Sentinel lymph node biopsy lowers the rate of lymphedema when compared with standard axillary lymph node dissection. Discussion
Identifieur interne : 009247 ( Main/Exploration ); précédent : 009246; suivant : 009248Sentinel lymph node biopsy lowers the rate of lymphedema when compared with standard axillary lymph node dissection. Discussion
Auteurs : Mehra Golshan [États-Unis] ; W. Jason Martin [États-Unis] ; Kambiz Dowlatshahi [États-Unis] ; Edgar Staren ; Lynne Jalovec ; Stephen F. SenerSource :
- The American surgeon [ 0003-1348 ] ; 2003.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Tumeurs du sein.
- effets indésirables : Biopsie de noeud lymphatique sentinelle, Lymphadénectomie.
- étiologie : Lymphoedème.
- Pascal (Inist)
- Adulte d'âge moyen, Femelle, Humains, Lymphoedème, Incidence, Ganglion axillaire, Dissection, Classification par stade, Biopsie, Carcinome, Glande mammaire, Conduite à tenir, Mastectomie partielle, Postopératoire, Long terme, Femelle, Homme, Ganglion lymphatique sentinelle, Tumeurs du sein, Études rétrospectives.
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Axillary ganglion, Biopsy, Breast Neoplasms (pathology), Breast Neoplasms (surgery), Carcinoma, Clinical management, Dissection, Female, Human, Humans, Incidence, Long term, Lymph Node Excision (adverse effects), Lymphedema, Lymphedema (etiology), Lymphedema (prevention & control), Mammary gland, Mastectomy, Segmental, Middle Aged, Postoperative, Retrospective Studies, Sentinel Lymph Node Biopsy (adverse effects), Sentinel lymph node, Stage classification.
- MESH :
- adverse effects : Lymph Node Excision, Sentinel Lymph Node Biopsy.
- etiology : Lymphedema.
- pathology : Breast Neoplasms.
- prevention & control : Lymphedema.
- surgery : Breast Neoplasms.
- Female, Humans, Mastectomy, Segmental, Middle Aged, Retrospective Studies.
Abstract
Arm edema occurs in 20 to 30 per cent of patients who undergo axillary lymph node dissection (ALND) for carcinoma of the breast. Sentinel lymph node biopsy (SLNB) in lieu of ALND for staging of breast cancer significantly lowers this morbidity. We hypothesized that SLNB would have a lower lymphedema rate than conventional axillary dissection. Patients who underwent SLNB were compared with those who underwent level I and II axillary node dissection. A total of 125 patients were evaluated with 77 patients who underwent SLNB and 48 patients who underwent ALND. The arm circumference 10 cm above and 10 cm below the olecranon process was measured on both arms. In this series a difference in arm circumference greater than 3 cm between the operated and nonoperated side was defined as significant for lymphedema. Lymphedema was seen in two of 77 (2.6%) patients in the SLNB group as compared with 13 of 48 (27%) ALND patients. Given the above data patients who underwent sentinel lymph node biopsy show a significantly lower rate of lymphedema than those who had axillary lymph node dissection. This has an important impact on long-term postoperative management of patients with breast cancer.
Affiliations:
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Discussion</title><author><name sortKey="Golshan, Mehra" sort="Golshan, Mehra" uniqKey="Golshan M" first="Mehra" last="Golshan">Mehra Golshan</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Surgery, Rush University, Rush Presbyterian St. Luke's Medical Center</s1><s2>Chicago, Illinois</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Martin, W Jason" sort="Martin, W Jason" uniqKey="Martin W" first="W. Jason" last="Martin">W. Jason Martin</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Surgery, Rush University, Rush Presbyterian St. Luke's Medical Center</s1><s2>Chicago, Illinois</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Dowlatshahi, Kambiz" sort="Dowlatshahi, Kambiz" uniqKey="Dowlatshahi K" first="Kambiz" last="Dowlatshahi">Kambiz Dowlatshahi</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Surgery, Rush University, Rush Presbyterian St. Luke's Medical Center</s1><s2>Chicago, Illinois</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Staren, Edgar" sort="Staren, Edgar" uniqKey="Staren E" first="Edgar" last="Staren">Edgar Staren</name></author><author><name sortKey="Jalovec, Lynne" sort="Jalovec, Lynne" uniqKey="Jalovec L" first="Lynne" last="Jalovec">Lynne Jalovec</name></author><author><name sortKey="Sener, Stephen F" sort="Sener, Stephen F" uniqKey="Sener S" first="Stephen F." last="Sener">Stephen F. Sener</name></author></analytic><series><title level="j" type="main">The American surgeon</title><title level="j" type="abbreviated">Am. surgeon</title><idno type="ISSN">0003-1348</idno><imprint><date when="2003">2003</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">The American surgeon</title><title level="j" type="abbreviated">Am. surgeon</title><idno type="ISSN">0003-1348</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Axillary ganglion</term><term>Biopsy</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (surgery)</term><term>Carcinoma</term><term>Clinical management</term><term>Dissection</term><term>Female</term><term>Human</term><term>Humans</term><term>Incidence</term><term>Long term</term><term>Lymph Node Excision (adverse effects)</term><term>Lymphedema</term><term>Lymphedema (etiology)</term><term>Lymphedema (prevention & control)</term><term>Mammary gland</term><term>Mastectomy, Segmental</term><term>Middle Aged</term><term>Postoperative</term><term>Retrospective Studies</term><term>Sentinel Lymph Node Biopsy (adverse effects)</term><term>Sentinel lymph node</term><term>Stage classification</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Biopsie de noeud lymphatique sentinelle (effets indésirables)</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Mastectomie partielle</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (anatomopathologie)</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term><term>Sentinel Lymph Node Biopsy</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Biopsie de noeud lymphatique sentinelle</term><term>Lymphadénectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</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>Female</term><term>Humans</term><term>Mastectomy, Segmental</term><term>Middle Aged</term><term>Retrospective Studies</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Incidence</term><term>Ganglion axillaire</term><term>Dissection</term><term>Classification par stade</term><term>Biopsie</term><term>Carcinome</term><term>Glande mammaire</term><term>Conduite à tenir</term><term>Mastectomie partielle</term><term>Postopératoire</term><term>Long terme</term><term>Femelle</term><term>Homme</term><term>Ganglion lymphatique sentinelle</term><term>Tumeurs du sein</term><term>Études rétrospectives</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Arm edema occurs in 20 to 30 per cent of patients who undergo axillary lymph node dissection (ALND) for carcinoma of the breast. Sentinel lymph node biopsy (SLNB) in lieu of ALND for staging of breast cancer significantly lowers this morbidity. We hypothesized that SLNB would have a lower lymphedema rate than conventional axillary dissection. Patients who underwent SLNB were compared with those who underwent level I and II axillary node dissection. A total of 125 patients were evaluated with 77 patients who underwent SLNB and 48 patients who underwent ALND. The arm circumference 10 cm above and 10 cm below the olecranon process was measured on both arms. In this series a difference in arm circumference greater than 3 cm between the operated and nonoperated side was defined as significant for lymphedema. Lymphedema was seen in two of 77 (2.6%) patients in the SLNB group as compared with 13 of 48 (27%) ALND patients. Given the above data patients who underwent sentinel lymph node biopsy show a significantly lower rate of lymphedema than those who had axillary lymph node dissection. This has an important impact on long-term postoperative management of patients with breast cancer.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Illinois</li></region></list><tree><noCountry><name sortKey="Jalovec, Lynne" sort="Jalovec, Lynne" uniqKey="Jalovec L" first="Lynne" last="Jalovec">Lynne Jalovec</name><name sortKey="Sener, Stephen F" sort="Sener, Stephen F" uniqKey="Sener S" first="Stephen F." last="Sener">Stephen F. Sener</name><name sortKey="Staren, Edgar" sort="Staren, Edgar" uniqKey="Staren E" first="Edgar" last="Staren">Edgar Staren</name></noCountry><country name="États-Unis"><region name="Illinois"><name sortKey="Golshan, Mehra" sort="Golshan, Mehra" uniqKey="Golshan M" first="Mehra" last="Golshan">Mehra Golshan</name></region><name sortKey="Dowlatshahi, Kambiz" sort="Dowlatshahi, Kambiz" uniqKey="Dowlatshahi K" first="Kambiz" last="Dowlatshahi">Kambiz Dowlatshahi</name><name sortKey="Martin, W Jason" sort="Martin, W Jason" uniqKey="Martin W" first="W. Jason" last="Martin">W. Jason Martin</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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