Can a practicing surgeon detect early lymphedema reliably?
Identifieur interne : 009275 ( Main/Exploration ); précédent : 009274; suivant : 009276Can a practicing surgeon detect early lymphedema reliably?
Auteurs : Keiva L. Bland [États-Unis] ; Rebecca Perczyk [États-Unis] ; WEI DU [États-Unis] ; Christine Rymal [États-Unis] ; Prathima Koppolu [États-Unis] ; Ruthie Mccrary [États-Unis] ; Kathryn A. Carolin [États-Unis] ; Mary Ann Kosir [États-Unis]Source :
- The American journal of surgery [ 0002-9610 ] ; 2003.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Bras (anatomie et histologie), Complications postopératoires (diagnostic), Diagnostic précoce, Facteurs temps, Femelle, Humains, Lymphoedème (diagnostic), Radiothérapie adjuvante, Sensibilité et spécificité, Tumeurs du sein (), Tumeurs du sein (radiothérapie), Études de suivi, Études prospectives.
- MESH :
- anatomie et histologie : Bras.
- diagnostic : Complications postopératoires, Lymphoedème.
- radiothérapie : Tumeurs du sein.
- Pascal (Inist)
- Wicri :
- topic : Chirurgien, Homme.
English descriptors
- KwdEn :
- Arm (anatomy & histology), Breast Neoplasms (radiotherapy), Breast Neoplasms (surgery), Diagnosis, Early, Early Diagnosis, Female, Follow-Up Studies, Human, Humans, Lymphedema, Lymphedema (diagnosis), Middle Aged, Postoperative Complications (diagnosis), Prospective Studies, Radiotherapy, Adjuvant, Sensitivity and Specificity, Surgeon, Time Factors.
- MESH :
- anatomy & histology : Arm.
- diagnosis : Lymphedema, Postoperative Complications.
- radiotherapy : Breast Neoplasms.
- surgery : Breast Neoplasms.
- Early Diagnosis, Female, Follow-Up Studies, Humans, Middle Aged, Prospective Studies, Radiotherapy, Adjuvant, Sensitivity and Specificity, Time Factors.
Abstract
Background: Lymphedema may be identified by simpler circumference changes as compared with changes in limb volume. Methods: Ninety breast cancer patients were prospectively enrolled in an academic trial, and seven upper extremity circumferences were measured quarterly for 3 years. A 10% volume increase or greater than 1 cm increase in arm circumference identified lymphedema with verification by a lymphedema specialist. Sensitivity and specificity of several different criteria for detecting lymphedema were compared using the academic trial as the standard. Results: Thirty-nine cases of lymphedema were identified by the academic trial. Using a 10% increase in circumference at two sites as the criterion, half the lymphedema cases were detected (sensitivity 37%). When using a 10% increase in circumference at any site, 74.4% of cases were detected (sensitivity 49%). Detection by a 5% increase in circumference at any site was 91% sensitive. Conclusions: An increase of 5% in circumference measurements identified the most potential lymphedema cases compared with an academic trial.
Affiliations:
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Bland</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Surgery, School of Medicine, Wayne State University</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Perczyk, Rebecca" sort="Perczyk, Rebecca" uniqKey="Perczyk R" first="Rebecca" last="Perczyk">Rebecca Perczyk</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Surgery, School of Medicine, Wayne State University</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Wei Du" sort="Wei Du" uniqKey="Wei Du" last="Wei Du">WEI DU</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Internal Medicine, School of Medicine, Wayne State University</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>CETAID, Barbara Ann Karmanos Cancer Institute</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Rymal, Christine" sort="Rymal, Christine" uniqKey="Rymal C" first="Christine" last="Rymal">Christine Rymal</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Surgery, School of Medicine, Wayne State University</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Prevention Program, Barbara Ann Karmanos Cancer Institute</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Breast Program, Barbara Ann Karmanos Cancer Institute</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Koppolu, Prathima" sort="Koppolu, Prathima" uniqKey="Koppolu P" first="Prathima" last="Koppolu">Prathima Koppolu</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Surgery, School of Medicine, Wayne State University</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Mccrary, Ruthie" sort="Mccrary, Ruthie" uniqKey="Mccrary R" first="Ruthie" last="Mccrary">Ruthie Mccrary</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Surgery, School of Medicine, Wayne State University</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Carolin, Kathryn A" sort="Carolin, Kathryn A" uniqKey="Carolin K" first="Kathryn A." last="Carolin">Kathryn A. 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Bland</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Surgery, School of Medicine, Wayne State University</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Perczyk, Rebecca" sort="Perczyk, Rebecca" uniqKey="Perczyk R" first="Rebecca" last="Perczyk">Rebecca Perczyk</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Surgery, School of Medicine, Wayne State University</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Wei Du" sort="Wei Du" uniqKey="Wei Du" last="Wei Du">WEI DU</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Internal Medicine, School of Medicine, Wayne State University</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>CETAID, Barbara Ann Karmanos Cancer Institute</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Rymal, Christine" sort="Rymal, Christine" uniqKey="Rymal C" first="Christine" last="Rymal">Christine Rymal</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Surgery, School of Medicine, Wayne State University</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Prevention Program, Barbara Ann Karmanos Cancer Institute</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Breast Program, Barbara Ann Karmanos Cancer Institute</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Koppolu, Prathima" sort="Koppolu, Prathima" uniqKey="Koppolu P" first="Prathima" last="Koppolu">Prathima Koppolu</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Surgery, School of Medicine, Wayne State University</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Mccrary, Ruthie" sort="Mccrary, Ruthie" uniqKey="Mccrary R" first="Ruthie" last="Mccrary">Ruthie Mccrary</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Surgery, School of Medicine, Wayne State University</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Carolin, Kathryn A" sort="Carolin, Kathryn A" uniqKey="Carolin K" first="Kathryn A." last="Carolin">Kathryn A. Carolin</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Surgery, School of Medicine, Wayne State University</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Breast Program, Barbara Ann Karmanos Cancer Institute</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Kosir, Mary Ann" sort="Kosir, Mary Ann" uniqKey="Kosir M" first="Mary Ann" last="Kosir">Mary Ann Kosir</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Surgery, School of Medicine, Wayne State University</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Breast Program, Barbara Ann Karmanos Cancer Institute</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>4 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="06"><s1>Surgical Section, John D. Dingell VA Medical Center (11S), 4646 John R</s1><s2>Detroit, MI 48201</s2><s3>USA</s3><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author></analytic><series><title level="j" type="main">The American journal of surgery</title><title level="j" type="abbreviated">Am. j. surg.</title><idno type="ISSN">0002-9610</idno><imprint><date when="2003">2003</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">The American journal of surgery</title><title level="j" type="abbreviated">Am. j. surg.</title><idno type="ISSN">0002-9610</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arm (anatomy & histology)</term><term>Breast Neoplasms (radiotherapy)</term><term>Breast Neoplasms (surgery)</term><term>Diagnosis</term><term>Early</term><term>Early Diagnosis</term><term>Female</term><term>Follow-Up Studies</term><term>Human</term><term>Humans</term><term>Lymphedema</term><term>Lymphedema (diagnosis)</term><term>Middle Aged</term><term>Postoperative Complications (diagnosis)</term><term>Prospective Studies</term><term>Radiotherapy, Adjuvant</term><term>Sensitivity and Specificity</term><term>Surgeon</term><term>Time Factors</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Bras (anatomie et histologie)</term><term>Complications postopératoires (diagnostic)</term><term>Diagnostic précoce</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Lymphoedème (diagnostic)</term><term>Radiothérapie adjuvante</term><term>Sensibilité et spécificité</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (radiothérapie)</term><term>Études de suivi</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="anatomie et histologie" xml:lang="fr"><term>Bras</term></keywords><keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en"><term>Arm</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Complications postopératoires</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="radiothérapie" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Early Diagnosis</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Middle Aged</term><term>Prospective Studies</term><term>Radiotherapy, Adjuvant</term><term>Sensitivity and Specificity</term><term>Time Factors</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Diagnostic précoce</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Chirurgien</term><term>Diagnostic</term><term>Précoce</term><term>Homme</term><term>Radiothérapie adjuvante</term><term>Sensibilité et spécificité</term><term>Tumeurs du sein</term><term>Études de suivi</term><term>Études prospectives</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgien</term><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: Lymphedema may be identified by simpler circumference changes as compared with changes in limb volume. Methods: Ninety breast cancer patients were prospectively enrolled in an academic trial, and seven upper extremity circumferences were measured quarterly for 3 years. A 10% volume increase or greater than 1 cm increase in arm circumference identified lymphedema with verification by a lymphedema specialist. Sensitivity and specificity of several different criteria for detecting lymphedema were compared using the academic trial as the standard. Results: Thirty-nine cases of lymphedema were identified by the academic trial. Using a 10% increase in circumference at two sites as the criterion, half the lymphedema cases were detected (sensitivity 37%). When using a 10% increase in circumference at any site, 74.4% of cases were detected (sensitivity 49%). Detection by a 5% increase in circumference at any site was 91% sensitive. Conclusions: An increase of 5% in circumference measurements identified the most potential lymphedema cases compared with an academic trial.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Michigan</li></region></list><tree><country name="États-Unis"><region name="Michigan"><name sortKey="Bland, Keiva L" sort="Bland, Keiva L" uniqKey="Bland K" first="Keiva L." last="Bland">Keiva L. Bland</name></region><name sortKey="Carolin, Kathryn A" sort="Carolin, Kathryn A" uniqKey="Carolin K" first="Kathryn A." last="Carolin">Kathryn A. Carolin</name><name sortKey="Carolin, Kathryn A" sort="Carolin, Kathryn A" uniqKey="Carolin K" first="Kathryn A." last="Carolin">Kathryn A. Carolin</name><name sortKey="Koppolu, Prathima" sort="Koppolu, Prathima" uniqKey="Koppolu P" first="Prathima" last="Koppolu">Prathima Koppolu</name><name sortKey="Kosir, Mary Ann" sort="Kosir, Mary Ann" uniqKey="Kosir M" first="Mary Ann" last="Kosir">Mary Ann Kosir</name><name sortKey="Kosir, Mary Ann" sort="Kosir, Mary Ann" uniqKey="Kosir M" first="Mary Ann" last="Kosir">Mary Ann Kosir</name><name sortKey="Kosir, Mary Ann" sort="Kosir, Mary Ann" uniqKey="Kosir M" first="Mary Ann" last="Kosir">Mary Ann Kosir</name><name sortKey="Mccrary, Ruthie" sort="Mccrary, Ruthie" uniqKey="Mccrary R" first="Ruthie" last="Mccrary">Ruthie Mccrary</name><name sortKey="Perczyk, Rebecca" sort="Perczyk, Rebecca" uniqKey="Perczyk R" first="Rebecca" last="Perczyk">Rebecca Perczyk</name><name sortKey="Rymal, Christine" sort="Rymal, Christine" uniqKey="Rymal C" first="Christine" last="Rymal">Christine Rymal</name><name sortKey="Rymal, Christine" sort="Rymal, Christine" uniqKey="Rymal C" first="Christine" last="Rymal">Christine Rymal</name><name sortKey="Rymal, Christine" sort="Rymal, Christine" uniqKey="Rymal C" first="Christine" last="Rymal">Christine Rymal</name><name sortKey="Wei Du" sort="Wei Du" uniqKey="Wei Du" last="Wei Du">WEI DU</name><name sortKey="Wei Du" sort="Wei Du" uniqKey="Wei Du" last="Wei Du">WEI DU</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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