LymphedemaV1, Main, Exploration, bibRecord, 009907

Prädiktoren des Armlymphödems beim frühen Mammakarzinom

Identifieur interne : 009907 ( Main/Exploration ); précédent : 009906; suivant : 009908

Prädiktoren des Armlymphödems beim frühen Mammakarzinom

Auteurs : M. K. Fehr [Suisse] ; M. Erismann [Suisse] ; Ch. Schneider [Suisse] ; U. Haller [Suisse] ; D. Fink [Suisse]

Source :

Geburtshilfe und Frauenheilkunde [ 0016-5751 ] ; 2002.

RBID : Pascal:02-0534728

Descripteurs français

Pascal (Inist)
- Tumeur maligne, Sein, Dissection, Ganglion axillaire, Complication, Iatrogène, Facteur prédictif, Préopératoire, Lymphoedème, Facteur risque, Indice masse corporelle, Age, Période activité génitale, Adulte, Personne âgée, Femelle.
Wicri :
- topic : Adulte, Personne âgée.

English descriptors

KwdEn :
- Adult, Age, Axillary ganglion, Body mass index, Breast, Complication, Dissection, Elderly, Female, Iatrogenic, Lymphedema, Malignant tumor, Predictive factor, Preoperative, Risk factor, Sexually active period.

Abstract

Purpose: Lymphedema of the arm develops in 6% to 30% of women undergoing axillary lymph node dissection for early breast cancer. We aimed to identify preoperative factors associated with lymphedema. Patients and Methods: We reviewed the records of 411 consecutive women with early breast cancer who underwent dissection of axillary levels I and II (n = 127) or I, II and III (n = 284) between 1992 and 1998. Cases of lymphedema necessitating treatment were identified. The mean follow-up was 45 ± 17 months. Results: Overall 21.6% of women underwent treatment for lymphedema. Univariate predictors of lymphedema were high body mass index (BMI), young age, premenopausal status (33% vs. 18%), poor tumor differentiation, dissection of level III (25% vs.15%), and adjuvant chemotherapy (29% vs. 19%). In the multivariate analysis high BMI (P=0.005) and premenopausal status (P = 0.0002) remained predictors of lymphedema. Conclusion: Premenopausal status and obesity are independent risk factors for the development of upper extremity lymphedema after axillary lymph node dissection. These patients may benefit most from sentinel lymphadenectomy.

Affiliations:

Suisse

Links toward previous steps (curation, corpus...)

to stream PascalFrancis, to step Corpus: 000735
to stream PascalFrancis, to step Curation: 000225
to stream PascalFrancis, to step Checkpoint: 000790
to stream Main, to step Merge: 009D02
to stream Main, to step Curation: 009907

Le document en format XML

<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="GER" level="a">Prädiktoren des Armlymphödems beim frühen Mammakarzinom</title>
<author><name sortKey="Fehr, M K" sort="Fehr, M K" uniqKey="Fehr M" first="M. K." last="Fehr">M. K. Fehr</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Klinik für Gynäkologie, Departement Frauenheilkunde, Universitätsspital Zürich</s1>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Klinik für Gynäkologie, Departement Frauenheilkunde, Universitätsspital Zürich</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Erismann, M" sort="Erismann, M" uniqKey="Erismann M" first="M." last="Erismann">M. Erismann</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Klinik für Gynäkologie, Departement Frauenheilkunde, Universitätsspital Zürich</s1>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Klinik für Gynäkologie, Departement Frauenheilkunde, Universitätsspital Zürich</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Schneider, Ch" sort="Schneider, Ch" uniqKey="Schneider C" first="Ch." last="Schneider">Ch. Schneider</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Klinik für Gynäkologie, Departement Frauenheilkunde, Universitätsspital Zürich</s1>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Klinik für Gynäkologie, Departement Frauenheilkunde, Universitätsspital Zürich</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Haller, U" sort="Haller, U" uniqKey="Haller U" first="U." last="Haller">U. Haller</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Klinik für Gynäkologie, Departement Frauenheilkunde, Universitätsspital Zürich</s1>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Klinik für Gynäkologie, Departement Frauenheilkunde, Universitätsspital Zürich</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Fink, D" sort="Fink, D" uniqKey="Fink D" first="D." last="Fink">D. Fink</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Klinik für Gynäkologie, Departement Frauenheilkunde, Universitätsspital Zürich</s1>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Klinik für Gynäkologie, Departement Frauenheilkunde, Universitätsspital Zürich</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">INIST</idno>
<idno type="inist">02-0534728</idno>
<date when="2002">2002</date>
<idno type="stanalyst">PASCAL 02-0534728 INIST</idno>
<idno type="RBID">Pascal:02-0534728</idno>
<idno type="wicri:Area/PascalFrancis/Corpus">000735</idno>
<idno type="wicri:Area/PascalFrancis/Curation">000225</idno>
<idno type="wicri:Area/PascalFrancis/Checkpoint">000790</idno>
<idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000790</idno>
<idno type="wicri:doubleKey">0016-5751:2002:Fehr M:pr:des:armlymphodems</idno>
<idno type="wicri:Area/Main/Merge">009D02</idno>
<idno type="wicri:Area/Main/Curation">009907</idno>
<idno type="wicri:Area/Main/Exploration">009907</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="GER" level="a">Prädiktoren des Armlymphödems beim frühen Mammakarzinom</title>
<author><name sortKey="Fehr, M K" sort="Fehr, M K" uniqKey="Fehr M" first="M. K." last="Fehr">M. K. Fehr</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Klinik für Gynäkologie, Departement Frauenheilkunde, Universitätsspital Zürich</s1>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Klinik für Gynäkologie, Departement Frauenheilkunde, Universitätsspital Zürich</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Erismann, M" sort="Erismann, M" uniqKey="Erismann M" first="M." last="Erismann">M. Erismann</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Klinik für Gynäkologie, Departement Frauenheilkunde, Universitätsspital Zürich</s1>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Klinik für Gynäkologie, Departement Frauenheilkunde, Universitätsspital Zürich</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Schneider, Ch" sort="Schneider, Ch" uniqKey="Schneider C" first="Ch." last="Schneider">Ch. Schneider</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Klinik für Gynäkologie, Departement Frauenheilkunde, Universitätsspital Zürich</s1>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Klinik für Gynäkologie, Departement Frauenheilkunde, Universitätsspital Zürich</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Haller, U" sort="Haller, U" uniqKey="Haller U" first="U." last="Haller">U. Haller</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Klinik für Gynäkologie, Departement Frauenheilkunde, Universitätsspital Zürich</s1>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Klinik für Gynäkologie, Departement Frauenheilkunde, Universitätsspital Zürich</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Fink, D" sort="Fink, D" uniqKey="Fink D" first="D." last="Fink">D. Fink</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Klinik für Gynäkologie, Departement Frauenheilkunde, Universitätsspital Zürich</s1>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Klinik für Gynäkologie, Departement Frauenheilkunde, Universitätsspital Zürich</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">Geburtshilfe und Frauenheilkunde</title>
<title level="j" type="abbreviated">Geburtshilfe Frauenheilkd.</title>
<idno type="ISSN">0016-5751</idno>
<imprint><date when="2002">2002</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">Geburtshilfe und Frauenheilkunde</title>
<title level="j" type="abbreviated">Geburtshilfe Frauenheilkd.</title>
<idno type="ISSN">0016-5751</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Age</term>
<term>Axillary ganglion</term>
<term>Body mass index</term>
<term>Breast</term>
<term>Complication</term>
<term>Dissection</term>
<term>Elderly</term>
<term>Female</term>
<term>Iatrogenic</term>
<term>Lymphedema</term>
<term>Malignant tumor</term>
<term>Predictive factor</term>
<term>Preoperative</term>
<term>Risk factor</term>
<term>Sexually active period</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Tumeur maligne</term>
<term>Sein</term>
<term>Dissection</term>
<term>Ganglion axillaire</term>
<term>Complication</term>
<term>Iatrogène</term>
<term>Facteur prédictif</term>
<term>Préopératoire</term>
<term>Lymphoedème</term>
<term>Facteur risque</term>
<term>Indice masse corporelle</term>
<term>Age</term>
<term>Période activité génitale</term>
<term>Adulte</term>
<term>Personne âgée</term>
<term>Femelle</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Adulte</term>
<term>Personne âgée</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Purpose: Lymphedema of the arm develops in 6% to 30% of women undergoing axillary lymph node dissection for early breast cancer. We aimed to identify preoperative factors associated with lymphedema. Patients and Methods: We reviewed the records of 411 consecutive women with early breast cancer who underwent dissection of axillary levels I and II (n = 127) or I, II and III (n = 284) between 1992 and 1998. Cases of lymphedema necessitating treatment were identified. The mean follow-up was 45 ± 17 months. Results: Overall 21.6% of women underwent treatment for lymphedema. Univariate predictors of lymphedema were high body mass index (BMI), young age, premenopausal status (33% vs. 18%), poor tumor differentiation, dissection of level III (25% vs.15%), and adjuvant chemotherapy (29% vs. 19%). In the multivariate analysis high BMI (P=0.005) and premenopausal status (P = 0.0002) remained predictors of lymphedema. Conclusion: Premenopausal status and obesity are independent risk factors for the development of upper extremity lymphedema after axillary lymph node dissection. These patients may benefit most from sentinel lymphadenectomy.</div>
</front>
</TEI>
<affiliations><list><country><li>Suisse</li>
</country>
</list>
<tree><country name="Suisse"><noRegion><name sortKey="Fehr, M K" sort="Fehr, M K" uniqKey="Fehr M" first="M. K." last="Fehr">M. K. Fehr</name>
</noRegion>
<name sortKey="Erismann, M" sort="Erismann, M" uniqKey="Erismann M" first="M." last="Erismann">M. Erismann</name>
<name sortKey="Fink, D" sort="Fink, D" uniqKey="Fink D" first="D." last="Fink">D. Fink</name>
<name sortKey="Haller, U" sort="Haller, U" uniqKey="Haller U" first="U." last="Haller">U. Haller</name>
<name sortKey="Schneider, Ch" sort="Schneider, Ch" uniqKey="Schneider C" first="Ch." last="Schneider">Ch. Schneider</name>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Exploration

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 009907 | SxmlIndent | more

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 009907 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Wicri/Sante
   |area=    LymphedemaV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     Pascal:02-0534728
   |texte=   Prädiktoren des Armlymphödems beim frühen Mammakarzinom
}}

This area was generated with Dilib version V0.6.31.
Data generation: Sat Nov 4 17:40:35 2017. Site generation: Tue Feb 13 16:42:16 2024

	Serveur d'exploration sur le lymphœdème
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.

Serveur d'exploration sur le lymphœdème

Prädiktoren des Armlymphödems beim frühen Mammakarzinom

Prädiktoren des Armlymphödems beim frühen Mammakarzinom

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