TcPO<sub>2</sub>
 did not differ between arms initially and did not change with treatment, being 60.1 ± 8.8 mmHg at the start and 61.8 ± 9.2 mmHg at the end of treatment. Thus, despite significant amounts of initial edema, TcPO<sub>2</sub>
 was not initially less in affected arms nor was it changed by therapy that improved both edema and fibrosis.</div>
</front>
</TEI>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Floride</li>
</region>
</list>
<tree><country name="États-Unis"><region name="Floride"><name sortKey="Mayrovitz, H N" sort="Mayrovitz, H N" uniqKey="Mayrovitz H" first="H. N." last="Mayrovitz">H. N. Mayrovitz</name>
</region>
<name sortKey="Brown Cross, D" sort="Brown Cross, D" uniqKey="Brown Cross D" first="D." last="Brown-Cross">D. Brown-Cross</name>
<name sortKey="Cohen, P" sort="Cohen, P" uniqKey="Cohen P" first="P." last="Cohen">P. Cohen</name>
<name sortKey="Humen, S" sort="Humen, S" uniqKey="Humen S" first="S." last="Humen">S. Humen</name>
<name sortKey="Kleinman Barnett, C" sort="Kleinman Barnett, C" uniqKey="Kleinman Barnett C" first="C." last="Kleinman-Barnett">C. Kleinman-Barnett</name>
<name sortKey="Sims, N" sort="Sims, N" uniqKey="Sims N" first="N." last="Sims">N. Sims</name>
</country>
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</record>

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Serveur d'exploration sur le lymphœdème

Transcutaneous oxygen tension in arms of women with unilateral postmastectomy lymphedema

Transcutaneous oxygen tension in arms of women with unilateral postmastectomy lymphedema

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

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